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Medicaid Eligibility, Enrollment, and Retention Policies: Findings from a Survey of Juvenile Justice and Medicaid Policies Affecting Children in the Juvenile Justice System
NASHP, with the support of the John D. and Catherine T. MacArthur Foundation, is working with Models for Change grantee organizations and state policymakers to address the health needs of youth in the juvenile justice system. This new issue brief from NASHP is the second in a series that highlights findings from surveys of juvenile justice and Medicaid agencies in order to determine policies around health care and Medicaid for youth involved in the juvenile justice system. The paper focuses on findings related to Medicaid enrollment and retention policies for juvenile justice-involved youth.December 2009» -
Express Lane Eligibility and Beyond: How Automated Enrollment Can Help Eligible Children Receive Medicaid and CHIP
As states work to insure more children in challenging economic times, a new report funded by the Robert Wood Johnson Foundation (RWJF) explores how states can identify and enroll eligible but uninsured children by borrowing automated strategies that have proven effective in helping eligible people receive other public and private benefits. Authored by Urban Institute researcher Stan Dorn in collaboration with the National Academy for State Health Policy (NASHP), the report details how auto-enrollment strategies have the potential to identify, enroll and retain large numbers of eligible children while reducing state administrative costs. The report explains how the recently enacted Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) makes these strategies substantially easier for states to implement while establishing powerful new financial incentives for states to reach the greatest possible number of eligible children.April 2009 -
Reauthorizing SCHIP: Principles, Issues and Ideas from State Directors Updated January 2009
With reauthorization of the State Children’s Health Insurance Program (SCHIP) moving quickly through Congress, this State Health Policy briefing seeks to inform the federal legislators and other policymakers about the issues of greatest concern to SCHIP program directors related to the reauthorization. The brief was developed by NASHP through in-depth conversations with and input from a workgroup of state SCHIP directors, and reviewed by all SCHIP directors. Publication of the brief was made possible through the generous support of the David and Lucile Packard Foundation as part of broader efforts to provide assistance and report on state SCHIP programs since the program’s inception.January 2009 -
A Multi-Agency Approach to Using Medicaid to Meet the Health Needs of Juvenile Justice-Involved Youth
Juvenile justice, mental health, and Medicaid agencies have a common interest in meeting the health needs of youth in the juvenile justice system. However, these three agencies have different, yet overlapping, program objectives, funding sources, target populations, and partners. This situation creates both barriers and opportunities in using these agencies’ resources to meet the health and behavioral health needs of children involved with the juvenile justice system. Improving coordination among state agencies overseeing the juvenile justice, mental health, and Medicaid systems is crucial to improving access to quality health services for juvenile justice-involved youth. Some states are developing mechanisms to plan and implement more coordinated and integrated health services for juvenile justice-involved youth.December 2008 -
Presumptive Eligibility for Pregnant Women
Early prenatal care plays a critical role in the health of pregnant women and their babies. Access to early prenatal care can lead to better birth outcomes, healthier babies, and reduced health care costs. Presumptive eligibility in Medicaid has become an important strategy for improving access to prenatal care for low-income pregnant women. Presumptive eligibility is an option that states can use to allow authorized providers to begin treating pregnant women when they first seek prenatal care rather than several weeks later after a final determination has been made regarding their Medicaid eligibility.December 2008 -
Medicaid 1115 Family Planning Demonstration Waiver Programs
Twenty-seven states have received Medicaid 1115 demonstration waivers to provide family planning services to individuals not otherwise eligible for Medicaid or the State Children’s Health Insurance Program (SCHIP). Two other states have applied for waivers. This updated State Health Policy Monitor examines the status of these waivers, and provides a brief overview of eligibility guidelines and benefits. Additional NASHP publications examine specific waiver design features, and explore topics such as cost savings and the impact on health outcomes.November 2008 -
Models for Change Fact Sheet Series: An Overview of Illinois Medicaid and SCHIP Programs
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 (SCHIP) with Medicaid funded and state-only programs. As of December 2006, there were 1,873,000 adults and children enrolled in the Medicaid program, and as of June 2007 there were 175,145 children enrolled in SCHIP. In federal fiscal year 2005, Illinois made approximately $10.8 billion in Medicaid expenditures and $494 million in SCHIP expenditures. (These figures include spending for both adults and children.) The federal government supplied 50 percent of the funding for Medicaid expenditures and 65 percent for SCHIP expenditures.August 2008 -
Models for Change Fact Sheet Series: An Overview of Pennsylvania's Publicly Funded Insurance Programs
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.August 2008 -
Covering All Children: Issues and Experience in State Policy Development
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 or State Children’s Health Insurance Programs (SCHIP) in California, Illinois, Louisiana, Massachusetts, New York, Oregon, Pennsylvania, and Washington. These states have been among those in the vanguard of pursuing the goal of covering all children and youth.May 2008 -
A Medicaid Primer for Juvenile Justice Officials
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 much improved. It may help many juvenile justice officials to learn more about Medicaid and how it can be used to improve their programs and the lives of the young people they work with. The purpose of this State Health Policy Briefing is to provide those who work with system-involved youth with an introduction to Medicaid and its key concepts, as they pertain to the juvenile justice system.April 2008
