abstract: 'Objective. We sought to understand why certain Medicaid managed care

  organizations (MMCOs) implemented child development services or programs

  and how they had done so. We also sought to identify barriers and

  facilitators to successful initiation and implementation of child

  development programs.

  Methods. We conducted 9 key informant interviews and 4 site visits, and

  performed qualitative analyses to identify major themes across

  responses.

  Results. We identified a small number of MMCOs with child development

  services. High-level support was crucial for program initiation;

  physician buy-in, staff support, and strong working relationships with

  outside health professionals or agencies were principal factors in

  successful program implementation.

  Conclusions. MMCOs that were committed to implementing child development

  services were successful in doing so, without external funding or

  regulatory mandate. The results provide valuable strategies for MMCOs

  interested in developing programs and for researchers and advocates

  interested in promoting child development services for low-income

  children.'
affiliation: 'Berry, C (Corresponding Author), Northwestern Univ, Inst Hlth Serv Res
  \& Policy Studies, 339 E Chicago Ave, Chicago, IL 60611 USA.

  Northwestern Univ, Inst Hlth Serv Res \& Policy Studies, Chicago, IL 60611 USA.'
author: Berry, C and Butler, P and Perloff, L and Budetti, P
author_list:
- family: Berry
  given: C
- family: Butler
  given: P
- family: Perloff
  given: L
- family: Budetti
  given: P
da: '2023-09-28'
files: []
issn: 0031-4005
journal: PEDIATRICS
keywords: Medicaid managed care; child development services
keywords-plus: COGNITIVE-DEVELOPMENT; EARLY INTERVENTION; PROGRAMS; OUTCOMES
language: English
month: JUL
number: 1, S
number-of-cited-references: '16'
orcid-numbers: Berry, Carolyn/0000-0003-3671-3080
pages: 191-198
papis_id: 7dc6e40bc0fc59400fc4d6c9eaba3495
ref: Berry2000childdevelopment
times-cited: '1'
title: 'Child development services in Medicaid managed care organizations: What does
  it take?'
type: Article
unique-id: WOS:000088211800006
usage-count-last-180-days: '0'
usage-count-since-2013: '1'
volume: '106'
web-of-science-categories: Pediatrics
year: '2000'