PMID: 11926256Apr 3, 2002Paper

Assessing the extent of medical home coverage among Medicaid-enrolled children

Maternal and Child Health Journal
Donna J PetersenMary Ann Pass

Abstract

In light of the transition of the Alabama Medicaid program to a primary care case management model, we assessed the level to which children had access to a medical home before and after implementation of that model. Given the growing emphasis within the MCH community on assuring children medical homes, we explored whether Medicaid claims data could be used to assess medical home coverage. We operationally defined "medical home" as use of a single primary care physician combined with receipt of at least one well child visit from that physician during the year. Using Alabama Medicaid claims data we assessed whether children's receipt of health care services met this defintion, the extent to which Medicaid-enrolled children had primary care providers and received well child visits, and changes in the source of well child visits before and after implementation of a primary care case management model in 26 of Alabama's 67 counties. In general, Medicaid-enrolled children in Alabama did not meet our definition of medical home either before or after implementation of a primary care case management model. Only 11.8% of children saw a single provider and had a well child visit from that provider during the baseline year. A majority of ch...Continue Reading

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