ERIC Number: ED455032
Record Type: Non-Journal
Publication Date: 2001-May
Reference Count: N/A
Are We Responding to Their Needs? States' Early Experiences Serving Children with Special Health Care Needs under SCHIP. Occasional Paper Number 48. Assessing the New Federalism: An Urban Institute Program To Assess Changing Social Policies.
Hill, Ian; Lutzky, Amy Westpfahl; Schwalberg, Renee
Noting that children with special health care needs (CSHCN) make up one of every six children eligible for the State Children's Health Insurance Program (SCHIP), this study examined how SCHIP responded to the needs of children with chronic illnesses and disabilities. This qualitative study was based on the implementation experiences in 18 states. Key findings were organized into six areas. Findings indicated that none of the study states made overt efforts to target CSHCN for enrollment. Benefit packages under separate programs were more limited than those covered by Medicaid. In almost every state, SCHIP programs relied on managed care, with CSHCN being served through the same care systems serving all children. Three states reported policies that exempted CSHCN from cost sharing or somehow protected them from undue expense. Waiting periods disproportionately affected families of CSHCN. States reported difficulty in identifying and enrolling large numbers of CSHCN into SCHIP programs. Based on findings, two changes to current policy are recommended: (1) permit SCHIP coverage to "wrap around" existing private health insurance for selected priority populations; and (2) encourage or require states to broaden their waiting period exceptions policies to allow CSHCN to drop private coverage if that coverage is significantly limited or expensive. (An appendix lists the key SCHIP and Medicaid contacts in the study states. Contains 30 references.) (KB)
Descriptors: Children, Chronic Illness, Delivery Systems, Disabilities, Enrollment Influences, Federal Programs, Health Insurance, Health Needs, Identification, Outreach Programs, Special Health Problems
Urban Institute, 2100 M Street, N.W., Washington, DC 20037. Tel: 202-833-7200; Fax: 202-429-0687; e-mail: email@example.com; Web site: http://www.urban.org.
Publication Type: Reports - Evaluative
Education Level: N/A
Sponsor: Mott (C.S.) Foundation, Flint, MI.; Annie E. Casey Foundation, Baltimore, MD.; Kellogg Foundation, Battle Creek, MI.; Henry J. Kaiser Family Foundation, Menlo Park, CA.; Ford Foundation, New York, NY.; Robert Wood Johnson Foundation, New Brunswick, NJ.; David and Lucile Packard Foundation, Los Altos, CA.; John D. and Catherine T. MacArthur Foundation, Chicago, IL.; McKnight Foundation, Minneapolis, MN.; Commonwealth Fund, New York, NY.; Weingart Foundation, Los Angeles, CA.; Fund for New Jersey, East Orange.; Lynde and Harry Bradley Foundation, Milwaukee, WI.; Joyce Foundation, Chicago, IL.; Rockefeller Foundation, New York, NY.
Authoring Institution: Urban Inst., Washington, DC.
Identifiers - Laws, Policies, & Programs: Childrens Health Insurance Program