Evaluation of the District of Columbia's Demonstration Program, 'Managed CareSystem for Disabled and Special Needs Children'. Executive Summary and Summary Report

摘要

This report summarizes evaluation of the experiences of the District ofColumbia's managed care system for children and adolescents under the age of 22 who are eligible for Medicaid and who are considered disabled according to Supplemental Security Income (SSI) Program guidelines. The District of Columbia submitted a waiver-only request for a three-year demonstration project to test the efficacy of the managed care system and the operational phase of the project was initiated on December 15, 1995. The demonstration project seeks to integrate acute and long-term care services for children with disabilities into a single capacitated payment methodology and represents the first demonstration of its kind. Summary of the results from this project lists what factors go into designing, implementing, and maintaining this type of health care system; which children are willing to enter a health care system such as the one designed by this demonstration; and what kinds of experiences the organizations, providers, and clients can expect to have when a managed care system like the Demonstration is introduced.