In the first session of the 105th Congress, the State Children’s Health Insurance Program (CHIP) was enacted as part of the Balanced Budget Act of 1997. CHIP is a federal -state program, authorized for 10 years and funded for 5, granting states up to 48 billion dollars to provide “child health assistance” to children who […]
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The focus of this paper is on enrollment and disenrollment policy and practice in Medicaid managed care. Specifically, this paper examines policies and practices in risk-based programs with attention to Primary Care Case Management (PCCM) program policies only as they specifically interact with risk-based enrollment policies. In risk-based managed care, a Medicaid agency contracts with […]
This report will help state officials, advocates and consumers implement risk-based Medicaid managed care programs that meet the health care needs of people with HIV/ AIDS in cost-effective ways. 1997.May_.program.managers.serve_.hiv_.aids_.medicaid.managed.care_.pdf 3.2 MB
States were asked about three optional eligibility categories that can qualify an individual for coverage of nursing facility services. States were asked only about financial (income and asset) eligibility criteria or standards; all states have other nursing facility coverage criteria concerning physical/functional status which this survey did not address. 1997.May_.medicaid.financial.eligibility.aged_.blind_.disabled.survey.pdf 524.3 KB
How do Medicaid managed care program managers use enrollment and disenrollment information to manage their programs? What does a low disenrollment rate imply about health plan (and enrollment broker) performance? Are people who select a health plan less likely to disenroll than those who are assigned to a plan? What elements of an enrollment system […]