Children who met the criteria for all of these indicators—presence of a usual source of care and a personal doctor or nurse, receipt of care coordination when needed, receipt of family-centered care, and access to specialty referrals—are considered to receive ongoing, comprehensive care within a medical home. Overall, the care of 43.0 percent of CSHCN met this standard.

Children whose conditions consistently affect their functional abilities are less likely to receive their care from a medical home (27.6 percent) than children whose activities are moderately affected (42.3 percent) or never affected (55.5 percent). Children who are uninsured or who have public insurance are also less likely to achieve this outcome: of uninsured children, 24.2 percent receive care from a medical home, as do 34.0 percent of those with public insurance and 51.2 percent of those with private insurance.

Children in lower-income families are also less likely to receive care from a medical home. Of children with family incomes below the Federal Poverty Level (FPL), 30.9 percent met all of the criteria for the medical home, compared to 52.2 percent of children with family incomes of 400 percent of the FPL or more.

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