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Identification and Assessment of Children and Youth with Special Health Care Needs in Medicaid Managed Care: Approaches from Three States

February 13, 2014

Increasingly, states are relying on managed care delivery systems to serve Medicaid enrollees that have historically been exempt from enrollment in managed care, such as children and youth with special health care needs (CYSHCN). The federal Medicaid managed care regulations establish the broad requirements for states to identify and assess individuals with special health care needs. However, little has been recently documented about specific state policies or procedures for identifying and assessing CYSHCN. This reportlooks at such approaches in three states -- California, Massachusetts and Michigan -- and includes some promising practices states may consider in implementing Medicaid managed care for this vulnerable population.

Lucile Packard Foundation for Children's Health - 2009 Annual Report

September 10, 2010

Contains mission statement, organizational information, letter from the board chair and the president, program information, financial statements, and a list of board members.

Final Report of the Evaluation of the San Mateo County Children's Health Initiative

May 30, 2008

Summarizes key findings from a five-year evaluation of the county's Children's Health Initiative -- its outreach and enrollment efforts, the impact on children enrolled in the Healthy Kids program, areas for improvement, and financing challenges.

Putting It All Together: Guiding Principles for Quality After-School Programs Serving Preteens

April 1, 2008

Successfully navigating early adolescence depends, in large part, on the availability of safe and engaging activities and supportive relationships with adults, yet many preteens have limited access to positive supports and opportunities -- such as high-quality after-school programs -- that could put them on a path to success. Funders, policymakers and practitioners share the common goal of supporting strategies that will have the most long-lasting positive effects on young people.Recognizing this, the Lucile Packard Foundation for Children's Health commissioned P/PV to identify the characteristics of quality after-school programs that are linked to positive outcomes for preteens. Based on the latest research and experience in the field, P/PV developed the publication, Putting It All Together: Guiding Principles for Quality After-School Programs Serving Preteens, along with a companion Resource Guide ( that includes links to research and tools to strengthen programs.Putting It All Together focuses on six after-school program components associated with positive outcomes for preteens:Focused and Intentional Strategy: Programs have a clear set of goals, target specific skills, and deliberately plan all aspects of the program with a youth development framework in mind.Exposure: Programs are designed to: a) provide preteens with a sufficient number of hours per week over an extended period of time, that matches program outcome goals; and b) allow preteens to attend a variety of activities.Supportive Relationships: Programs emphasize positive adult-youth relationships regardless of the curriculum.Family Engagement: Programs strive to include families through various strategies, such as clear communication and a welcoming environment.Cultural Competence: Programs have diverse staff whose backgrounds are reflective of participants and who create practices and policies that: a) make services available to and inclusive of a variety of populations; and b) help participants understand and value a broad range of cultures.Continuous Program Improvement: Programs strengthen quality through an ongoing and integrated process of targeted staff training, coaching and monitoring, and data collection and analysis.While a host of factors, including organizational capacity, the needs of the youth served and the resources available, all play a role in determining a program's ability to achieve its goals, research suggests that these guiding principles are essential for program quality. That quality, in turn, is the foundation for positive results for youth.NOTE: This version of Putting It All Together contains a full list of endnotes and references, which we chose to omit from hard copies of the report, in the interest of brevity.

Cultural Competency: What It Is and Why It Matters

December 1, 2007

Illustrates the need to adapt services to be more respectful, effective, and appropriate to culturally diverse populations, by building mechanisms into organizations' daily operations that foster continual learning.

Collecting Data from Children Ages 9-13

October 1, 2007

Provides a summary of literature on common methods used to collect data, such as diaries, interviews, observational methods, and surveys. Analyzes age group-specific considerations, advantages, and drawbacks, with tips for improving data quality.

A Portrait of Preteens in Santa Clara and San Mateo Counties: What We Know About 9- to 13-Year Olds

January 5, 2006

This report, commissioned by the Lucile Packard Foundation for Children's Health and the Preteen Alliance, presents a profile of the preteen population in Santa Clara and San Mateo counties in California. Data compiled from a wide variety of sources depict the demographic and economic characteristics of the preteen population in the two counties, as well as detailed information about their emotional, behavioral, physical and academic health compared to available data on preteens in the state and the nation. Recommendations to increase community awareness about the particular issues and needs of youth in this age range and to address gaps in available data are offered.

Foundation Funding for Children's Health

May 1, 2005

Examines trends in funding for children's health, from 1999-2003. Identifies changes in the top funders and their impact on the future outlook for support in the field. Includes commentary on the critical role of foundations in funding children's health.

Promoting Emotional and Behavioral Health in Preteens: Benchmarks of Success and Challenges Among Programs in Santa Clara and San Mateo Counties

May 30, 2004

P/PV conducted a two-year study for The Lucile Packard Foundation for Children's Health to assess the effectiveness of the foundation's youth development grantmaking program and to offer lessons for future grantmaking endeavors. The resulting report describes benchmarks of quality programs for youth and strategies for addressing common program challenges.