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Children involved in the child welfare system, particularly those in foster care or subsidized adoption, are a high-needs complex population – with high incidences of chronic physical and mental health conditions. Because of this, they have been historically served through the Medicaid fee-for-service (FFS) delivery system. As states move towards managed care delivery models and increasingly include more complex populations in managed care delivery systems, foster care children are also increasingly enrolled in Medicaid managed care.

This report includes a state-by-state analysis of Medicaid delivery systems for foster care children, including the number of children in each delivery system. The report answers a number of questions including:

  1. How Do States Deliver Medicaid Benefits To Children In The Foster Care System?
  2. Which States Require Children In Foster Care To Be Enrolled In Medicaid Managed Care?
  3. What States Are Planning To Move Foster Care Children To Managed Care?
  4. How Many Children In Foster Care Are Enrolled In Medicaid Managed Care?

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