sábado, 20 de diciembre de 2014

Statewide Managed Care Plan for Foster Care Children Features Care Coordination and a Central Database, Leading to Improved Access and Mental Health Treatment | AHRQ Innovations Exchange

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Statewide Managed Care Plan for Foster Care Children Features Care Coordination and a Central Database, Leading to Improved Access and Mental Health Treatment | AHRQ Innovations Exchange

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Statewide Managed Care Plan for Foster Care Children Features Care Coordination and a Central Database, Leading to Improved Access and Mental Health Treatment

Snapshot

Summary

The Texas STAR (State of Texas Access Reform) Health Program is a statewide managed care plan for children and young adults in foster care and young adults who have aged out of the foster care system. Individuals entering the foster care system are automatically enrolled in STAR Health. Program staff conduct an assessment by telephone to identify a child’s needs and then assign the child to one of three service categories based on intensity of need. In addition to medical and behavioral health services through Medicaid, STAR Health offers care coordination services, facilitates connections to community-based services, performs psychotropic drug utilization review, and trains caseworkers and foster parents on the impact of trauma on children in the system. Through STAR Health, providers, caseworkers, residential providers, court-appointed special advocates, and foster parents get access to an online database that shows the child’s medical history and information on current diagnoses and treatments. The program has resulted in improved access to care, higher followup rates after hospitalization for mental illness than national averages, and reduced use of psychotropic drugs among children in foster care.

Evidence Rating(What is this?)

Moderate: The evidence consists of pre- and post-implementation comparisons of access to well-child care, psychotropic drug prescription rates, and polypharmacy rates, as well as comparisons between the program and national averages with regard to well-child care and rates of followup after mental illness hospitalization.

Date First Implemented

2008

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