TECHNICAL ELEMENTS, DEMONSTRATION PROJECTS, AND FISCAL MODELS IN MEDICAID MANAGED CARE FOR PEOPLE WITH DEVELOPMENTAL-DISABILITIES

We presented a general model of the structure and functioning of manag ed care and described elements (provider networks, fiscal elements, ri sk estimation, case-mix, management in-formation systems, practice par ameters, and quality improvement) critical to service delivery for peo ple with developmental disabilities. A number of technical elements of managed care systems were delineated and reviewed in relation to the inclusion of people with developmental disabilities. Several managed c are demonstration projects were described and, finally, a multi-year h ypothetical budget model, including longterm care, was presented as a framework for considering how managed care affects specific service st ructures. Implications for people with developmental disabilities were discussed.