To meet the healthcare needs of children, State officials will need to think beyond the benefits package and also consider service delivery issues.

SCHIP Workshop presenters Chris DeGraw of George Washington University, Shelley Gehshan of the National Conference of State Legislators, and Denise Holmes of the Michigan Medical Services Administration offered their views on various aspects of service delivery systems that will be important to consider in the development of SCHIP programs.

Key service delivery issues State officials will want to consider are:

• Relationships between MCOs and other agencies/programs.
• Contracting with MCOs to provide the most efficient comprehensive coverage.
• Statistics.
• Medicaid Plans, Advantages and Disadvantages.
• Medicaid FFS Issues.
• Separate State Plan Advantages and Disadvantages.
• Managed Care-Related Service Delivery Issues.
• Service Delivery Issues Related to Specific Healthcare Needs.
• Population-Specific Service Delivery Issues.

Two States’ Experiences with Service Delivery Issues:

• Colorado.

Shelly Gehshan of the National Conference of State Legislatures’ Forum for State Health Policy Leadership summarized the key issues in SCHIP service delivery:

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