Published online December 1, 2004
PEDIATRICS Vol. 114 No. 6 December 2004, pp. 1693-1698 (doi:10.1542/peds.2004-2148)
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CLINICAL REPORT

Managed Care and Children With Special Health Care Needs

Theodore A. Kastner, MD and Committee on Children with Disabilities

The implementation of managed care for children with special health care needs is often associated with apprehension regarding new barriers to health care services. At times, these barriers may overshadow opportunities for improvement. This statement discusses such opportunities, identifies challenges, and proposes active roles for pediatricians and families to improve managed care for children with special health care needs.

Key Words: managed care • children with special health care needs • chronic illness • disease management • Medicaid

Abbreviations: MCO, managed care organization • SCHIP, State Children's Health Insurance Program • AAP, American Academy of Pediatrics • CHCS, Center for Health Care Strategies


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Statement of reaffirmation:

AAP Publications Reaffirmed and Retired
Pediatrics 120: 683-684. [Full Text]

The following policy statement has been revised:

Managed Care and Children With Special Health Care Needs: A Subject Review

Pediatrics 102: 657-660. [Full Text]



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eLetters:

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CSHCN's under Medicaid are categorically defined already by statute
Freya J. Schultz
Pediatrics Online, 2 Dec 2004 [Full text]