ERIC Number: ED451016
Record Type: Non-Journal
Publication Date: 1999-Nov
Reference Count: N/A
Implementation of the State Children's Health Insurance Program: Outreach, Enrollment, and Provider Participation in Rural Areas.
Dunbar, Jennifer L.; Sloane, Harvey I.; Mueller, Curt D.
The state Children's Health Insurance Program (CHIP) funds state programs to help low-income, uninsured children overcome financial barriers to medical care. Previous research found that rural children were more likely to be uninsured than urban children. This report examines the implementation of CHIP and related outreach, enrollment, and provider issues in selected rural areas of Colorado, Kansas, Oklahoma, Pennsylvania, and West Virginia. Chapter 1 describes the federal legislation creating the program, additional private financial support for the program, selection of study states and rural areas, and research questions and methods. Chapter 2 discusses common enrollment issues: clarification of "public charge" rules for immigrants, CHIP and the Indian Health Service, welfare reform connections, and the 10 percent limit on administrative expenditures. Chapters 3-7 examine age and income eligibility criteria; specific rural outreach strategies, including outreach to Native Americans and limited-English-speaking populations; barriers to outreach; enrollment; and provider issues in each of the five states. Results indicate that the states are implementing rural outreach and enrollment activities more aggressively under CHIP than under previous children's insurance plans. CHIP efforts in Colorado, Oklahoma, and Pennsylvania identified a significant portion of rural uninsured children, while enrollment success in Kansas and West Virginia was more modest. However, limited access to care in rural areas remains a concern. Many providers did not participate or were dissatisfied with CHIP or Medicaid because of objections to managed care, administrative burdens, or perceived inadequate compensation. (Contains references in footnotes.) (SV)
Descriptors: Access to Health Care, American Indians, Children, Economically Disadvantaged, Eligibility, Enrollment, Health Insurance, Outreach Programs, Program Implementation, Recruitment, Rural Areas, Rural Youth, State Programs
Full text at Web site: http://www.projecthope.org/CHA/pdf/schip99.pdf.
Publication Type: Reports - Evaluative
Education Level: N/A
Sponsor: Health Resources and Services Administration (DHHS), Rockville, MD. Office of Rural Health Policy.
Authoring Institution: Project HOPE Walsh Center for Rural Health Analysis, Bethesda, MD.
Identifiers - Location: Colorado; Kansas; Oklahoma; Pennsylvania; West Virginia
Identifiers - Laws, Policies, & Programs: Childrens Health Insurance Program