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Keeping Children's Coverage Strong in the Context of the Affordable Care Act: Perspectives from State Children's Health Insurance Leaders
With passage of the Affordable Care Act, the stakes for children’s coverage perhaps have never been higher. Children potentially have much to gain in coverage for themselves and for their parents. However, they also have much to lose in shifting attention, and in unintended consequences of reforms focused on adults. To examine the options for keeping children’s coverage strong in future, NASHP initiated discussions with CHIP program directors. This brief highlights themes from those discussions, focusing on key considerations for children’s coverage that NASHP and most CHIP directors believe policymakers should take into account in making decisions that may affect children’s coverage.
May 2012» -
Public Insurance Programs and Children with Special Health Care Needs, A Tutorial on the Basics of Medicaid and the Children’s Health Insurance Program
This tutorial on the basics of Medicaid and CHIP is a collaboration of NASHP and the Catalyst Center: Improving Financing of Care for Children and Youth with Special Health Care Needs (CSHCN). The tutorial gives a broad overview of Medicaid and CHIP, the many different populations these programs serve, the changes they are undergoing as a result of health care reform and some options to help readers think about opportunities to improve services for CSHCN through communication and collaboration with Medicaid and CHIP staff. The tutorial starts with an overview of how definitions of CSHCN may vary by agency or program, followed by eight major topic areas and then recommendations for steps Title V programs can take to build successful partnerships with public insurance programs.
February 2012» -
The Role of Children's Coverage Programs in a Changing Health Care Landscape: EPSDT, CHIP, and Health Care Reform
With the support of The Commonwealth Fund and the David and Lucile Packard Foundation, in late 2010 NASHP convened an invitational leadership forum on the role of children’s coverage programs in a changing health care landscape. Participants included representatives from state Medicaid EPSDT and CHIP programs, Maternal and Child Health Title V, CMS and other children's health care experts. This brief captures the themes and explores the opportunities and challenges identified in that meeting to lay out a vision for how EPSDT and CHIP can work together to improve health coverage for children in the context of health care reform.
July 2011» -
What a Difference a Dollar Makes: Affordability Lessons From Children's Coverage Programs
States are responsible for on the ground implementation of the Affordable Care Act (ACA), including expanding coverage options through Exchanges and other health insurance programs. This brief examines the affordability of current children's coverage options and coverage under ACA. It also draws on lessons from the Children's Health Insurance Program, which can serve as a model for states as they implement affordability provisions in ACA.
April 2011» -
Charting CHIP IV: A Report on State Children’s Health Insurance Programs
Charting CHIP IV: A Report on State Children’s Health Insurance Programs Prior to Major Federal Policy Changes in 2009 and 2010 is the fourth in a series published by the National Academy for State Health Policy (NASHP) since 1998. The report paints a portrait of state Children’s Health Insurance Programs (CHIP) as they stood in mid 2008, roughly a decade after the federal CHIP program was enacted, a half year before CHIP was reauthorized, and just short of two years before national health reform legislation was enacted. This report examines state program characteristics and policies for both Medicaid expansion (M-CHIP) and separate (S-CHIP) programs in a range of areas, from program structure, to eligibility, outreach and enrollment, to benefits and cost sharing, to service delivery, access and quality.
Download here: Charting CHIP IV:A Report on State Children’s Health Insurance Programs
January 2011 -
Linking Children to Services: Building on Community Assets to Pilot Test Improvement Strategies
The five states participating in the third Assuring Better Child Health and Development (ABCD) learning consortium have gone through an extensive planning process to set the stage for implementation of interventions to improve coordination among providers serving children in pilot communities. This document describes 1) how Arkansas, Illinois, Minnesota, Oklahoma, and Oregon are building on existing local partnerships and assets to organize community pilots, and 2) preliminary lessons that have emerged from these states, including new federal opportunities to bolster community partnerships that will improve service linkages for children.
December 2010» -
Managing the "T" in EPSDT Services
The Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program is the child health component of Medicaid. Despite EPSDT’s broad benefits, studies and state policymakers’ experience suggest that not all children are receiving the services to which they are entitled. While many stakeholders understand the requirements that define EPSDT well child visits (commonly called screening visits) and their importance to supporting and promoting child health, the requirements that define EPSDT coverage for treatment (the “T” in EPSDT) are not as well understood. This brief explores states efforts and opportunities to improve access to treatment services in EPSDT.June 2010» -
Engaging Parents as Partners to Support Early Child Health and Development
Ensuring and coordinating services that support young children's healthy development requires strong and effective partnerships between families and health care providers. This brief puts forth a three-part framework for engaging parents in supporting healthy child development: parents engaging with: 1) their child, 2) the services and programs they receive, and 3) the larger systems and policies that govern those services. It describes each level of engagement, explains why each is critical to improving care coordination and services for young children, and gives examples of how states can incorporate parent partnerships into their work. The framework represents a dynamic structure in which the three types of partnership support and inform each other.May 2010» -
Low Income Children with Disabilities: How Will They Fare Under Health Care Reform?
The purpose of this report is to alert public and private decision makers who are engaged in the health reform debate to the special circumstances facing low-income children with disabilities. These children require more care, different and specialized care, and more costly care than children without disabilities. Some benefit greatly from many of the services covered by the Medicaid program that are not reimbursable under private insurance plans; but too many of them are uninsured, underinsured, or cut off from vital support that could facilitate their well-being and development. Health reform could rectify may of the inadequacies of our current delivery and financing systems in meeting the special needs of this group of children.
August 1994» -
Improving the Lives of Young Children: Opportunities for Care Coordination and Case Management for Children Receiving Services for Developmental Delay
This brief, written by NASHP policy specialist Carrie Hanlon and produced by the Urban Institute ,examines states' Medicaid and CHIP policy choices and new opportunities under health reform and other federal legislation to develop a well-coordinated system of care for children receiving Early Intervention (EI) and other ongoing services. State examples in the paper draw significantly from NASHP's Assuring Better Child Health and Development (ABCD) III Program designed to assist states in improving care coordination, case management, and linkages that support healthy child development.
December 2010»
Topics
Childrens Health Insurance Program
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