CHIP
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CMS Releases Final Managed Care Rule for Medicaid, CHIP
Many children and families rely on Medicaid or CHIP as their source of health care coverage and a growing number of them are connecting with that coverage through managed care plans. How managed care is delivered has a significant impact on the health and well-being of children and families. In fact, three-quarters of children enrolled in…
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Responding to the Flint Michigan Water Crisis: What is the Role of Medicaid?
Today I had the opportunity to testify before the House Energy and Commerce Health Subcommittee on lessons emerging from the Flint water crisis. I wish the hearing hadn’t been necessary but I hope Flint is a wake up call to reexamine our nation’s policy on lead and children’s health. I am concerned not just about…
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New Brief Highlights States’ Experiences in Implementing Ex Parte Renewals in Medicaid and CHIP
Eligible children and families losing Medicaid or CHIP coverage at renewal for procedural or paperwork reasons has been a persistent problem. As Harvard researcher Dr. Benjamin Sommers has aptly noted, poor retention rather than poor take-up is the main reason why millions of children eligible for Medicaid and CHIP are uninsured. Dr. Sommers’ research has…
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Making Medicaid Work Better: Lessons from States on Implementing Ex Parte Renewals
This brief focuses on states’ experiences in implementing data-driven renewals in Medicaid through a process called ‘ex parte’ – using third party data sources to confirm ongoing eligibility. We interviewed officials in eight diverse states to identify the challenges states face in automating the renewal process and summarize their experiences in overcoming these barriers to…
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ICHIA Option: Which States Cover Legal Immigrant Children in Medicaid/CHIP?
[Note: This fact sheet was updated in 2018.] The 2009 Children’s Health Insurance Program Reauthorization Act (CHIPRA) gave states a new option to begin using federal matching dollars to cover lawfully residing children during their first five years in the U.S. This fact sheet provides an overview of this option and details the states that…
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It’s Time to Shed More Light on State Medicaid Quality
by Jon Peacock and Sashi Gregory, Wisconsin Council on Children and Families Last week was Sunshine Week, the annual nationwide celebration of access to public information. Now that the celebrating is over, perhaps it’s a good time to bring up an area where Wisconsin needs to let in considerably more sunshine – health care quality measures…
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Florida Children’s Health Expert Shares Insights on Major Turning Point for Immigrant Kids
By Diana Ragbeer, The Children’s Trust On Thursday, March 17, Governor Rick Scott signed HB 5101 into law, thereby lifting the five-year waiting period for lawfully residing immigrant children to receive subsidized CHIP and Medicaid through Florida KidCare. This makes Florida the 31st state to take advantage of the provision known as the Legal Immigrant Children’s…
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A Primer on Health Care Quality Measurement and Improvement for Children in Medicaid and CHIP
When I was the CHIP Director in New Hampshire, we thought that achieving a 95% rate of coverage for kids was the high bar. As a country, we are not only closing in on that goal, but leading states have raised the bar to 98% and beyond. And while we must continue to eliminate disparities…
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Measuring and Improving Health Care Quality for Children in Medicaid and CHIP: A Primer for Child Health Stakeholders
A large body of evidence shows that, compared to low-income uninsured children, Medicaid has been highly successful in providing children with a usual source of care and regular well-child care while significantly reducing unmet or delayed needs for medical care, dental care, and prescription drugs due to costs. Nonetheless, quality improvement centers on the notion…
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Research Shows that Utah and Florida’s “ICHIA Option” Will Improve Access to Health Coverage and Services For Lawfully Residing Immigrant Children
Last week, both the Utah and Florida legislatures passed laws that extend Medicaid and CHIP coverage to lawfully residing children who would otherwise have had to wait five years before becoming eligible to enroll. This is a big victory in two states with some of the highest child uninsurance rates in the country. Related Content…
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Breaking News: U.S. House Energy and Commerce Committee Moves to Cut CHIP Funding
The Congressional budget process appears to be in a fair amount of chaos with Senate and House Republicans at risk of failing to agree with each other even on a Budget Resolution. While that is not surprising — given the state of disarray in Congress — I was surprised to see that the House Energy…
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CHIP Bump Brings About Coverage Gains for Kids in Florida and Utah
Just a few hours ago, the Florida legislature passed its final bills of the session and included an extension of Medicaid and CHIP coverage to lawfully residing immigrant children who are currently excluded for five years. Known to many as the “ICHIA option”, this was a huge victory for kids in Florida (and their advocates…
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CMS Releases 2015 Report on the Quality of Health Care for Children in Medicaid and CHIP
Now that CMS has released the fifth annual Quality of Health Care for Children in Medicaid and CHIP, let’s take a look at the highlights of the children’s report. First, some background: the 2009 CHIP Reauthorization Act launched a wide-ranging set of initiatives to advance pediatric health care quality measurement and improvement. At the top…
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CCF Research Helps Inform Debate over Reinstating Arizona KidsCare
Last week, I was in Phoenix, Arizona to testify at a hearing in the House of Representatives Health Committee on KidsCare. As Say Ahhh! readers know, the changes to KidsCare in the last several years created a unique research opportunity because Arizona is the only state without a functioning Children’s Health Insurance Program. My colleagues…
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President’s Final Budget Includes Several Provisions to Help Children and Families
President Obama released his final budget proposal and included a number of provisions that would help improve health coverage for children and families. Those provisions include the following: • Fully funding CHIP through FY 2019. Last year, CHIP funding was extended through FY 2017 maintaining an important source of coverage for about 8 million children.…
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Medicaid and CHIP Eligibility, Enrollment, Renewal, and Cost-Sharing Policies as of January 2016: Findings from a 50-State Survey
Executive Summary January 2016 marks the end of the second full year of implementation of the Affordable Care Act’s (ACA) key coverage provisions. This 14th annual 50-state survey of Medicaid and CHIP eligibility, enrollment, renewal, and cost-sharing policies provides a point-in-time snapshot of policies as of January 2016 and identifies changes in policies that occurred…
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Survey Shows States Made Significant Progress Implementing Data-Driven Eligibility in Medicaid
Eligibility decisions made in real-time or overnight when someone submits a Medicaid application? Automated determinations of ongoing eligibility at renewal without requiring enrollees to fill out forms or send in paperwork? It wasn’t too long ago that many Medicaid stakeholders would have thought those were pie-in-the sky notions. Yet, thanks to new high-performing eligibility systems…
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A Gift for New Parents for the New Year
by Lorraine Gonzalez, Kate Breslin and Elisabeth Benjamin, Health Care for All NY On December 22, 2015, New York Governor Andrew Cuomo signed a law (S4745/A7155) that will allow babies born into low and middle-income New York families eligible for the Child Health Plus (CHP), New York’s Children’s Health Insurance Program (CHIP), from the day that…
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Arizona Kids are Falling Through the Cracks Without Active KidsCare Program
by Joe Fu, Children’s Action Alliance For the fifth year in a row, Arizona had the third highest child uninsured rate in the nation. In 2014, 10% of Arizona’s children were uninsured compared to about 6% nationally, according to a new report we released this week with Georgetown University’s Center for Children and Families. This…
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Children’s Health Coverage in Arizona: How Are Children Doing Without KidsCare?
Arizona, with its large number of uninsured residents, was primed to make major progress in 2014 with the full implementation of the Affordable Care Act. With the adoption of the Medicaid expansion, the state did see coverage improvements that mirrored national trends. Yet the state’s decision to dismantle KidsCare meant some Arizona children likely fell…
