ERIC Number: ED431507
Record Type: Non-Journal
Publication Date: 1998-Dec
Reference Count: N/A
The Burden of Proof: How Much Is Too Much for Child Health Coverage?
Shuptrine, Sarah C.; Hartvigsen, Kristine
To assist states in easing the burden of Medicaid application procedures and verification requirements for families, the Southern Institute on Children and Families conducted a regional meeting to discuss child health coverage verification issues in September, 1998. Participating in the dialogue were Medicaid and state child health insurance programs (CHIP) officials from 15 southern states. The Department of Education is working with teachers, principals, researchers, and others to notify families with low to moderate incomes about the Children's Health Insurance Program (CHIP), as well as regional and central office Health Care Financing Administration (HCFA) representatives. This report presents knowledge attained as a result of this discussion. In addition, prior to the meeting, a poll of 17 southern states and the District of Columbia was conducted to identify verification questions states wanted to pose to HCFA; this report includes information from HCFA responses, specifically: verification requirements at application and verification requirements at redetermination. Additional issues covered in the report include: (1) Medicaid versus CHIP benefits; (2) random verification checks; (3) insurance verification; (4) alien status of CHIP applicants; (5) continuous eligibility; (6) regulation clarification; (7) paternity establishment; (8) social security number; (9) immigration status; (10) quality control concerns; (11) confidentiality; (12) remote eligibility determination; and (13) applying for children. The report includes information on the interpretation of federal rules related to verification of income, age, citizenship, resources and family composition both at application and redetermination. The need for clarification on verification and other eligibility issues is discussed, as is the importance of state initiatives to reduce the verification burden on families while maintaining the integrity of the eligibility process. (JPB)
Publication Type: Reports - Descriptive
Education Level: N/A
Sponsor: Robert Wood Johnson Foundation, Princeton, NJ.
Authoring Institution: Southern Inst. on Children and Families, Columbia, SC.