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CHIP

  • Making CHIPRA Work: Enrolling Eligible Children in Health Coverage

    CCFadmin

    Authors: Tricia Brooks and Donna Cohen Ross New England Alliance for Children’s Health — Presentation Document April 2009

  • CMS Ready for Questions on CHIPRA

    CCFadmin

    By Joe Touschner While some are already celebrating the success of CHIP reauthorization in covering millions more kids, if you’re reading this blog, you probably realize that the number of questions raised by the new law rivals the number of children that need coverage. The law provides states with enough information to move forward on…

  • Pointless Paperwork is a Pitch-Perfect Performance

    Tricia Brooks

    When you talk about an issue long enough, every argument starts to sound the same, so much that even your own mother starts tuning you out.  It’s a bit like “American Idol” or “Britain’s Got Talent” where all the auditions start to blend together. We’ve been crooning on for years about the excessive and unnecessary…

  • 11 Million Kids Now Covered!!! (Not Even Close)

    CCFadmin

    By Jocelyn Guyer When I got home from work a few weeks ago my husband handed me a flyer we got in the mail. It praised one of our Senators for her vote for the Children’s Health Insurance Program Reauthorization Act, and exclaimed joyfully that 11 million parents just got the great news that their…

  • Why Blog? Why Now?

    CCFadmin

    Why start a blog? At the Georgetown University Center for Children and Families we debated that question for some time before deciding to jump into the blogosphere. With everything going on with the economy and a rapidly shifting dynamic in the health policy world, we thought a blog would provide a good place to meet…

  • CHIP Tips: Medicaid Performance Bonus

    CCFadmin

    The CHIP law enacted in 2009 includes a number of important program and financing changes that affect both Medicaid and CHIP. One of these is the Medicaid Performance Bonus, which provides extra financial support to states that succeed in enrolling Medicaid-eligible children above target levels. This brief describes how the Medicaid Performance Bonus works, key…

  • CHIP Tips: Medicaid Performance Bonus “5 of 8” Requirements

    CCFadmin

    The CHIP law enacted in 2009 includes a number of important program and financing changes that affect both Medicaid and CHIP. One of these is the Performance Bonus, which provides extra financial support to states that succeed in enrolling Medicaid-eligible children above target levels. To qualify for the Performance Bonus, states much have implemented at…

  • Addressing Crowd-Out

    CCFadmin

    In health policy, “crowd out” or “substitution” occurs when public funds substitute private dollars that otherwise would have been spent on health care. It is an inevitable consequence of any effort to subsidize coverage for people in America’s voluntary health care system where individuals and their employers can drop private coverage when better, more affordable…

  • Postcards from CCF – Oregon

    CCFadmin

    As we approach the 1-year anniversary of the Children’s Health Insurance Program Reauthorization Act (CHIPRA), CCF thought we would pay a visit to a state that has successfully translated the promise of that new law into a reality for many Oregonians. Oregon has overcome many obstacles, including gaining legislative approval for increased revenue through an…

  • Implementation Dates of Key CHIPRA Provisions

    CCFadmin

    This chart contains the implementation Dates of Key CHIPRA Provisions.

  • CHIPRA 2009 Overview and Summary

    CCFadmin

    On February 4, 2009, President Obama signed into law the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA). The new law (Public Law No. 111-3) is designed to provide coverage to significant numbers of uninsured children and to improve the quality of care that all of America’s children receive. Most notably, it strengthens and extends…

  • Program Design Snapshot: 12-Month Continuous Eligibility

    CCFadmin

    Continuous eligibility is a state option that allows children, ages 0-18, to maintain Medicaid or SCHIP coverage for up to one full year, even if families experience a change in income or family status. By implementing this program element, a state ensures that for 365 days a year children get, and keep, the coverage for…

  • Cost Sharing for Children and Families in Medicaid and CHIP

    CCFadmin

    Cost sharing is an established part of health insurance in this country, but it is imperative to use it judiciously in Medicaid and CHIP to avoid deterring low-income children and families from using needed health care services. While some families served by these programs are able to pay premiums or make copayments, others, especially those…

  • Coordinating Medicaid and SCHIP

    CCFadmin

    SCHIP, launched in 1997, allowed states to expand coverage through their existing Medicaid program, to establish a separate state program, or to adopt a combination approach. The option to establish a separate program has been important to many states, but it also can make it more difficult for families to secure and retain coverage for…

  • Maintaining Coverage for Children: Retention Strategies

    CCFadmin

    Efforts to decrease the number of uninsured children in America often focus on increasing enrollment in Medicaid and SCHIP. With over six million uninsured children eligible for these programs, outreach and enrollment activities can indeed be one of the most effective strategies for covering uninsured children. This issue brief provides specific strategies that can be…

  • Reaching Eligible but Uninsured Children in Medicaid and SCHIP

    CCFadmin

    One of the most important steps a state can take to provide health coverage to its children is to reach uninsured children who already qualify for Medicaid or the SCHIP. Some six million children who are uninsured qualify for the two programs, representing close to seven in ten of all uninsured children. The vast majority…

  • Program Design Snapshot: State Buy-in Programs for Children

    CCFadmin

    Child buy-in programs allow families with incomes in excess of a state’s Medicaid/SCHIP eligibility levels to purchase insurance for their children through the public plan. This short brief reviews state child buy-in programs, and provides an overview of issues that states must consider when implementing a program. It shows that while enrollment in the programs…

  • Weathering the Storm: States Move Forward on Child and Family Health Coverage Despite Tough Economic Climate

    CCFadmin

    This report provides a first look at state activity after the passage of CHIPRA and the availability of increased Medicaid funding in the economic stimulus package. It finds that despite unprecedented fiscal challenges, all but a few states held steady on children’s health coverage, and twenty-three states took steps to move forward. This progress on…

  • The Louisiana Experience: Successful Steps to Improve Retention in Medicaid and SCHIP

    Tricia Brooks

    Over the past decade, the Louisiana Department of Health and Hospitals has taken a series of progressive and innovative steps to reduce the number of children who lose Medicaid or CHIP (known as LaCHIP) coverage at renewal for reasons not related to eligibility. In 2008, less than 1% of children enrolled in Louisiana’s LaCHIP program…

  • Washington State: Coverage to All Children

    CCFadmin

    Beginning in February 2009, Washington began enrolling children with family incomes up to 300 percent of the federal poverty level (FPL) in its new Apple Health for Kids program.  The implementation of this expansion is only the most recent phase of a comprehensive effort to cover all children that began over 2 years ago when…