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The Nelson A. Rockefeller Institute of Government

Health Care: Medicaid Enrollment and Take-Up

Medicaid Enrollment and Take-Up

Administrative Responsiveness to the Disadvantaged: The Case of Children's Health Insurance

This study focuses on two means-tested programs in the context of American federalism, Medicaid and the State Children's Health Insurance Program.
James Fossett and Frank J. Thompson, Journal of Public Administration Research and Theory, September 2005

CHIP and Medicaid Outreach: Strategies, Efforts, and Evaluation

An overview of the findings of case studies of Medicaid and CHIP administration in 18 states, in particular, the state efforts at Medicaid and CHIP communication and outreach, the correlation between these efforts and enrollment increases across states in recent years, and how these efforts compare with "best practices" standards.
Debra J. Ringold, Tricia M. Palmer Olson, and Laura Leete, July 2003

State-Local Relations and Their Effect on Policy Design and Implementation

Findings from an 18-state comparative study that shed light on state-local relations and their possible effects on Medicaid and CHIP enrollments of children and adults and Medicaid "take-up" rates.
Malcolm L. Goggin, May 2003

Children and the Take-Up Challenge: Renewal Processes in Medicaid and CHIP

This brief considers an array of practices related to the transaction costs of renewal. The first section focuses on the enrollment spans that states provide. A second section probes the degree to which states practice active inreach and have adopted other practices that reduce barriers to renewal. A third section examines the degree to which a seamless referral process exists between Medicaid and CHIP. The fourth section draws on the indicators that have been analyzed to suggest a tentative ranking of the states in terms of the client friendliness of their renewal processes. The final section looks to the future by asking whether those states facing the most acute take-up problems seem to be well-positioned in terms of their renewal practices to meet this challenge.
Frank J. Thompson, February 2003

Is Medicaid Retrenching? State Budgets and Medicaid Enrollment in 2002

This paper examines the sustainability of Medicaid and CHIP enrollment efforts in the large majority of the states where enrollment initiatives have been examined in earlier publications in this series. This paper will review recent trends in state revenues and Medicaid spending in these states, then examine state actions to balance their FY 2003 budgets, with particular attention to changes in Medicaid spending and activities affecting Medicaid and CHIP enrollment initiatives.
James W. Fossett and Courtney E. Burke, February 2003

The Complexity of Simplifying the Medicaid Application Process

This paper outlines some of the actions states took to simplify the Medicaid application process and whether simplification measures improved the degree to which Medicaid eligible individuals enrolled.
Courtney E. Burke, January 2003

Medicaid and Information Systems: Delays in Modifying Information Systems Contributed to the Decline in Medicaid Enrollment after Welfare Reform

This paper focuses on the role of information technology in the transition from pre- to post-welfare reform Medicaid program management and suggests that delays in addressing information systems’ issues contributed to the unexpected decline in Medicaid enrollment associated with welfare reform.
Mark Ragan, January 2003

The Relationship Between Medicaid and Welfare Agencies

This paper begins with a description of different approaches states have taken to structuring Medicaid and welfare programs. It then turns to a discussion of the implications of the different state administrative structure — how does administrative structure affect Medicaid take-up rates, how does privatization affect Medicaid, how is accountability for implementing Medicaid to political officials pursued, and how do political pressures surrounding Medicaid policy interact with agency structure?
Gary Bryner, November 2002

Building Administrative Capacity for CHIP and Medicaid: Image, Outreach, and Organization

This management brief examines the coordination of CHIP and Medicaid administration at the state level through a comparative review of experiences of 18 states that have been the subject of ongoing research by the Rockefeller Institute of Government since 2000.
Christopher Plein, December 2002

Medicaid Enrollment Trends: 1995-2000

This paper examines trends in Medicaid enrollment among low-income adults and children between 1995, the last year before the passage of welfare reform, and 2000. It also examines Medicaid “take-up,” or states’ success in enrolling those who are eligible for Medicaid.
Courtney E. Burke and Craig W. Abbey, August 2002