Karen Fessel is known throughout California for her passionate advocacy to get insurers to pay for the services families need for their children on the autism spectrum. Now, she’s branching out to serve children with other special health care needs.
Primary care clinics focused on caring for children with complex needs are popping up around the country. There currently are 11 such clinics in California alone. Representatives of these clinics convened for the first time on Feb. 28 at the Lucile Packard Foundation for Children’s Health.
For families of children with special health care needs, depending on managed care organizations can be worrisome, especially when their children require expensive and/or unusual services. A new study examines the approaches taken by three states, including California, to assuring that children with special health care needs are known to their managed care organization and that their needs are assessed so that appropriate care can be provided.
Dr. Mark Edelstein oversees mental health treatment and social services for some of California’s most troubled kids. With his staff at EMQ FamiliesFirst, Edelstein works to keep children with significant mental health issues in their communities – an important task at a time when the rate of mental health-related hospitalizations of California children and youth is rising.
As the Affordable Care Act (ACA) is implemented, some California children and families will see changes to their health care plans and new opportunities for coverage. New issue briefs from the Insure the Uninsured Project examine the changes and explore how the State might alter existing programs and services to better serve children.