State Innovations in Child Welfare Financing. Mixed Model


At times more than one model was incorporated into the initiatives. For example, Missouri utilized both a managed care organization model and an administrative services organization model (in which a private contractor provides administrative services only). The state contracted with two agencies, one to manage the delivery of services and the other to provide operational support for its initiative, which targets children with severe behavioral health needs. Massachusetts also contracts with lead agencies to develop and operate provider networks (managed care organization model) and a separate vendor to develop and support a database for utilization management (administrative services organization model).

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