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To assist state Medicaid agencies and managed care organizations in improving access to recommended pediatric-to adult health care transition services for their enrollees, this report offers specific options for managed care contract language that can be incorporated into standard and specialty contracts. Suggestions are included on the following topics: definitions, member services and education, provider network, covered services, care coordination, and quality and evaluation.

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Lack of payment is one of the most significant barriers to providing quality transition services for youth with special health care needs. Billing codes are...