Care Coordination Research & Reports
September 1, 2020

Medicaid Managed Care Contract Language to Expand the Availability of Pediatric-to-Adult Transitional Care

By: Margaret McManus, MHS, Annie Schmidt, MPH, Patience White, MD, MA

To assist state Medicaid agencies and MCOs in improving access to recommended pediatric-to adult health care transition services for their enrollees, this report offers specific options for managed care contract (MCC) 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.