Pediatric Payment & Finance Policy Resources

Welcome to our collection of pediatric payment and finance resources. Here, you'll find a wide range of essential tools to support your practice, including:

• Policy Statements: Stay informed with the latest guidelines and recommendations on pediatric healthcare finance.
• Research Publications: Access in-depth reports and studies on emerging trends and best practices in payment models and reimbursement strategies.
• Coding and Billing Resources: Explore guides, FAQs and updates to help you navigating coding requirements and streamline payment processes.
• Policy Updates: Keep up with the latest changes in regulations and payment policies affecting pediatric healthcare.

Explore the links below to access each resource and stay current on the financial strategies that impact your practice.

The  Committee on Child Health Financing (COCHF)

• Medicaid and the Children’s Health Insurance Program: Optimization to Promote Equity in Child and Young Adult Health
• Principles of Child Health Care Financing
• The Unique Value Proposition of Pediatric Health Care
• Scope of Health Care Benefits for Neonates, Infants, Children, Adolescents, and Young Adults Through Age 26
• Considerations in the Determination of Medical Necessity in Children: Application to Contractual Language
• Guiding Principles for Managed Care Arrangements for the Health of Newborns, Infants, Children, Adolescents and Young Adults
• Improving Substance Use Prevention, Assessment, and Treatment Financing to Enhance Equity and Improve Outcomes Among Children, Adolescents, and Young Adults
• Principles of Financing the Medical Home for Children

Committee on Coding and Nomenclature (COCN)

• Pediatric Application of Coding and Valuation Systems (PS)
• Pediatric Application of Coding and Valuation Systems (TR)