FACULTY:
Ryan Van Ramhorst, MD, MPH is proud to serve as the Chief Medical Director for Medicaid and CHIP Services at the Texas Health and Human Services Commission. In this role, Dr. Van Ramshorst serves as the lead physician for the Texas Medicaid program, which provides needed health services to over 4 million Texans. He supervises the Office of the Medical Director, responsible for providing clinical direction and oversight of managed care and fee-for-service programs.
OVERVIEW:
Host Holly Wayment, and the department of Pediatrics bring you this grand Rounds talk by Dr. Ryan Van Ramhorst. He explains how Texas Medicaid and CHIP support children with medical complexity, covering program basics, managed care versus fee‑for‑service, and specialized programs like STAR Kids and the MDCP waiver.
The episode highlights care coordination, value‑based initiatives, service access (including long‑term supports and behavioral health), and challenges such as high‑cost therapies, social determinants of health, and program integrity.
OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers
DISCLOSURE TO LEARNERS:
Speaker: Ryan Van Ramhorst, MD, MPH has no relevant financial relationships with ineligible companies to disclose.
The Pediatrics Now Podcast Planning Committee members: Steven Seidner, MD, and Holly Wayment have no relevant financial relationships with ineligible companies to disclose.
The University of Texas at San Antonio and Steven Seidner, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.
CONTINUING MEDICAL EDUCATION STATEMENTS:
The University of Texas at San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The University of Texas at San Antonio designates this enduring material up to a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 1.00 MOC point in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit
CERTIFICATE OF ATTENDANCE:
Healthcare professionals will receive a certificate of attendance and are asked to consult with their licensing board for information on applicability and acceptance.
Credit may be obtained upon successful completion of the activity’s evaluation.
RELEASE DATE:
10/7/2026
EXPIRATION DATE:
8/31/2029