utilization of care by CYSHCN and their families, appropriateness of care for CYSHCN, and compliance with all system standards for CYSHCN experience of care surveys of families of CYSHCN and youth (including targeted feedback from relevant racial/ethnic and language groups) to obtain their feedback and assess their experiences with care assessment of out of pocket expenses and lost work burden on families assessment of child outcomes including measures of health and functional status Enter Score: Enter Score: Child medical record reviews Yes Title V 0 None include a sample of CYSHCN. (IF YES) How effective are those State Medicaid 1 Weak policies and procedures? CHIP 2 Moderate 1 Not effective Health Plan/Insurer 3 Strong 2 Somewhat effective Provider (please specify) 3 Very effective Family/Consumer Other (please specify) OPTIONAL: Why? No for score, above ) (Select “0” Not applicable to my organization Enter Score: Enter Score:
utilization of care by CYSHCN and their families, appropriateness of care for CYSHCN, and compliance with all system standards for CYSHCN experience of care surveys of families of CYSHCN and youth (including targeted feedback from relevant racial/ethnic and language groups) to obtain their feedback and assess their experiences with care assessment of out of pocket expenses and lost work burden on families assessment of child outcomes including measures of health and functional status Enter Score: Enter Score: Child medical record reviews include a sample of CYSHCN. Yes (IF YES) How effective are those policies and procedures? 1 Not effective 2 Somewhat effective 3 Very effective No (Select “0” for score, above ) Not applicable to my organization Enter Score: Title V State Medicaid CHIP Health Plan/Insurer Provider (please specify) Family/Consumer Other (please specify) 0 None 1 Weak 2 Moderate 3 Strong OPTIONAL: Why? Enter Score:
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