Plan Features to Evaluate (continued) 2. Pediatric Provider Network Capacity (continued)

I. Does the plan include or contract with the following other pediatric specialty health professionals and facilities? (If not, what alternative arrangements are used to assure access to these other pediatric specialty providers?)
Nurses with pediatric expertise	Yes____No____
Child and adolescent psychologists	Yes____No____
Social workers with pediatric expertise	Yes____No____
Physical therapists with pediatric expertise	Yes____No____
Occupational therapists with pediatric expertise	Yes____No____
Speech therapists with pediatric expertise	Yes____No____
Respiratory therapists with pediatric expertise	Yes____No____
Home health providers with pediatric expertise	Yes____No____
Nutritionists with pediatric expertise	Yes____No____
Genetic screening and counseling services	Yes____No____
Care managers with pediatric expertise	Yes____No____
Dentists or orthodontists with pediatric expertise	Yes____No____
Hospitals/medical centers specializing in the care of children	Yes____No____
J. Does the plan encourage coordination and integration of physical and mental health services for children with chronic conditions?	Yes____No____
K. Does the plan include state-designated pediatric centers of care (e.g., perinatal, hemophilia, trauma, transplant care)?	Yes____No____
L. Are multidisciplinary teams available for the care of children with chronic conditions through:
contracts with hospital outpatient departments that specialize in the care of children	Yes____No____
contracts with specialty pediatric clinics	Yes____No____
contracts with developmental centers	Yes____No____
other arrangements	Yes____No____
M. Do durable medical equipment vendors have the capacity to individualize and customize equipment for children?	Yes____No____
N. Are the plan's utilization review and appeals processes performed by appropriate pediatric specialists and subspecialists?	Yes____No____

Index | Introduction Pediatric Services Covered and Cost-Sharing Requirements Pediatric Provider Network Capacity Pediatric Provider Network Capacity (continued...) Evaluating Quality Management