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GAO-03-222
Report to Congressional Requesters
United States General Accounting Office
January 2003
 MEDICAID AND SCHIP:
States Use Varying Approaches to Monitor
Children's Access to Care
Over 25 million children have health
insurance coverage through Medicaid or the State Children's
Health Insurance Prog(SCHIP). Coverage alone, however, does not
guarantee that services will be available or that children will
receive needed care. GAO was asked to evaluate states efforts
to facilitate and monitor access to primary and preventive
services for
children in these jointly funded
federal-state programs. The study surveyed 16 states, covering
over 65 percent of the Medicaid and SCHIP population. GAO analyzed
requirements relevant to managed care and fee-for-service (FFS)
delivery systems, including the number and location of physicians
and their availability to see beneficiaries, monitoring of health
plan or physician compliance with these requirements, and
collection and analysis of beneficiary service utilization data.
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