Data Needs for the State Children's Health Insurance Program (2002) / Chapter Skim
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Appendix B Workshop Presentations
Appendix B Workshop Presentations
Pages 38-56
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From page 38... ...
However, there are many other procedural reasons why eligible children are not receiving Medicaid or SCHIP benefits. Some typical procedural reasons applicants are denied Medicaid and SCHIP coverage are 38
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From page 39... ...
Despite expansions of public coverage for children through Medicaid and the State Children's Health Insurance Program, evidence from the states suggests that turnover and churning persist among children who enroll in public programs. In this presentation, Linda Bilheimer discussed the types of data needed to understand these phenomena better and the data that are currently available from national surveys and state administrative data systems.
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From page 40... ...
The program is a health coverage program that covers children up to age 19 in families with incomes between 150 and 200 percent of the federal poverty level. The program provides subsidized, low-cost medical and dental coverage for uninsured children across the state.
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From page 41... ...
Mary Alice Lee, Children Health Council Title: Connecticut~s HUSKYProgram: Using Data to Improve Enrollment and Retention As lead agency for the Robert Wood Johnson Foundation-funded Covering Kids initiative, the Children's Health Council tracks enrollment in Connecticut's children's health insurance program, Healthcare for UninSured Kids and Youth (HUSKY)
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From page 42... ...
The Children's Health Council also recommends that family coverage be expanded to 185 percent of the federal poverty level, that eligibility determinations for Parts A and B be coordinated, and that HUSKY applications be coordinated with applications for other income-based programs, like the subsidized school lunch program. With enrollment data from HUSKY Part B
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From page 43... ...
Examples of these rules are eligibility thresholds, asset limits and disregards, categorically eligible groups, unemployed parent rules, work disregards, earned income disregards, child care disregards, child support disregards, waiting periods, deeming of stepparent and grandparent income, and definition of family unit. The presentation went on to explain that more detailed simulation models are able to find more and more eligible children.
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From page 44... ...
The authors are currently refining the eligibility simulation model and applying that model to successive waves of the MEPS from 1996-2000. This research should offer insights into the impacts on children's health insurance coverage of Medicaid, SCHIP, welfare reform, the (now-fading)
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From page 45... ...
The biggest drop occurred in 1999. There has been no discernible trend above 200 percent of the federal poverty level.
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From page 46... ...
SESSION III: RETENTION Ian Hill and(Amy Westpfahl Lutzky, Health Policy Center, The Urban Institute Title: There's a Hole in the Bucket. UndLerstandLing SCHIP Retention Research Objective: During early SCHIP implementation, considerable policy attention was directed at state efforts to enroll eligible children; comparatively little attention was focused on how states conducted eligibility redetermination and whether strategies have been implemented to maxi
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From page 47... ...
Principal Findings: Findings suggest that while states have primarily focused their energies on maximizing enrollment under SCHIP, some effort has also been made to streamline redetermination processes and maximize retention most of the study states have 12-month continuous eligibility for SCHIP, do not require face-to-face interviews at redetermination, only verify income at determination, and use forms that are somewhat simpler than initial program applications. However, several additional strategies that would further simplify the process were adopted by a smaller number of states, including use of joint SCHIP/Medicaid redetermination forms, preprinting redetermination forms with information already on hand, and passively approving continued eligibility when families miss deadlines for submitting redetermination information.
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From page 48... ...
Difficulties obtaining administrative data suggest that state data systems lack capacity to provide needed indicators, resulting in large gaps in what is currently known about the outcomes of the redetermination process. Hilary Bellamy, Health Systems Research, Inc.
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From page 49... ...
Denise Holmes, Michigan Department of Community Health, MedLical Services Administration Title: Using Data to Focus Outreach and Improve Enrollment and Retention in Michigan SCHIP Program The Michigan Department of Community Health began its SCHIP program, which is called MIChild, in May 1998. Since the program's inception, the department has made extensive use of focus groups, beneficiary surveys, and administrative reports to make improvements in the program.
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From page 50... ...
Beginning in FY 1999 all states were required to submit to the Centers for Medicare and Medicaid Services complete month-by-month eligibility information for all Medicaid-eligible people, including children enrolled in Medicaid expansion SCHIP programs. In addition, some states submit MSIS information on children in separate SCHIP programs.
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From page 51... ...
He began by reviewing the structure of the Medicaid program in Washington state: · Medicaid covers children in families between O and 200 percent of the federal poverty level since 1994; · SCHIP covers children from families between 200 and 250 percent of the federal poverty level since 2000; · The state covers noncitizen children up to 100 percent of the federal poverty level; · The state sponsors a community outreach and media campaign; · The state has simplified its SCHIP application down to one page. Simplification includes: 12 months of continuous eligibility; Self-declaration of income; · Elimination of the asset test; · No face-to-face interview; and · Applicants can apply by phone or on paper.
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From page 52... ...
The law regulates computerized comparisons of records for specified purposes as long as any of the records used in the match are subject to the privacy act. The law may apply when federal records are used to identify children eligible for enrollment in the State Children's Health Insurance Program.
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From page 53... ...
NIFC has also begun working with the Free and Reduced Price Lunch Program. The application includes a box for parents to check if they would like an application for public health insurance.
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From page 54... ...
Department of Health and Human Services, has a state planning grant program, which is stimulating even more state survey and data collection activity. The Robert Wood Johnson Foundation is funding a State Health Access Data Assistance Center to support states in their data and survey activities.
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From page 55... ...
Through the federal evaluation, it has also commissioned individual state surveys and focus groups, which can provide some information at the state level as to the effectiveness of their programs. Cynthia Shirk, Division of State Children Health Insurance Program, U
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From page 56... ...
Both the states and the federal government need technical expertise and funding for adequate data systems to analyze SCHIP data. Quality of and access to care are two areas of SCHIP that need to be studied.
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