For downloading or printing: Workshop Brochure and Registration Form (PDF file - 347 KB)

The contents of the brochure is below. You can access the Registration Form as a web page.

The workshop curriculum will be based on the use of the Medicaid Pediatric and Children with Special Health Care Needs Purchasing Specifications (The Specifications) developed by the Center for Health Services Research and Policy at The George Washington University, with funding from HRSA and the Centers for Disease Control and Prevention. The Specifications offer suggested model contract language options for the drafting of managed care agreements and can serve as an important reference tool during the contracting process.

Work with the Health Resources and Services Administration’s (HRSA’s) Maternal and Child Health Bureau (MCHB) and the Managed Care and Health Services Financing Technical Assistance Center (MCTAC) to co-sponsor an advanced leadership workshop. The leadership workshop will cover writing, negotiating, and monitoring fiscally sound Medicaid/State Child Health Insurance Program (SCHIP) managed care contracts, ensuring that health plan enrollees receive the highest quality of pediatric care.

Workshop Goals

The goal of the lecture-discussion work-shop is to provide maternal and child health leaders with strategies, tools, and techniques to negotiate fiscally sound managed care contracts that ensure the delivery of quality health services. This session will provide practical knowledge and experiential learning about pediatric managed care contracts. In addition to the major workshop focus of developing appropriate contract language, the workshop will provide training in negotiating and monitoring contracts, and tips on how to use the new pediatric purchasing specifications online module. Also, individual sessions can be scheduled with the faculty experts to review existing Medicaid/SCHIP contracts. To view the Specifications Modules online, please go to the following Web address: http://www.gwhealthpolicy.org/newsps.

Target Audience

The intended target audience for this workshop could include any of the following:

• State Medicaid and SCHIP officials, State Maternal and Child Health Agencies, and State procurement and contracting personnel.
• Children with Special Health Care Needs Agencies, HealthyStart Programs, Healthy Schools, Healthy Communities Programs, and Emergency Medical Services for Children Programs.
• Maternal and Child Health Advocates.

Who are the Experts?

Senior-level professionals with experience in pediatric managed care contracting, managed care operations, and health services research and policy.

Program Objectives

Workshop participants will gain an understanding of:

• How to promote the highest quality of health care through the managed care contracting process.
• How to use the pediatric purchasing specifications as a tool to improve managed care contracts and ensure the inclusion of Title V services and comprehensive child-focused benefits— i.e., Early Periodic Screening and Diagnostic Treatment (EPSDT).
• How to negotiate financial rates and risks arrangements so purchasers can position themselves in a win-win situation.
• What key terms and elements to look for when negotiating a fiscally sound managed care contract.
• How to evaluate a health plan proposal using practical checklists.
• How to foster contractual relationships with managed care organizations and provider groups and Medicaid/SCHIP agencies.
• How to negotiate provider network specifications to ensure adequate access to primary care pediatric providers and to increase provider participation in the Vaccines for Children (VFC) program.
• How purchasing specifications can be used to tailor contracts to ensure quality health care for children with special health care needs.

Role of the HRSA MCTAC Co-Sponsors

The role of HRSA MCTAC in co-sponsoring the workshops is to:

• Identify the faculty to conduct the workshop.
• Pay for the honorarium and travel expenses of the faculty.
• Coordinate with Maternal and Child Health leaders and faculty to customize the workshop to address local Medicaid/SCHIP contracting issues.

Role of Workshop Co-Sponsors

Co-sponsors are responsible for arranging and paying for the following activities:

• Promoting the workshop, including the development, printing, and mailing of the promotional materials.
• Identifying HRSA MCTAC and other appropriate organizations as co-sponsors in the promotional materials.
• Sending invitations to the target audience.
• Acquiring the meeting space, audiovisual equipment, and the food, if desired.
• Deciding whether to include a registration fee in an effort to offset expenses.
• Registering attendees and collecting any registration fee.
• Obtaining continuing education credits.

It's Easy to Get Help... Here's How

To reach the HRSA Managed Care and Health Services Financing Technical Assistance Center (MCTAC), you can contact us in one of these ways:

Call us toll-free at 1-877-832-8635

Fax us at 703-528-7480

E-mail us at hrsa_mctac@jsi.com

Find us at our Web site http://www.jsi.com/hrsamctac

Write us at:
HRSA MCTAC
c/o John Snow, Inc.
1616 N. Fort Myer Drive, 11th Floor
Arlington, VA 22209-9887

Or return the Workshop Registration Form.

To: CHSFMC | HRSA | HHS

Send questions or comments to: FinanceMC@hrsa.gov