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GAO-11-293R 1 (2011-04-05)

handle is hein.gao/gaobaanxg0001 and id is 1 raw text is: a GA 0 1ActtA bilty I ntegnlty IReliability United States Government Accountability Office Washington, DC 20548 April 5, 2011 The Honorable Max Baucus Chairman The Honorable Orrin Hatch Ranking Member Committee on Finance United States Senate The Honorable Fred Upton Chairman The Honorable Henry A. Waxman Ranking Member Committee on Energy and Commerce House of Representatives Subject: Medicaid and CHIP: Reports for Monitoring Children's Health Care Services Need Improvement Medicaid and the Children's Health Insurance Program (CHIP)-two joint federal-state health care programs for low-income families and children-play a critical role in addressing the health care needs of children.' In 2008, more than 36 million children in the United States received health care coverage through Medicaid or CHIP. Like all children, children covered by Medicaid and CHIP may have health care conditions that could warrant care from primary care or specialist providers. At the same time, a significant number of children in Medicaid and CHIP may not be receiving basic preventive care, which these programs generally cover. For example, we reported in 2009 that, on the basis of parents' reports in national surveys, about 40 percent of children in Medicaid and CHIP had not had a well-child checkup over a 2-year period.2 Many state Medicaid and CHIP programs and other health care purchasers have started initiatives to improve care coordination for children and provide children with access to networks of care. For the purposes of this report, care coordination is broadly defined as a process in which an individual or group helps to arrange a patient's primary and specialty 'State Medicaid programs generally cover children under 21 years of age; however, state CHIP programs generally cover children 18 years of age and younger. 2For the 2009 report, we examined national surveys conducted by the Department of Health and Human Services from 2003 through 2006. The surveys included information from parents, or other adults in the household, of children in Medicaid and CHIP about the receipt of well-child checkups. See GAO, Medicaid Preventive Services: Concerted Efforts Needed to Ensure Beneficiaries Receive Services, GAO-09-578 (Washington, D.C.: Aug. 14, 2009). See the list of related GAO products at the end of this report. GAO-11-293R Medicaid and CHIP: Information on Children's Access to Care

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