Oral

This session will include a study designed to improve access to care for underserved children and the impact of reimbursing local school-based health centers for delivering primary care services to plan members. The session will also include a study with the objective of describing infectious diseases in terms of Medicaid/State Children’s Health Insurance Program and an expected source of payment. This presenter will discuss identified states whose Medicaid programs provide HPV vaccine coverage for adults, determining how each state categorized the services, and describe how coverage decisions are made. Also discussed in this session will be the complexities in assessing pharmaceuticals through Medicare: Part B vs. Part D.

Session Objectives: Participants should be able to: Identify best practices for school-based health centers to work with managed care organizations. Describe infectious diseases among Medicaid enrollees. Discuss methods that states could employ to close the coverage gap for Medicaid patients. Describe the differential between Medicaid Part B and D prescription benefits and recognize the implicit dilemmas present in trying to provide continuity of patient care within these programs.