Eligibility & Enrollment
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Strategies to Address Alarming Decline in Children’s Health Coverage
In this blog series, CCF Executive Director and Research Professor Joan Alker previews her ninth annual report on children’s health coverage and examines the alarming increase in the number of uninsured children after years of bipartisan success in reducing the child uninsured rate. Research Professor Tricia Brooks — a policy expert and former state CHIP…
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Boosting Outreach and Consumer Assistance to Regain Enrollment Momentum
See our full blog series on evidence-based policies available to policymakers to prevent more eligible children from losing health coverage. As Say Ahhh! readers know, in May, we released a comprehensive report showing that child enrollment dropped by nearly 1 million children in 38 states in 2018 and have continued to track the growing enrollment…
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How Can Policymakers Stop More Children From Losing Health Coverage and Regain Enrollment Momentum?
See our full blog series on evidence-based policies available to policymakers to prevent more eligible children from losing health coverage. Sometimes you just hate to be right. The release of topline Census data last week confirmed our fears that the most recent health insurance data would reveal that we lost ground in providing health coverage…
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National Decline in Child Enrollment in Medicaid and CHIP Slows but Steep Declines Continue in Problem States
In the first four months of 2019, overall child enrollment in Medicaid and CHIP dropped by 122,000 children with declines in 31 states offset by gains in 20 states. As noted in previous blogs and this report, the largest declines are occurring in a handful of states. States with the Largest Percentage Decline – In…
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Legislative Victory to Ensure Automatic Early Intervention Eligibility for Illinois’ Lead-Poisoned Children
Lead poisoning is the most pervasive environmental health hazard affecting children. According to the Centers for Disease Control and Prevention (CDC), there are nearly half a million children ages 1-5 in the United States with blood lead levels (BLL) above 5 micrograms per deciliter (µg/dL) — the reference value recommended by the CDC for initiation of public health actions,…
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Child Enrollment in Medicaid and CHIP Slips Again
We continue to closely monitor the trends in child enrollment in Medicaid and the Children’s Health Insurance Program (CHIP) following our report on the precipitous enrollment decline in 2018. As of March 2019, overall child enrollment in Medicaid and CHIP was down an additional 41k children in the first quarter of 2019. However, the national…
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New Data Find Troubling Decline in Child Enrollment in Medicaid and CHIP Continues in Many States
Several months ago, we began to highlight concerns over the declining enrollment of children in Medicaid and CHIP. Just last month we published a brief on the unusual decline, noting that child enrollment had dropped by nearly 1 million children in 38 states in 2018. Although overall national enrollment was up by close to 20k…
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In Utah, Another Attempt to Limit Access to Health Care Coverage
Utah revealed the next chapter in its drawn-out Medicaid expansion debate on May 31. Unsurprisingly, it’s yet another attempt to limit access to affordable health care coverage. Rather than heeding the will of the voters and implementing Prop 3 – which would have given 150,000 low-income Utahans access to Medicaid coverage – the state has…
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Another Troubling Sign: Child Participation Rates in Medicaid and CHIP Dropped in 2017
Since the 2017 ACS data was released in September 2018, we have been concerned about the first increase in the number of uninsured children in a decade as highlighted in our annual uninsured children’s report. We became even more concerned as we watched the number of children enrolled in Medicaid and CHIP drop in 2018,…
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Medicaid and CHIP Enrollment Decline Suggests the Child Uninsured Rate May Rise Again
Executive Summary There is no debate over the fact that children are losing Medicaid and Children’s Health Insurance Program (CHIP) coverage. Overall, more than 828,000, or 2.2 percent, fewer children were enrolled in Medicaid and CHIP, combined, at the end of 2018 than the previous year. A drop in child enrollment is unusual; between 2000…
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Kids Coverage at Risk in Arizona
Kids coverage is again at risk in Arizona, as lawmakers there fight over whether to freeze enrollment in the state’s CHIP program (“KidsCare”), which currently covers 34,316 children. An unusual Arizona law requires the KidsCare program to freeze enrollment if the federal matching rate drops below 100%. Because a temporary increase in the CHIP matching…
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Trump Administration Proposes to Make Fewer Low-Income Individuals and Families Eligible for Medicaid and CHIP Over Time
The Trump Administration has proposed to change how the Census Bureau’s Official Poverty Measure (OPM) is adjusted annually for inflation. While this sounds like a highly technical change, it would do considerable harm. That is because the OPM is used to set the federal poverty line, which in turn is used to determine income eligibility…
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New Data Show Widespread Decline in Child Enrollment in Medicaid/CHIP Coverage in 2018
We’ve been anxiously awaiting the release of final Medicaid and CHIP enrollment data for 2018, which was expected to be posted almost a month ago. The wait is finally over but not our concerns about what’s happening. In the meantime, more stories about eligibility system issues in a handful of states and states conducting more…
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Hot Off the Press: Annual KFF 50-State Survey on Medicaid
This 17th annual KFF survey and key resource for Medicaid stakeholders reports eligibility, enrollment, renewal and cost-sharing policies in place as of January 2019 for children, pregnant women, parent/caretakers, and low-income adults in Medicaid and CHIP. Like the previous year, for the most part states continued to refine their efforts in delivering a streamlined, data-driven…
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Child Enrollment in Medicaid and CHIP Down 600k Children in 2018
After CMS released October 2018 Medicaid and CHIP data, we reported that child enrollment was down by more than half a million children in the first 10 months of 2018. So needless to say, we were anxious to see the final November 2018 numbers, which were just released. In November 2018, child enrollment in Medicaid…
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MACPAC Releases Medicaid Eligibility, Enrollment and Renewal Case Studies Examining New Data-Driven Processes
Before the holidays, MACPAC and its contractor, SHADAC, (the State Health Access Data Assistance Center at the University of Minnesota) released findings of a study that examined the status of the new data-driven enrollment and renewal processes enacted as part of the Affordable Care Act. The case studies report on how six states – Arizona,…
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Louisiana Medicaid Audit Report Misses the Mark
A recent legislative audit of the adult Medicaid expansion in Louisiana compares apples and oranges to arrive at a conclusion that millions of dollars were paid on behalf of Medicaid enrollees who did not qualify. But is it accurate to characterize these individuals as ineligible? No, not when you consider the flexibility states have in…
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States Lean In as the Federal Government Cuts Back: Navigator and Advertising Funding for the ACA’s Sixth Open Enrollment
On November 1, the Affordable Care Act’s (ACA) insurance marketplaces will launch their sixth enrollment season. This year, the challenges they face may be greater than laster year, with the loss of the individual mandate penalty as an enrollment incentive and the emergence of a parallel, unregulated market that could siphon away healthy enrollees. Yet the Trump administration has…
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Teens Discover Peer-to-Peer Outreach Works to Connect More Students with Health Coverage
This year the Tennessee Justice Center launched a Student Ambassador Program to engage young people in our Insure Our Kids Campaign. This campaign seeks to get every eligible child in Tennessee enrolled in health insurance coverage by educating the community and providing enrollment assistance. To find and enroll those uninsured students, we turned to their…
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There’s a Medicaid ‘subsidy cliff’ health-care officials are worried about
The Washington Post By: Colby Itkowitz There’s a significant population of Medicaid recipients who would lose their health-care coverage if states began requiring them to work — regardless of whether they got a job. … Joan Alker, a Georgetown University public-policy professor who is closely following the waiver submissions, told me the state’s two extra years of…
