maximizing enrollment for kids: making medicaid and schip work getting to the finish line july 17,...
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Maximizing Enrollment for Kids: Making Medicaid and SCHIP Work
Getting to the Finish LineJuly 17, 2008
Source: Dubay, L. (Center for Children and Families at Georgetown University) analysis of March 2005 Current Population Survey using July 2004 eligibility rules.
The Enrollment Challenge Total: 9.0 million uninsured children
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
• 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
• Enrollment and renewal simplification
• Community-based outreach
• Technology
• Agency culture
• Leadership
• Partnerships
• 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
Improvement PlansBenchmarks
Implement StrategiesMeasure Progress
PEER LEARNING
Year 1
Years 2-4
TECHNICAL
ASSISTANCE
Program Resources and Activities
• Diagnostic Assessment
• Technical Assistance
• Teleconference/Web conference calls
• Site Visits
• Annual Meetings
• Evaluation
Eligibility CriteriaState 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
• Personnel/consultants
• Data collection/analysis
• Convening
• Travel
What we will not fund
• Capital improvements/expenditures
• Direct services
• 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
