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Center for Health Services Research and Policy, Department of Health Policy, School of Public Health and Health Services, The George Washington University


Policy Brief No. 5


Medicaid & SCHIP; Legal; Managed Care Contracting


This Policy Brief examines behavioral health managed care contracting under separately administered State Children's Health Insurance Programs (SCHIP), i.e., programs that operate under the direct authority of Title XXI of the Social Security Act rather than as expansions of Medicaid. Most separate SCHIP programs buy managed care style health insurance for some or most of their enrolled children. Because Title XXI provides states with far greater administrative flexibility than Medicaid with respect to coverage and benefit design, provision of services, and administration of managed care arrangements, studying separate SCHIP managed care products sheds important light on how states might approach insurance and managed care design generally in the area of behavioral health were Medicaid modified through §1115 demonstration or federal statutory authority to permit greater latitude.


Part of: SCHIP Policy Studies Project.

"The Center for Health Services Research and Policy gratefully acknowledges the David and Lucile Packard Foundation for its ongoing support of the managed care studies program. Additional support for this study came from a cooperative agreement from the Health Resources and Services Administration (HRSA) [R40 MC00165-03] as part of the Children's Health Insurance Research Initiative (CHIRI), which is co-funded by the Agency for Healthcare Research and Quality (AHRQ), the David and Lucile Packard Foundation and HRSA."

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