The purpose of this study was to identify the extent to which state Medicaid programs have developed laws and regulations to support the delivery of adolescent preventive services, including counseling, screening, and referral to dental providers.
Methods In recent years several professional organizations have developed guidelines for adolescent preventive services (AAP, Bright Futures, USPSTF), and these guidelines contain strong support for health guidance, screening, treatment and quality measurement for adolescents. The survey asked state Medicaid agencies whether and to what extent their policies require or recommend that primary care providers provide guidance to adolescents about responsible sexual behavior, including abstinence. The survey also asked whether state policy requires screening for sexual risk behaviors, violence in relationships, and HIV/STD exposure. States were also queried about he standards for lab tests, including those of particular importance for the detection of asymptomatic STDs and reproductive health conditions. The survey also asked whether states were using or considering a range of quality measures, including those recommended by the NCQA Expert Panel on the Future of Pediatric Oral Health Performance Measurement. Finally, states were asked whether their policies are developed in consultation with state reproductive health providers, or other public health, provider, or advocacy organizations. Comparison of policies between fee-for-service, full risk managed care plans, and PCCM plans will be presented.
Learning Objectives: 1. Learn how adolescent clinical preventive guidelines address reproductive health care for adolescents. 2. Learn whether and how state Medicaid law and policies address these reproductive health guidelines in fee-for-service and managed care systems
Keywords: Medicaid Managed Care, Adolescent Health
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.