ERIC Number: ED477630
Record Type: Non-Journal
Publication Date: 2003-May
Reference Count: N/A
Is There a Hole in the Bucket? Understanding SCHIP Retention. Assessing the New Federalism: An Urban Institute Program To Assess Changing Social Policies. Occasional Paper.
Hill, Ian; Lutzky, Amy Westpfahl
This study examined states efforts to retain children in their State Childrens Health Insurance Program (SCHIP). Data were obtained during spring and summer of 2000 through telephone interviews with state program officials from eight states selected based on a variety of demographic and programmatic variables; the states were Alabama, California, Colorado, Florida, Michigan, Missouri, New York, and North Carolina. The major findings include the following: (1) states procedures for conducting SCHIP eligibility redetermination were quite similar to one another, but had not been simplified to the same level as initial enrollment processes; (2) less than half of enrolled children retained SCHIP eligibility at redetermination; (3) high rates of parents who do not respond to renewal notices nor submit renewal applications for their children may be cause for concern; (4) denial of eligibility for failure to pay premiums did not provide information on premium affordability because the denial code reflected several possible outcomes; and (5) state SCHIP and Medicaid data systems were highly variable in their capacity to report eligibility and redetermination outcome data. Implications of findings for future policy include the need to simplify eligibility redetermination procedures, to monitor the dynamics of families with children enrolled in SCHIP, to make renewal notices more user-friendly, and to improve states administrative data systems. It was concluded that if states are to make informed improvements in their eligibility renewal policies, they need either to invest in improving administrative data systems, or to periodically conduct research to understand better what happens to children once they lose their SCHIP eligibility. (Contains 11 endnotes and 9 references.) (KB)
Descriptors: Child Health, Children, Eligibility, Enrollment, Health Insurance, Program Improvement, Public Policy, State Programs
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Publication Type: Reports - Evaluative
Education Level: N/A
Sponsor: Office of the Assistant Secretary for Planning and Evaluation (DHHS), Washington, DC.; Robert Wood Johnson Foundation, New Brunswick, NJ.; Annie E. Casey Foundation, Baltimore, MD.; Kellogg Foundation, Battle Creek, MI.; John D. and Catherine T. MacArthur Foundation, Chicago, IL.; Ford Foundation, New York, NY.
Authoring Institution: Urban Inst., Washington, DC.
Identifiers - Laws, Policies, & Programs: Childrens Health Insurance Program