Managed (not to) care: Medicaid and children with disabilities.

TL;DR: A review considers the attitudes toward and working of Medicaid managed care arrangements for children in general and children with disabilities in particular.

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Abstract: The emphasis that managed care programs place on cost containment complicates further the already complex setting for Medicaid health services for children with disabilities by adding an additional barrier to access care to those that already exist. A review considers the attitudes toward and working of Medicaid managed care arrangements for children in general and children with disabilities in particular.

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The health status and needs of individuals with mental retardation

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Sarah McCue Horwitz, Bonnie D. Kerker, Pamela L. Owens

01 Jan 2000

140 citations

Cites background from "Managed (not to) care: Medicaid and..."

...As Waldman et al. (1999) point out, children who are abused are over four times as likely to have MR compared with non-abused children (Sullivan and Knutson, 1994 in Mansell et al., 1998)....
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...…parental expectations of the child, emotional and social isolation of caregivers, children’s inability to report abusive experiences, children’s dependency on caregivers and lack of awareness about abusive situations as potential contributors (Solomons, 1979; Reynolds 1997; Waldman et al., 1999)....
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Journal Article•DOI•

Perspectives of dentists, families, and case managers on dental care for individuals with developmental disabilities in Kansas.

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Amanda Reichard¹, H. Rutherford Turnbull, Ann P. Turnbull•Institutions (1)

University of Kansas¹

01 Aug 2001-Mental Retardation

TL;DR: The status of dental care for individuals with developmental disabilities in Kansas was examined and general, but partial, satisfaction with the availability, accessibility, appropriateness, and affordability of such care was reported.

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Abstract: The status of dental care for individuals with developmental disabilities in Kansas was examined. Dentists, family members, and case managers reported general, but partial, satisfaction with the availability, accessibility, appropriateness, and affordability of such care. Reasons for the results and recommendations for further improvement are discussed.

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59 citations

Cites background from "Managed (not to) care: Medicaid and..."

...Finally, there is the potential to "avoid unnecessary and duplicative procedures" (H. B. Waldman et al., 1999, p. 63)....
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...There is reluctance on the part of states to enroll in fully capitated managed care plans child Medicaid recipients who receive their benefits as a result of SSI rather than Aid for Dependent Children (AFDC) status (H. B. Waldman et al., 1999)....
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...Moreover, some states exclude dental care services from their managed care plans, believing that dental coverage would make the plans fiscally unsound (H. B. Waldman et al., 1999)....
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