1. Basics of Managed Care in Psychological Services for Children and Families -- Changes in Thinking about Health Care Reimbursement -- Changes Affecting Psychological Practices -- The ABCs of Managed Care -- Managed Behavioral Health Care -- Watching Managed Care Companies -- Conclusions -- 2. Problems Posed by Managed Care for Services to Children and Families -- Need for Child and Family Services -- Accessibility of Services -- Cost Containment and Utilization -- Quality of Care Issues -- Administrative Costs of Managed Care -- Accessing Services within a Managed Care Environment -- Current Procedural Terminology Codes -- Reduced Fees for Clinician-Providers -- Gatekeepers -- Utilization Management/Utilization Review -- Treatment Protocols -- Precertification -- Concurrent Review -- Denial of Service Authorization -- Restricting Patients' Access to Specialist Providers -- "Medical Necessity" and Noncovered Diagnoses -- What Drives Managed Care (and Drives Psychologists Elsewhere) -- 3. Legal and Ethical Issues for the Clinician in Managed Care -- Restriction of Services -- Undertreatment -- Information Disclosure -- Liability and "Hold Harmless" Clauses -- Appealing Adverse Coverage Decisions -- Treatment beyond Reimbursement -- Confidentiality -- Managed Care Contracts -- Concluding Remarks -- 4. Adapting to the Managed Care Environment -- Accessing Provider Panels Generally -- Accessing Panels as a "Specialist" or "Subspecialist" -- Writing Behavioral and Measurable Treatment Goals -- Outcome Measurement and Evaluation -- Consumer Satisfaction -- Clinical Problems Not Covered by Managed Care Plans -- Prioritize Problems, Prioritize Treatments -- Using Time-Limited Therapy -- Office Overhead -- Helping Consumers Make Informed Choices -- Advocating for and with Consumers -- Changing the Mental Health Care System -- Adapting to Managed Care -- 5. Limiting Negative Impact of Managed Care on a Clinical Child/Pediatric Psychology Practice -- Advantages and Disadvantages of Practicing in a Managed Care Environment -- Diversify-Balancing Sources of Managed Care Reimbursement -- Evaluating the Business, Protecting the Practice: Lethal Pitfalls to Avoid -- Handling Insurance Claims -- Marketing -- POS Option -- Group Practice -- Types of Groups -- Capitation -- Managed Care and the Clinician -- 6. Practicing outside Managed Care -- Advantages to Fee-for-Service Clients -- Identifying and Recruiting Self-Pay (Fee-for-Service) Clientele -- Financing and Payment Options -- Goals/Standards for Practice as a Business Setting -- Marketing -- Accessibility -- Diversifying Referral Sources -- Working in Primary Care -- 7. Scientific Bases for Clinical Practice in Managed Care -- Do Psychological Treatments Work? -- "Fitting the Pan to the Ham" -- Medical Cost Offsets for Treatment of Children and Families -- Treatment Acceptability Findings -- Consumer Satisfaction Findings -- Referral Source Satisfaction -- Documenting What the Psychologist Does in Practice -- Epilogue -- References.