State Policy
NASHP Reviews Six States' Enhanced Care Coordination for Complex Kids
NASHP examines how Arizona, California, Michigan, Texas, Washington, and Washington, DC structure enhanced care coordination services for children with chronic and complex needs enrolled in Medicaid managed care. The brief analyzes state MMC contracts and policies across four areas: service provision, eligibility and risk stratification, care coordinator requirements, and care plan management. States are building tiered risk-stratification models, specialty MMC programs, and defined coordinator qualifications to serve high-risk pediatric populations. The analysis draws on contract language and program documentation, with detailed state-by-state findings in an accompanying appendix and chart.
Why it mattersState Medicaid agencies and MCOs designing or updating pediatric care coordination requirements can benchmark contract language, risk stratification criteria, and care coordinator standards against peer states.