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Medicaid Managed Care: Challenges in Implementing Safeguards for Children With Special Needs

HEHS-00-37 Published: Mar 03, 2000. Publicly Released: Apr 03, 2000.
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Highlights

Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) and the states' efforts to implement safeguards to protect children with disabilities who are enrolled in Medicaid managed care programs, focusing on the: (1) implications of the Balanced Budget Act of 1997 (BBA) provisions defining this population; (2) number of states enrolling children with special needs in capitated health plans; and (3) steps HCFA has taken to establish appropriate safeguards for this population.

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Best practicesChildren with disabilitiesEligibility criteriaEligibility determinationsstate relationsHealth care cost controlHealth care programsManaged health careMedicaidState-administered programsSupplemental security income