Webcast KMCO
Managed Care Options
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The following resources are associated with the topics discussed in each webcast. For other resources, please click the Resources navigation button on the left of your screen.

Session Resources

May 24, 2000 Central Time

Beyond Insurance: Other Resources

PowerPoint Presentation (55.5kb): A summary of the key points of the webcast session. Download or view the original PPT file. To move through the slides, simply press the Page Up or Page Down button on your computer keyboard. To return to this web page, click the Back button on the toolbar on the upper, left corner of your computer screen. You will need PowerPoint 95 to view this presention. If you don't have either version of PowerPoint, click the HTML Version to view a slideshow version of the presentation. To return to this page, select the home button (second from the bottom) from among the round slide navigation buttons.

Medicaid is a jointly-funded state and federal government program that pays for medically necessary services. Medicaid pays for medical services for children and their caretakers, pregnant women, and persons who are disabled, blind or 65 years of age or older. http://www.state.il.us/dpa/medical_customers.htm

Insure Kids Now is a site where you can find information on each state's own program that makes health insurance coverage available to children in working families. http://www.insurekidsnow.gov

Shriners A network of 22 hospitals that provide expert, no-cost orthopaedic and burn care to children under 18. http://www.shrinershq.org

Kidcare This site gives an overview of Kidcare, including who is eligible, the benefits of enrolling, and how to apply. http://www.state.il.us/dpa/kidcare.htm. Information about Kidcare is also available on the Children's Memorial Medical Center Web site. http://www.childmmc.edu/cmhweb/cmhotherdepts/advocacy/KidCare.htm

DSCC The Division of Specialized Care for children offers care coordination and financial assistance for the diagnosis and treatment for children with certain chronic health impairments determined eligible for program support. http://www.uic.edu/hsc/dscc/


March 22 , 1:30pm CST

Topic: Understanding, Accessing, & Appealing Your Healthcare Benefits (Originally webcast March 22, 1:30 pm CST.)

PowerPoint Presentation: A summary of the key points of the webcast session. Download or view the original PPT file. To move through the slides, simply press the Page Up or Page Down button on your computer keyboard. To return to this web page, click the Back button on the toolbar on the upper, left corner of your computer screen. You will need PowerPoint 95 to view this presention. If you don't have either version of PowerPoint, click the HTML Version to view a slideshow version of the presentation. To return to this web page, click the Back button on the toolbar on the upper, left corner of your computer screen.

Frontline Online: This is part of a PBS site on Health Maintenance Organizations. "How to Challenge Your Plan's Decisions" describes specific steps for the consumer to take. (http://www.pbs.org/wgbh/pages/frontline/shows/hmo/)

Washington Assistive Techology Alliance: Discusses a variety of techniques that can be used to get funding for assistive technology. This process applies to all appeals of insurance denials. (http://www.wata.org)

dr.koop.com: Details how to challenge an HMO decision and how to file a complaint. (http://www.drkoop.com/hcr/insurance/library/hmo_challenge.asp)

Defining Medical Necessity- A manual on Strategies for Promoting Access to Quality Care for Persons With Developmental Disabilities, Mental Retardation, and other Special Health Care Needs. Available in print only for no cost from the National Maternal and Child Health Clearinghouse in Vienna, VA. (703) 356-1964. http://www.nmchc.org


How to Select a Health Plan for Your Family & Child with Special Health Needs. (Originally webcast February 23, 1:30 pm CST.)

PowerPoint Presentation: A summary of the key points of the webcast session. Download or view the original PPT file. To move through the slides, simply press the Page Up or Page Down button on your computer keyboard. To return to this web page, click the Back button on the toolbar on the upper, left corner of your computer screen. You will need PowerPoint 95 to view this presention. If you don't have either version of PowerPoint, click the HTML Version to view a slideshow version of the presentation. To return to this web page, click the Back button on the toolbar on the upper, left corner of your computer screen.

Agency for Healthcare Research and Quality: This site provides a booklet, Choosing and Using a Health Plan, which helps you make sense of your choices in health insurance.(http://www.ahcpr.gov/consumer/hlthpln1.htm)

National Committee for Quality Assurance (NCQA): Assesses and reports on the quality of managed care plans. Check how your own health plan rates. (http://www.ncqa.org)

Evaluating Managed Care Plans for Children with Special Health Needs: A Purchaser's Tool A tool to assist families in selecting and evaluating the capacity of health plans to serve children with special needs. (http://www.ichp.edu/managed/materials/purchaser/)

Family Voices: Read their introduction to Managed Care for Children with Special Health Needs. Provides hints on what to know before you sign up with managed care. (http://www.familyvoices.org)

Top 10 Ways to Make Your Benefits Work for You: 10 tips to keep in mind when accessing your health plan. http://www.dol.gov/dol/pwba/public/pubs/health/top10.html

Opening the Door on Disabilities: A Workbook for People with Disabilities and Advocates: A workbook that explains how managed care works and how to get the health services you need. Available in print only for $12.50 from Partners in Health, c/o The Coordinating Center, 8258 Veterans Highway, Suite 13, Millersville, MD 21108. (410-987-1048)


The Basics of Managed Care. (Originally webcast January 26, 1:30 pm CST.)

PowerPoint Presentation: A summary of the key points of the webcast session. Download or view the original PPT file. To move through the slides, simply press the Page Up or Page Down button on your computer keyboard. To return to this web page, click the Back button on the toolbar on the upper, left corner of your computer screen. You will need PowerPoint 95 to view this presention. If you don't have either version of PowerPoint, click the HTML Version to view a slideshow version of the presentation.

The ABCs of Managed Care: An online, self-study training module on the basics of managed care.

Managed Care Online: Includes an online dictionary that contains 380 terms related to managed care.

Family Voices: Numerous brochures and fact sheets on manged care and children with special health needs are available in both English and Spanish.

Healthcare Insurance Guides for Consumers: Sponsored by the Health Insurance Association of America, an insurance industry trade organization.