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Capitation Rates and Data
September 2008
Coordinated care benefits children with special needs
Children with special healthcare needs (CSHCN) who are enrolled in partially capitated Medicaid managed care plans (MCP) with a case management component are more likely to receive occupational and physical therapy (OT/PT) in their school setting than their counterparts enrolled in Medicaid FFS plans, according to a study published in Health Care Financing Review1, a publication of the Centers for Medicare & Medicaid Services. State Medicaid agencies and health plans should examine the utilization patterns for CSHCN who use these services before adopting either approach.
 
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