Simplifying children's Medicaid and SCHIP: What helps? What hurts? What's next for the states?

Karl Kronebusch, Brian Elbel

Research output: Contribution to journalReview article

Abstract

The states have implemented the State Children's Health Insurance Program (SCHIP) in a variety of ways. We describe these choices and estimate the resulting enrollment impacts. Many widely adopted policies, including mail-in applications and twelve-month continuous eligibility, have had limited impacts. Other policies that increase enrollment, including presumptive eligibility and self-declaration of income, have not been widely adopted. SCHIP programs administered as Medicaid expansions have been more successful in enrolling children than either separate SCHIP plans or combination programs. Waiting periods, premiums, and welfare reform have had important negative impacts on children's program enrollment.

Original languageEnglish (US)
Pages (from-to)233-246
Number of pages14
JournalHealth Affairs
Volume23
Issue number3
DOIs
StatePublished - May 2004

ASJC Scopus subject areas

  • Health Policy

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