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Medicaid Child Welfare Managed Care: Service designed to substitute for natural parental care, either partially or completely, is still the predominant child welfare service. Of the total number of children receiving child welfare services in the United States, more than half are receiving service away from their own homes and their own families.
Substitute care programs include foster family care, institutional care, and adoption.
Other Supplementary Service Provisions. Although not included under the Social Security Act definition of child welfare services, the importance to child welfare of social insurance programs such as Old Age Survivors and Disability Insurance (OASDI), the Medicare and medicaid child welfare managed care provisions, and the financial assistance aspects of the Aid to Families With Dependent Children (AFDC), cannot be overemphasized.
Protective services are more easily described than defined. In carrying them out, the designated child welfare agency, which in most places in the United States is the public child welfare agency, acts on a complaint received from the police, or from schools, courts, neighbors, physicians, or othe social agencies, by sending a child welfare worke to the family's home. He confronts the parenl with the community's concern and tries to lean about the quality of child care they do or couli provide.
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