Children in the Vanguard

Children in the Vanguard is an initiative of the National Academy for State Health Policy (NASHP) that focuses on children’s coverage in the context of health care reform. Under this initiative, NASHP brings together state Medicaid, CHIP and Title V officials with advocates from a diverse group of states in a collaborative learning network to focus on continuing progress on children’s coverage as health care reform is implemented. The project also aims to foster complementary relationships between state officials and state advocates in working toward common goals around improving children’s health coverage.
Participating states learn and share promising practices in improving eligibility, enrollment and retention of children in coverage, and work to analyze and address health care reform related policy and operational challenges for children and youth.
This initiative began in 2011, with support from The Atlantic Philanthropies, when NASHP originally selected Medicaid and CHIP state officials and child health advocates from ten states—California, Colorado, Iowa, Maryland, New Jersey, New Mexico, North Carolina, Ohio, Oklahoma, and Oregon—to participate in the first phase of the project (February 2011 – June 2012). In subsequent phases of the project (from 2012 – 2014) NASHP engaged additional states, which are noted on the map below to participate in the collaborative. All of the participating states were chosen based on a number of factors, including potential to contribute and to gain from the network, and both commonalities and diversity along a number of dimensions in order to promote cross-state learning and relevance of lessons learned to other states.
In 2014 NASHP continued the Children in the Vanguard initiative with support from the Health Resources and Services Administration (HRSA) and invited officials from each participating state’s Title V program to join the collaborative.
For more information on efforts to find, enroll and retain children in health coverage, please visit the Advancing Children’s Coverage Toolbox.
For more information on this project, contact

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