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1、FROMTHEAMERICANACADEMYOFPEDIATRICSOrganizationalPrinciplestoGuideandDefinetheChildHealthCareSystemand/orImprovetheHealthofallChildrenPOLICYSTATEMENTMedicaidPolicyStatementCOMMITTEEONCHILDHEALTHFINANCINGabstractKEYWORDSMedicaid,ChildHealthInsuranceProgram,benefits,coverage,Medicaidinsures39%
2、ofthechildrenintheUnitedStates.Thisrevisionfinancing,payment,eligibility,outreach,enrollment,managedofthe2005MedicaidPolicyStatementoftheAmericanAcademyofPe-care,qualityimprovementdiatricsreflectsopportunitiesforchangesinstateMedicaidprogramsABBREVIATIONSAAP—AmericanAcademyofPediatricsresul
3、tingfromthe2010PatientProtectionandAffordableCareActasAARA—AmericanRecoveryandReinvestmentActupheldin2012bytheSupremeCourt.PolicyrecommendationsfocusACA—PatientProtectionandAffordableCareActontheareasofbenefitcoverage,financingandpayment,eligibility,out-CHIP—Children’sHealthInsuranceProgram
4、CMS—CentersforMedicareandMedicaidServicesreachandenrollment,managedcare,andqualityimprovement.Pe-CPT—CurrentProceduralTerminologydiatrics2013;131:e1697–e1706DHHS—DepartmentofHealthandHumanServicesEHB—essentialhealthbenefitsEPSDT—EarlyandPeriodicScreening,DiagnosisandTreatmentFMAP—federalme
5、dicalassistancepercentageHISTORYOFMEDICAIDPROGRAMFPL—federalpovertylevelHMO—healthmaintenanceorganizationTheMedicaidprogramwasenactedin1965asTitleXIXoftheSocialMCO—managedcareorganizationSecurityActwithfundingstreamsderivedfrombothfederalandstateMOE—maintenanceofeffortgovernments.Allstate
6、shaveparticipatedinthisvoluntaryprogramPCMH—patient-centeredmedicalhomesinceArizonajoinedin1982.FederallawdesignateswhichgroupsofThisdocumentiscopyrightedandispropertyoftheAmericanpeoplemustbeeligibleforMedicaidenrollmentandwhatcoremedicalAcademyofPediatricsanditsBoardofDirectors.Allautho
7、rshavefiledconflictofintereststatementswiththeAmericanbenefitsmustbeprovided.EachstatemaythenexpandeligibilityAcademyofPediatrics.Anyconflictshavebeenresolvedthroughcriteria,enhancebenefits,contractwithmanagedcareorganizationsaprocessapprovedbytheBoardofDirectors.TheAmer