
Evidence Tools
MCHbest. NPM 15: Continuous and Adequate Insurance


Strategy. Behavior Health Programs
Approach. Support state agencies to identify eligibility and connect children to appropriate behavioral health services.
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Overview. Title V agencies in several states have developed ties to other agencies (e.g., Administrative Service Organizations, Intensive Care Management programs) and strategies, such as Medicaid waivers to provide services and supports that address the mental, behavioral, emotional, and substance use needs of children and youth with special health care needs (CYSHCN).
Evidence. Expert Opinion/Field Generated. The Catalyst Center/National Center for Health Insurance and Financing for Children and Youth with Special Health Care Needs (CYSHCN) has identified this strategy as an innovative strategy. Read more in theirĀ practice report.
Target Audience. State/Systems.
Outcome. Percent of children, ages 0 through 17, who are continuously and adequately insured. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.
Examples from the Field. Access descriptions of ESMs that use this strategy directly or intervention components that align with this strategy. You can use these ESMs to see how other Title V agencies are addressing the NPM.
Sample ESMs. Using the approach “Support state agencies to identify eligibility and connect children to appropriate behavioral health services,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):
Quadrant 1:
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Quadrant 2:
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Quadrant 3:
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Quadrant 4:
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Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4):
Learn More. Read how to create stronger ESMs and how to measure ESM impact more meaningfully through Results-Based Accountability.