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Presented at the 18th Annual Research Conference
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Session Number: 19 Room: Salon H
Presentation Type: symposium
Chair: Jennifer Taub Discussant: Brian T. Yates
Synopsis: This symposium presents three papers focusing on issues of costs and financing for systems serving children with SED in programs that are not funded through grants. Implications for financing creative and effective community based services for children will be discussed. Papers will address issues including creative use of Medicaid waivers for sustainable funding of services, utilization of flexible service dollars for services that are not traditionally purchased through insurance and third party payers, and differences in costs and utilization for children who complete a wraparound program vs. those who do not.
Date: Monday, March 7, 2005
Session Time: 3:00 PM - 4:30 PM
Download Handouts: 51kb pdf
Presenting: Kate Biebel; Judith Katz-Leavy
All Authors for this paper: Kate Biebel; Judith Katz-Leavy
Presentation Type: element of symposium
Synopsis: Mental health problems among children and adolescents constitute a public health crisis for the nation. Medicaid is the largest payer of public mental health services in the country, but rarely pays for many of the services identified as most helpful to children with serious emotional disturbance. Analyses of primary quantitative and qualitative data from Federal system of care grantee sites suggest strategies for maximizing Medicaid and CHIP to fund wraparound services on behalf of children and their families, and to help grantee sites move towards sustainability.
Download Handouts: 164kb pdf
Presenting: Jennifer Taub; Joseph O'Garr; Jack Simons; Kim Smith
All Authors for this paper: Jennifer Taub; Joseph O'Garr; Jack Simons; Kim Smith
Presentation Type: element of symposium
Synopsis: Coordinated Family Focused Care (CFFC) is a five site wraparound program in Massachusetts for youth at risk of residential placement or hospitalization because of a serious emotional disturbance. This program requires that sites spend at least 20% of their case-rate funds as flexible funds for services or supports that are not traditionally paid through insurance or formal channels. Initial analyses of claims records from over 300 children indicate the majority of these funds are being spent on respite care. Details of types of respite purchased, site differences, and relationships between respite use and out of home days and child functioning will be discussed.
Download Handouts: 94kb pdf
Presenting: Suzanne Fields; Carol Gyurina
All Authors for this paper: Suzanne Fields; Carol Gyurina; John Straus
Presentation Type: element of symposium
Synopsis: For children enrolled in a Medicaid managed care wraparound program, this study explores the relationship between cost, service utilization patterns, child functioning, and family factors for families who graduated from the program, and families who withdrew from the program. This exploration of factors will be useful to managed care organizations and other payers who are designing and evaluating their service system.