Emerging Practices in Medicaid Primary Care Case Management Programs. Endnotes
1. HCFA(now known as CMS), letter from Sally K. Richardson, Director, Center for Medicaid and State Operations, PCCM Services Without Waiver , Jan. 21, 1998.
2. Neva Kaye, Cynthia Pernice, Helen Pelletier (Editor), Medicaid Managed Care: A Guide for
Emerging Practices in Medicaid Primary Care Case Management Programs. Studied States
The eight states studied (Alabama, Florida, Iowa, Maine, North Carolina, Oklahoma, Texas, and Virginia) were chosen for the range of strategies used in their PCCM programs. These programs vary in age (from one to ten years) and size (from several pilot sites to statewide). What also varies is the place of PCCM within the Medicaid managed care pict
Emerging Practices in Medicaid Primary Care Case Management Programs. Chapter 1: Introduction
Primary care case management (PCCM) is a system of managed care used by state Medicaid agencies in which a primary care provider (PCP) 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.
Emerging Practices in Medicaid Primary Care Case Management Programs. Executive Summary
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. States began enrollin
Emerging Practices in Medicaid Primary Care Case Management Programs. Acknowledgments
This document could not have been produced without the support of the U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation (HHS/ASPE). Special thanks go to Jennifer Tolbert for her direction and encouragement.
Thanks also go to the many state officials who participated in interviews and revi
Emerging Practices in Medicaid Primary Care Case Management Programs
June 2001
Joanne Rawlings-Sekunda, Deborah Curtis, and Neva Kaye
National Academy for State Health Policy
Produced for the U.S. Department of Health and Human Services (HHS) Office of the Assistant Secretary for Planning and Evaluation (ASPE)
report.pdf
PDF
Community Health Workers: Roles and Opportunities in Health Care Delivery System Reform
Community Health Workers (CHWs) are an emerging group of health professionals that have recently drawn increased national attention because of their potential to deliver cost-effective, high quality, and culturally competent health services within team-based care models. The apparent benefits of integrating CHWs into health care teams seem to depe
CHWPolicy.pdf
A Guide to Memorandum of Understanding Negotiation and Development
U.S. Department of Health and Human Services
A Guide to Memorandum of Understanding Negotiation and Development
Mary L. Johnson, M.S.W., and Linda M. Sterthous, M.P.A.
Temple University, Institute on Aging, Mid-Atlantic Long Term Care Gerontology Center
1982
PDF Version: http://aspe.hhs.gov/daltcp/reports/1982/mouguide.pd
mouguide.pdf
The 1996 National Survey of Homeless Assistance Providers and Clients: A Comparison of Faith-Based and Secular Non-Profit Programs. Conclusions
Faith-based and other community-based non-profit organizations have a long history of helping people in need. The NSHAPC data analyzed here provide yet more evidence of the continuing importance of faith-based organizations in serving people who are homeless or on the brink of homelessness. Faith-based non-profits run the majority of homeless
The 1996 National Survey of Homeless Assistance Providers and Clients: A Comparison of Faith-Based and Secular Non-Profit Programs. Government Funding of Homeless Assistance Programs
Revenue streams in non-profit organizations are “a complex mix of private and public dollars raised through grants, contracts, fees for services, sales, donations, investment income, special events income, and income from commercial ventures” (Boris 1998) and NSHAPC collected only very limited funding information from service providers. The
The 1996 National Survey of Homeless Assistance Providers and Clients: A Comparison of Faith-Based and Secular Non-Profit Programs. Referrals to and from Programs
The CATI survey asked respondents where most of their clients came from — referrals from other programs, self-referral, outreach by program staff, or other. 21 Respondents were also allowed to report that there was no single source from which most of their clients came. Responses to this question are reported in Table 9 for faith-base
The 1996 National Survey of Homeless Assistance Providers and Clients: A Comparison of Faith-Based and Secular Non-Profit Programs. Primary Client Needs, Availability of Services, and Location of Services
The above analysis provides a broad sketch of homeless client needs for a wide range of services. The remainder of this section examines a few of these needs in more detail, namely the twelve service needs that have been identified by over half of all program administrators as being needed by all or most clients (see Table 8 ). In addition t
The 1996 National Survey of Homeless Assistance Providers and Clients: A Comparison of Faith-Based and Secular Non-Profit Programs. All Client Needs
When asked about each of the 59 different service needs, administrators were asked if “all,” “most,” “some,” or “none” of their clients had this need. Table 7 lists all 59 service needs and reports what share of programs run by faith-based non-profits, secular non-profits, and government organizations have an administrator who th
The 1996 National Survey of Homeless Assistance Providers and Clients: A Comparison of Faith-Based and Secular Non-Profit Programs. Needs of Homeless Assistance Clients
A major focus of the NSHAPC mail survey was administrators’ perceptions of homeless clients’ needs. 18 The survey asked about 59 distinct service needs ranging from food, clothing, and housing to employment and health care (see Table 7 for a complete listing). The basic question asked of all respondents to the mail survey was: P
The 1996 National Survey of Homeless Assistance Providers and Clients: A Comparison of Faith-Based and Secular Non-Profit Programs. Special Focus of Homeless Assistance Programs
In addition to asking what types of clients they serve, NSHAPC asked program administrators whether their programs focused on one or more special population groups, such as children, veterans, or HIV patients. 16 Table 5 lists the share of faith-based non-profits, secular non-profits, and government run programs that focus on each spe
The 1996 National Survey of Homeless Assistance Providers and Clients: A Comparison of Faith-Based and Secular Non-Profit Programs. Clients of Homeless Assistance Programs
NSHAPC asked program administrators a number of questions about the clients of their programs, including whether “on an average day in February 1996 that the [emergency shelter or other type of] program operated, did the program serve (1) families with children (follow-up questions ask what share were single- versus two-parent, and among the sin
The 1996 National Survey of Homeless Assistance Providers and Clients: A Comparison of Faith-Based and Secular Non-Profit Programs. Program Contacts
In addition to documenting numbers (and types) of programs, the NSHAPC survey asked program administrators about how many people they expected to serve through their program on an average day in February 1996. Summing these estimates across all programs (or across programs of a given type) yields an estimate of the total number of “program con
The 1996 National Survey of Homeless Assistance Providers and Clients: A Comparison of Faith-Based and Secular Non-Profit Programs. Numbers and Types of Homeless Assistance Programs
NSHAPC documented just under 40,000 homeless assistance programs operating on an average day in February 1996 (see Table 1 and Figure 1 ). Secular non-profits run almost one-half (47 percent) of these, followed by faith-based non-profits (32 percent), and government agencies (13 percent). Another 0.6 percent of all programs are run by fo
The 1996 National Survey of Homeless Assistance Providers and Clients: A Comparison of Faith-Based and Secular Non-Profit Programs. The National Survey of Homeless Assistance Providers and Clients
The 1996 National Survey of Homeless Assistance Providers and Clients (NSHAPC) is a comprehensive nationally representative survey of programs providing homeless assistance services and the clients of these programs. The survey was conceived, developed, and funded by 12 federal agencies under the auspices of the Interagency Council on the Homele
