Connecting your Needs Assessment with the Blueprint for Change: Financing of Services

The following questions can help Title V CYSHCN programs approach their needs assessment process in alignment with The Blueprint for Change Financing of Services principles.

For questions that align with other critical areas of the Blueprint, see Connecting your Needs Assessment with the Blueprint for Change.

Principle 1

Health care and other related services for CYSHCN and families are financed and paid for in ways that support and maximize an individual’s values and choice in meeting needs. (Principles and associated strategies are described in Guiding Principles for a System of Services for Children and Youth With Special Health Care Needs and Their Families.)

Do CYSHCN and their families in our state/jurisdiction have the information they need to make fully informed choices about health care and other related services?

Area of Title V Needs Assessment
MCH Population Health and Wellbeing	Title V Program Capacity	Title V Program Partnerships, Collaboration and Coordination
✓

Critical Area of Blueprint
Health Equity	Family and Child Well-Being and Quality of Life	Access to Services	Financing of Services
✓			✓

Are all health care services meeting a broad standard of medical necessity adequately funded for all CYSHCN in our state/jurisdiction?

Area of Title V Needs Assessment
MCH Population Health and Wellbeing	Title V Program Capacity	Title V Program Partnerships, Collaboration and Coordination
✓

National Performance Measure
Medical Home	Transition	Bullying
✓

Critical Area of Blueprint
Health Equity	Family and Child Well-Being and Quality of Life	Access to Services	Financing of Services
		✓	✓

Are care coordination and care integration across sectors considered medically necessary?

Area of Title V Needs Assessment
MCH Population Health and Wellbeing	Title V Program Capacity	Title V Program Partnerships, Collaboration and Coordination
✓

National Performance Measure
Medical Home	Transition	Bullying
✓

Critical Area of Blueprint
Health Equity	Family and Child Well-Being and Quality of Life	Access to Services	Financing of Services
		✓	✓

Are care coordination and care integration adequately funded to manage varying service needs as defined by the family? (These needs can be monitored through measures of family experience and integration across medical, social, and behavioral sectors, and quality of life.)

Area of Title V Needs Assessment
MCH Population Health and Wellbeing	Title V Program Capacity	Title V Program Partnerships, Collaboration and Coordination
✓

National Performance Measure
Medical Home	Transition	Bullying
✓

Critical Area of Blueprint
Health Equity	Family and Child Well-Being and Quality of Life	Access to Services	Financing of Services
	✓		✓

Do financing mechanisms in our state/jurisdiction support innovative approaches to delivering quality care—for example, by paying families for the medical services they provide?

Area of Title V Needs Assessment
MCH Population Health and Wellbeing	Title V Program Capacity	Title V Program Partnerships, Collaboration and Coordination
✓

Critical Area of Blueprint
Health Equity	Family and Child Well-Being and Quality of Life	Access to Services	Financing of Services
	✓		✓

Principle 2

Health and social service sector investments address social determinants of health to increase family well-being and flourishing.

Do the health care financing systems in our state/jurisdiction adopt a standard of medical necessity that considers the health consequences of racial inequity and social risks or determinants?

Area of Title V Needs Assessment
MCH Population Health and Wellbeing	Title V Program Capacity	Title V Program Partnerships, Collaboration and Coordination
✓

Critical Area of Blueprint
Health Equity	Family and Child Well-Being and Quality of Life	Access to Services	Financing of Services
✓			✓

Do the health care financing systems in our state/jurisdiction adequately support health care providers that offer CYSHCN and their families screening, referrals, follow-ups, and care for social risks?

Area of Title V Needs Assessment
MCH Population Health and Wellbeing	Title V Program Capacity	Title V Program Partnerships, Collaboration and Coordination
✓

National Performance Measure
Medical Home	Transition	Bullying
✓

Critical Area of Blueprint
Health Equity	Family and Child Well-Being and Quality of Life	Access to Services	Financing of Services
		✓	✓

Do the health care financing systems and health delivery financing models in our state/jurisdiction assess the impact of their interventions on quality of life for CYSHCN and their families?

Area of Title V Needs Assessment
MCH Population Health and Wellbeing	Title V Program Capacity	Title V Program Partnerships, Collaboration and Coordination
✓

Critical Area of Blueprint
Health Equity	Family and Child Well-Being and Quality of Life	Access to Services	Financing of Services
	✓		✓

Do the health care financing systems and health care delivery financing models in our state/jurisdiction invest in strategies to mitigate implicit bias and structural racism to address racial and ethnic health disparities?

Area of Title V Needs Assessment
MCH Population Health and Wellbeing	Title V Program Capacity	Title V Program Partnerships, Collaboration and Coordination
✓

Critical Area of Blueprint
Health Equity	Family and Child Well-Being and Quality of Life	Access to Services	Financing of Services
✓			✓

Principle 3

Payers and service sectors adopt value-based payment strategies that support families, advance equity and incorporate continuous quality improvement by enhancing team-based integrated care.

Do service sectors in our state/jurisdiction adopt a comprehensive, inclusive definition of CYSHCN, including children and youth at risk of a special health need?

Area of Title V Needs Assessment
MCH Population Health and Wellbeing	Title V Program Capacity	Title V Program Partnerships, Collaboration and Coordination
✓

Critical Area of Blueprint
Health Equity	Family and Child Well-Being and Quality of Life	Access to Services	Financing of Services
			✓

Do service sectors in our state/jurisdiction, including payers, identify and assess family financial hardship and eliminate or reduce cost-sharing payments for medically necessary services, supplies, and equipment?

Area of Title V Needs Assessment
MCH Population Health and Wellbeing	Title V Program Capacity	Title V Program Partnerships, Collaboration and Coordination
✓

Critical Area of Blueprint
Health Equity	Family and Child Well-Being and Quality of Life	Access to Services	Financing of Services
		✓	✓

Is care integration across service sectors adequately financed in our state/jurisdiction?

Area of Title V Needs Assessment
MCH Population Health and Wellbeing	Title V Program Capacity	Title V Program Partnerships, Collaboration and Coordination
✓

Critical Area of Blueprint
Health Equity	Family and Child Well-Being and Quality of Life	Access to Services	Financing of Services
			✓

Are Information technology and virtual communication solutions in our state/jurisdiction, including telehealth and other evolving care options adequately financed across the life course?

Area of Title V Needs Assessment
MCH Population Health and Wellbeing	Title V Program Capacity	Title V Program Partnerships, Collaboration and Coordination
✓

Critical Area of Blueprint
Health Equity	Family and Child Well-Being and Quality of Life	Access to Services	Financing of Services
		✓	✓

Are financial incentives in our state/jurisdiction structured to promote enhanced primary care provider teams, communities (community-based organizations), and others in direct support of CYSHCN and their families?

Area of Title V Needs Assessment
MCH Population Health and Wellbeing	Title V Program Capacity	Title V Program Partnerships, Collaboration and Coordination
✓

National Performance Measure
Medical Home	Transition	Bullying
✓	✓

Critical Area of Blueprint
Health Equity	Family and Child Well-Being and Quality of Life	Access to Services	Financing of Services
	✓	✓	✓

Last Updated

07/16/2024

Source

American Academy of Pediatrics