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Monitoring the Health Status of Hard-to-Serve Children: Lessons for SCHIP Implementation

Author: Krause, Mara
Date Published: 1998


The implementation of the State Children's Health Insurance Program (SCHIP) provides states with an unprecedented opportunity to address the health care needs of some uninsured, "hard-to-serve" children, including migrant children, homeless children, and children with special health care needs. State policymakers need to understand how to measure the quality of care for all children, s required under SCHIP. Further, states with a significant number of hard-to-serve children also need to know how to measure the quality of care for these populations. More hard-to-serve children will be enrolled in public insurance programs because of the targeted outreach efforts and eligibility expansion. States can learn from the experiences of innovative programs that serve and monitor the quality of services to migrant, homeless and special needs children. This information can assist state policymakers who are trying to serve these populations under SCHIP. This Issue Brief describes the unique characteristics and conditions of migrant, homeless, and special needs children. It discusses some appropriate quality assurance measures for monitoring the quality of care they receive and highlights projects using these measures.

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Number of Pages: 9