Transcript Maximizing Enrollment for Kids: Making Medicaid and SCHIP Work Getting to the Finish Line July 17, 2008

Maximizing Enrollment for Kids:
Making Medicaid and SCHIP Work
Getting to the Finish Line
July 17, 2008
The Enrollment Challenge
Total: 9.0 million uninsured children
2.9 Million Ineligible for
Medicaid or SCHIP
4.4 Million Eligible for
Medicaid
1.7 Million Eligible for
SCHIP
Source: Dubay, L. (Center for Children and Families at Georgetown University) analysis of March 2005
Current Population Survey using July 2004 eligibility rules.
Lessons Learned from CKF
• State leadership and political will are critical
– Greatest success when Medicaid and SCHIP officials with
authority to make changes were involved
• Simplification and coordination work
– Evidence from case studies in Virginia and Arkansas
• Infrastructure is needed
– Infrastructure and systems facilitate enrollment and retention, or
can create hurdles when inadequate to meet demand.
Source: Wooldridge, J. “Making Health Care a Reality for Low-Income Children and Families” (Issue Brief). February
2007.
NASHP: Working with States to Cover Children
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More than 10 years of SCHIP
implementation work
•
2006 meeting funded by RWJF
and David and Lucile Packard Foundations
• Seven Steps Toward State Success in Covering
Kids Continuously
Retracing 7 Steps to Maximize Enrollment
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Enrollment and renewal simplification
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Community-based outreach
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Technology
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Agency culture
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Leadership
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Partnerships
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Marketing strategies
Program Basics
• Up to 8 state grants
• Up to $1,000,000 over 4 years
• One proposal per state from State
agency or office designated by
Governor (DC included)
Key Program Goals
• Increase enrollment/retention rates
• Improve state measurement capacity
• Implement enduring policy changes
• Demonstrate and disseminate best
practices
Diagnostic Assessment
Year 1
Improvement Plans
Benchmarks
Years 2-4
Implement Strategies
Measure Progress
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Program Resources and Activities
• Diagnostic Assessment
• Technical Assistance
• Teleconference/Web conference calls
• Site Visits
• Annual Meetings
• Evaluation
Eligibility Criteria
State government agency* designated by Governor must:
• Demonstrate executive branch leadership commitment
• Commit to participation in key program areas:
– Provide access to staff, documents, data for assessment
– Work with TA team to create and implement new benchmarks
– Engage in peer-to-peer learning
– Collect and share data
• Demonstrate cooperation and participation of state and
local agencies with related responsibilities
* Agency with authority to implement policy changes
Selection Criteria
• Demonstrated Commitment
• Data Sharing
• External Stakeholder Support
• Sustainability
What we will fund
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Personnel/consultants
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Data collection/analysis
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Convening
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Travel
What we will not fund
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Capital improvements/expenditures
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Direct services
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Lobbying
Key Deadlines
• Registration Deadline: June 24, 2008,
3:00 pm ET
• Application Deadline*: August 6, 2008,
3:00 pm ET
*Proposals must be submitted online through Grantmaking Online.
Timeline
• Proposal review: August-September 2008
• Site visits: October-November 2008
• Notification: December 2008
• Grants begin: February 1, 2009
For more information:
www.maxenroll.org
[email protected]
202-507-7580