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Data Needs for the State Children's Health Insurance Program (2002) / Chapter Skim
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4 Disenrollment
Pages 18-22

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From page 18...
... Ian Hill, in his Urban Institute survey of five states, found the approval rate at redetermination to range from a low of 26 percent in Michigan to a high of 65 percent in New York. He found that the SCHIP retention rate was less than 50 percent in four of the five states.
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From page 19...
... Among them are the reliance on a mail-based system, rather than on personal contact, that many times left the recipient confused; the requirement to resubmit documentation that had already been submitted on initial enrollment; lack of coordination with Medicaid when income dropped, leaving the family eligible for Medicaid rather than for SCHIP; and automatic disenrollment in some state programs when there was no response to the renewal notice. In Hill's five-state survey, the major reason for discontinuation at the time of redetermination was failure of the family to respond to renewal notices.
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From page 20...
... Ellwood reported that, beginning in 1999, all states were required to submit to the Centers for Medicare and Medicaid Services monthly information on all of their Medicaid-eligible children, including those on the traditional Medicaid program as well as the children eligible for the Medicaid expansion through the Children's Health Insurance Program. This information is included in CMS's Medical Statistical Information System (MSIS)
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From page 21...
... However, it is difficult to draw conclusions about how program characteristics, such as whether it is integrated with Medicaid or a stand-alone program or whether the state has passive reenrollment, relate to retention in SCHIP because there is little uniformity in the categories that states use to classify reasons for disenrollment. On issues related to disenrollment raised by workshop participants, the panel concluded: · Longitudinal studies measuring gross flows across the four insurance categories Medicaid, SCHIP, private coverage, and no coverago would be helpful to state and national planners.
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From page 22...
... More uniform categories would facilitate comparisons across the states. · Knowing the subsequent insurance status of children who leave SCHIP and the reasons for their disenrollment would allow policy makers to better understand how state policies, such as integrated Medicaid/SCHIP program and passive reenrollment, affect retention rates in the program.
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Key Terms

  • schip program
  • insurance status
  • schip programs
  • little information
  • insurance program

  • passive reenrollment
  • health insurance
  • separate schip
  • provide little
  • insurance statuses

  • schip retention
  • state policies
  • consistent definitions
  • allow policy
  • family income

  • medicaid expansion
  • renew due
  • monthly samples
  • states reported
  • leaving schip

  • longitudinal studies
  • described plans
  • subsequent insurance
  • approval rate
  • obtained private

  • national planners
  • qualitative data
  • services monthly
  • involve families
  • obtain information


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