Medicaid

Prepared for:Assistant Secretary for Planning and Evaluation (ASPE) U.S. Department of Health and Human Services (HHS) Prepared by: Rob Geen, Pamela Holcomb, Amy Jantz, Robin Koralek, Jake Leos-Urbel, Karin Malm

Primary care case management (PCCM) is a system of managed care used by state Medicaid agencies in which a primary care provider is responsible for approving and monitoring the care of enrolled Medicaid beneficiaries, typically for a small monthly case management fee in addition to fee-for-service reimbursement for treatment.

Contents Background About the Four Cities Immigrants Access to Medicaid and the State Childrens Health Insurance Program (SCHIP) Immigrants Access to Health Services Safety Net Providers Organizational and Financial Responses

by Deborah J. Chollet, Ph.D. Mathematica Policy Research Adele M. Kirk, M.A. University of California at Los Angeles Kosali Ilayperuma Simon, Ph.D. Michigan State University

This Primer is designed to encourage use of the Medicaid program in a manner that minimizes reliance on institutions and maximizes community integration in a cost-effective manner.

Pamela Doty

Contents Data and Methods Results Policy Implications Areas for Future Research Limitations of This Study Conclusion Children in foster care are of special interest to po