Eligibility & Enrollment

CMS August 17 Directive: Decline in Private Coverage Requirement

What the Directive Requires Under the August 17, 2007 directive, the Centers for Medicare and Medicaid Services (CMS) imposed new conditions that states must meet in order to cover children with gross family incomes above 250 percent of the federal poverty level (FPL) with SCHIP funding. One of these conditions required that there is “assurance […]

CMS 95% Coverage Rate Requirement

What the Directive Required Under the directive, the Centers for Medicare and Medicaid Services (CMS) imposed new conditions that states must meet in order to cover children with gross family incomes above 250 percent of the federal poverty level (FPL) with SCHIP funds. One of these conditions required that at least 95 percent of children […]

Cover All Kids: Pennsylvania’s State-Wide Campaign to Expand Eligibility

In 2004, in an effort to more accurately identify remaining gaps in health care coverage, the Pennsylvania Insurance Department commissioned a survey on the insurance status of citizens in the state. The Department found that while 96 percent of Pennsylvania’s children had coverage, more than 133,500 were uninsured. Of these, approximately 108,000 were eligible for […]

Pennsylvania: Streamlined Enrollment & Renewal through Technology

Summary Pennsylvania has had important success in providing health insurance coverage: according to a 2005 state report only 8 percent of Pennsylvanians, and only 4 percent of the state’s children, are uninsured. A core component of this success has been strong public programs. About one in three children are covered by Medicaid or CHIP (its […]

SCHIP Provisions in the Administration’s FY2009 Budget

This memo provides an analysis of SCHIP provisions in President Bush’s proposed fiscal year 2009 budget. It shows that provisions in the budget proposal would effectively eliminate state flexibility to provide SCHIP coverage for children with family incomes above 250 percent of the federal poverty level, and make it very difficult for states to cover […]