Managed care and privatization: Results of a national survey

From August 1998 to January 1999, the Child Welfare League of America Manag ed Care Institute surveyed all state child welfare administrators or their designees regarding managed care and privatization initiatives in their sta te. The survey asks respondents about the management of child welfare servi ces that is consistent with managed care, the organization of services, and how services are financed. Forty-nine states and the District of Columbia responded, and of these, 29 jurisdictions reported one or more initiatives that include management or finance changes consistent with managed care or privatization models. This paper provides a summary description of 47 initi atives in these 29 jurisdictions.