Interim Evaluation Report: Congressionally Mandated Evaluation of the State Children’s Health Insurance Program. E. Delivery Systems


Many of the states have chosen to deliver services to their SCHIP children through capitated managed care plans. Most states developed experience in managed care contracting after its rapid adoption in their Medicaid programs during the 1990's. However, in rural and other areas where managed care penetration is limited or non-existent, alternative delivery systems are used. In these cases, a mix of primary care case management and fee-for-service arrangements is common.

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