Eligibility and Enrollment

In March 2006, the National Academy for State Health Policy (NASHP) convened a small invitational symposium on child health coverage. This brief summarizes key suggestions which emerged during the symposium discussion about lessons learned over the past decade of state efforts to increase rates of child health coverage. Participants in the symposium reviewed and discussed […]

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  • Publications

    This State Health Policy Briefing discusses the August 17, 2007 letter from the Centers for Medicare and Medicaid Services (CMS), which has major implications for the State Children’s Health Insurance Program (SCHIP) and children’s health coverage. Among states and advocates alike, there is concern that aspects of the directive work against achieving the goals of […]

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  • Juvenile justice agencies face a significant challenge meeting the health needs of the youth in their systems. Medicaid, which provides health coverage to more than half of all low-income children in this country, can be a vital partner in juvenile justice reform efforts. However, coordination between juvenile justice systems and state Medicaid programs can be […]

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    March 25, 2009 | Filed under: Eligibility and Enrollment, Medicaid
  • Publications

    This State Health Policy Briefing describes some of the most common strategies states use to achieve universal children’s coverage, including expanding public programs and creating other opportunities for families with uninsured children, such as through buy-in programs and premium assistance programs. It is based primarily on interviews conducted with senior administrators from eight state Medicaid […]

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  • Publications

    Youth in the juvenile justice and foster care systems often share many traits: a history of abuse or neglect, mental health and substance abuse needs, low incomes, and likely eligibility for public insurance programs. For both populations, custody transitions provide an opportunity to screen youth for Medicaid and State Children’s Health Insurance Program (SCHIP) eligibility. […]

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    March 23, 2009 | Filed under: Eligibility and Enrollment, Medicaid, Publications
  • Publications

    This summary is intended to assist professionals who work in systems serving children, such as juvenile justice and child welfare. For more information about Medicaid and its key concepts as they relate to the juvenile justice system, see A Medicaid Primer for Juvenile Justice Officials. In Pennsylvania all children under age 18 have access to […]

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  • Publications

    This summary is intended to assist professionals who work in systems serving children, such as juvenile justice and child welfare. For more information about Medicaid and its key concepts as they relate to the juvenile justice system, see A Medicaid Primer for Juvenile Justice Officials. Illinois integrates operation of its State Childrens Health Insurance Program […]

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  • Publications

    The focus of this paper is on enrollment and disenrollment policy and practice in Medicaid managed care. Specifically, this paper examines policies and practices in risk-based programs with attention to Primary Care Case Management (PCCM) program policies only as they specifically interact with risk-based enrollment policies. In risk-based managed care, a Medicaid agency contracts with […]

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    December 2, 1997 | Filed under: Eligibility and Enrollment, Medicaid, Publications
  • Publications

    How do Medicaid managed care program managers use enrollment and disenrollment information to manage their programs? What does a low disenrollment rate imply about health plan (and enrollment broker) performance? Are people who select a health plan less likely to disenroll than those who are assigned to a plan? What elements of an enrollment system […]

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    December 1, 1996 | Filed under: Eligibility and Enrollment, Medicaid, Publications