States are responsible for on the ground implementation of the Affordable Care Act (ACA), including expanding coverage options through Exchanges and other health insurance programs. This brief examines the affordability of current children’s coverage options and coverage under ACA. It also draws on lessons from the Children’s Health Insurance Program, which can serve as a model for states as they implement affordability provisions in ACA.
Charting CHIP IV: A Report on State Children’s Health Insurance Programs Prior to Major Federal Policy Changes in 2009 and 2010 is the fourth in a series published by the National Academy for State Health Policy (NASHP) since 1998. The report paints a portrait of state Children’s Health Insurance Programs (CHIP) as they stood in mid 2008, roughly a decade after the federal CHIP program was enacted, a half year before CHIP was reauthorized, and just short of two years before national health reform legislation was enacted. This report examines state program characteristics and policies for both Medicaid expansion (M-CHIP) and separate (S-CHIP) programs in a range of areas, from program structure, to eligibility, outreach and enrollment, to benefits and cost sharing, to service delivery, access and quality.
Early identification of delays and linkage to appropriate services can improve coordination among pediatric primary health care providers and providers of mental health, early intervention, child welfare, and early care and education services and influence the course of young children’s healthy development. States are using a variety of mechanisms to develop and test interventions to improve linkages between primary care and other child and family service providers. This webinar will highlight how Illinois, Oregon, South Carolina, and Vermont are using ABCD III (Assuring Better Child Health and Development) and/or CHIPRA quality grants to build on and align current efforts, such as medical home initiatives, health information technology or exchange, performance measurement, and health reform, to transform the delivery of care to children covered by Medicaid and CHIP. This event is sponsored by The Commonwealth Fund and builds upon a session held during the NASHP Annual Conference in October 2010.
The Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program is the child health component of Medicaid. Despite EPSDT’s broad benefits, studies and state policymakers’ experience suggest that not all children are receiving the services to which they are entitled. While many stakeholders understand the requirements that define EPSDT well child visits (commonly called screening visits) and their importance to supporting and promoting child health, the requirements that define EPSDT coverage for treatment (the “T” in EPSDT) are not as well understood. This brief explores states efforts and opportunities to improve access to treatment services in EPSDT.
|Managing The T in EPSDT||286.2 KB|
The recently enacted health care reform legislation presents many opportunities to support young children’s health and development, as well as implementation challenges for states. On this webinar sponsored by The Commonwealth Fund and The David and Lucile Packard Foundation, NASHP Senior Program Director Catherine Hess highlighted the structural changes reform makes to the health care system that affect young children. Participants also learned about specific program and grant funding opportunities available in reform for states to support young children’s health and development. State responders shared their reactions and questions about the information presented by NASHP.
Speaker: Catherine Hess, Senior Program Director, NASHP
Opportunities & Challenges in Health Care Reform for Young Children’s Health and Development
Jane Borst, Bureau Chief, Family Health Bureau, Iowa Department of Public Health
Terrie Fritz, Director of Child Health, Oklahoma Health Care Authority
On January 1, 2010, states were able to start implementing a new option to satisfy the citizenship documentation requirements for Medicaid and CHIP through electronic data matches with the Social Security Administration’s (SSA) database. The requirement that states verify citizenship and identity for Medicaid recipients was created in the Deficit Reduction Act of 2005 (DRA) and became effective in July of 2006. This requirement was extended to CHIP programs with the enactment of the Children’s Health Insurance Reauthorization Act (CHIPRA) in February of 2009. Medicaid’s experience collecting and verifying the additional documentation from families was that it initially created significant administrative burdens and costs for states and caused many eligible children, pregnant women, and parents to lose or be denied health coverage. Congress responded to state and advocate concerns by creating the new SSA data match option through CHIPRA.
Early results from states regarding the SSA data match have been promising. Close to half of all states have now either implemented this option or are testing the procedure and will likely adopt it. SSA reports over a 94 percent successful match rate and states report significant administrative savings and increased enrollment simplification. This webinar will highlight the early successes of the SSA data match provision and will discuss possible applications for this type of electronic verification process for broader health care reform enrollment efforts. The speakers are: …..
Webinar Power Point Slides
NASHP Related Posting on MaxEnroll.org
- Moderator: Alice Weiss, Deputy Director, Maximizing Enrollment for Kids & Program Director, National Academy for State Health Policy
- Donna Cohen Ross, Senior Advisor, Office of External Affairs Centers for Medicare and Medicaid Services
- Paul Swanenburg, Senior IT Specialist and Program Manager, Social Security Administration
- Janice Holmes, FAMIS Program Operations Manager, Maternal and Child Health Division, Virginia Department of Medical Assistance Services
- Karen Packer, Senior Policy Analyst, Eligibility Section, Policy and Research Division, Virginia Department of Medical Assistance Services
- Patricia Taylor, Eligibility and Enrollment Unit Manager, Program Operations Division, Virginia Department of Medical Assistance Services
The first report published in a series that examine the policies and strategies that states use to manage their CHIP programs. These reports draw on information NASHP has collected through surveys conducted since 1998. Charting CHIP I represents data collected from a survey of states’ CHIP programs as of July 1998.
The Charting CHIP I report can be downloaded here in zip format: Charting CHIP I.zip
Published in May 2006, this fact sheet was originally prepared for the NASHP symposium on child health coverage that was held in March. It discusses challenges and opportunities for providing coverage through private health insurance options.
|States’ Limits and Options||63.4 KB|
This State Health Policy Briefing presents the issues identified by NASHP’s state leadership as their most significant priorities for improving their health systems. As Academy members discussed their priorities, a set of broader themes emerged. These larger policy goals are: Connect People to Needed Services; Promote Coordination and Integration in the Health System; Improve Care for Populations with Complex Needs; Orient the Health System toward Results; Increase Health System Efficiencies. This briefing also provides a more detailed list of states’ priorities presented in four major categories of state health policy: Coverage and Access; Health Systems Improvement; Special Services and Populations; and Long Term and Chronic Care.
|Policymakers’ Priorities||118.4 KB|