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All 50 States and Washington, D.C. CHIP Fact Sheets for all years

December 12, 2019/in Policy CHIP, CHIP, Eligibility and Enrollment, Health Coverage and Access, Maternal, Child, and Adolescent Health /by admin

All of the CHIP Fact Sheets published are listed below in Adobe Acrobat PDF format. Either right mouse click and choose Save As.. or click on the link and save in Adobe Acrobat when the document opens.

ALL 50 2014 CHIP State Fact Sheets
ALL 50 2016 CHIP State Fact Sheets

Alabama

Alaska

Arizona

Arkansas

2010 CHIP Fact Sheet – Fact Sheet not available.
2008 CHIP Fact Sheet

California

Colorado

Connecticut

2010 CHIP Fact Sheet – Fact Sheet not available.
2008 CHIP Fact Sheet

District of Columbia

Delaware

Florida

Georgia

Hawaii

Idaho

Illinois

2008 CHIP Fact Sheet – Fact Sheet not available.

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

2008 CHIP Fact Sheet – Fact Sheet not available.

Minnesota

2010 CHIP Fact Sheet – Fact Sheet not available.
2008 CHIP Fact Sheet

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

2010 CHIP Fact Sheet – Fact Sheet not available.
2008 CHIP Fact Sheet

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

Children’s Health Insurance Resources

March 30, 2017/in Policy CHIP, CHIP, Chronic Disease Prevention and Management, Health Coverage and Access, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Population Health /by NASHP

Through Medicaid and the Children’s Health Insurance Program (CHIP), states and the nation have made substantial progress in covering children and improving their access to quality health care supporting healthy growth and development. With ongoing funding from the David and Lucile Packard Foundation, NASHP has supported, analyzed, and reported on state efforts to extend children’s coverage since the CHIP program’s inception, building on our longstanding work on Medicaid. NASHP supports active state-to-state exchange and collaborative learning by regularly convening state officials working on children’s coverage issues. The resources listed below are intended to provide information about children’s coverage for state and federal program administrators and policymakers as well as other stakeholders and can help inform state and national policy discussions about the future of children’s coverage.

Resources

How the Bipartisan Budget Act Impacts Key State Health Care Programs
The president’s recently-released 2019 budget proposes $17.9 billion in cuts to health programs that states rely on to provide health care and other supports to their vulnerable populations. Click here for a summary of how the proposal would impact Medicaid, health insurance, the Children’s Health Insurance Program, safety net programs including health centers, nutrition, and prescription drug costs. The budget now heads to Congress, where the proposed cuts are expected to be contested and modified.

Latest Continuing Resolution Funds Six Years of CHIP
Yesterday, after a three-day federal government shutdown, Congress passed a continuing resolution bill to keep the federal government operating through Feb. 8, 2018. After months of delay, the bill finally funded the Children’s Health Insurance Program for six years. Read more.
State CHIP Officials Speak Out on Impact of Congressional Funding Delay
A confidential poll of state CHIP and Medicaid directors found widespread concern that continued Congressional delays in extending CHIP funding will soon result in children losing health coverage and cause problems for state agencies, coverage programs, and provider networks that may linger for months even after the funding uncertainty is resolved. Read more.
Where Are We with CHIP Now?
Congress’ short-term patch for the Children’s Health Insurance Program (CHIP) program does not provide enough funding for all states through March. Uncertainty about federal funding for the program persists with officials from at least 10 states predicting they will exhaust their remaining funds as early as January and February. Find out where states stand in the effort to preserve health insurance for millions of children. Read more.
Short-Term CHIP Funding Included in December 2017 Continuing Resolution
On Dec. 21,2017, Congress passed a continuing resolution bill to keep the federal government operational through Jan. 19, 2018, that includes new, short-term federal funding for the Children’s Health Insurance Program (CHIP). Read this update to discover what the resolution funds and for how long.
December Is the Most Critical Month Yet for States’ CHIP Funding
Months have passed and Congress has yet to extend funding for the Children’s Health Insurance Program (CHIP) that covers millions of children. Even with federal redistribution of funds and last-minute work-arounds, some states may be forced to send notices out to families warning them that coverage may end just in time for the holidays. Read more.
Congressional Agreement on CHIP Needed Soon!
Congress has repeatedly promised state officials that there is broad support for the Children’s Health Insurance Program (CHIP), and new funds will be available soon. But over a month has passed since funding expired and it is still unclear if and when Congress will successfully pass a bill to fund CHIP. As stewards of CHIP health insurance coverage for low- and moderate-income children and pregnant women, state officials must now consider what is best for families and try to maintain this coverage for as long as possible as they wrestle with how to chart the path ahead. Read more.
Week Three — Where Are We Now with CHIP Funding?
Congress missed the Sept. 30 deadline to fund the Children’s Health Insurance Program (CHIP) that covers an estimated 9 million children. There are two bills to reauthorize CHIP, but it’s unclear when Congress will act. Meanwhile, states are running out of their CHIP 2017 carryover funds. What does this mean for states’ CHIP funding? Read Maureen Hensley-Quinn’s blog to find out.
Update: What’s Happening with CHIP?
The Sept. 30, 2017, deadline has come and gone and Congress has not yet extended federal funding for the Children’s Health Insurance Program (CHIP), but for now, the estimated 9 million children enrolled in the program remain covered. This is possible because CHIP, a block grant-funded program, provided annual allotments to states and a portion of states’ unspent 2017 fiscal year allotment can be used to continue to support the program. This is a short-term solution because these funds are limited. Without Congressional action to provide additional funding, the federal government predicts a national CHIP shortfall of $13 billion in fiscal year 2018. There remains approximately $3 billion in unspent CHIP dollars from previous years that will be redistributed proportionately to states as their CHIP funds run out, but it is not clear exactly how much each state will receive. Federal estimates suggest on average each state will be able to fund one or two more months of CHIP, but this projection doesn’t take into consideration unanticipated costs, such as increased enrollment or high utilization. State officials do not want to dis-enroll children from CHIP, but their budgets cannot absorb the nation’s $10 billion shortfall. Congress must act soon as some states are expected to exhaust their CHIP funds as early as November. NASHP will continue to track states’ efforts to maintain this successful program during this uncertain time.
CHIP’s Future: There Are Hopeful Signs from Congress, But States Still Face Uncertainty
With less than two weeks to go before current federal funding for the Children’s Health Insurance Program (CHIP) ends, Sens. Orrin Hatch and Ron Wyden introduced a bipartisan bill to extend the program for five years. However, state officials face the unsettling possibility that if Congress is unable to pass legislation and appropriate funds soon, some states may have to make tough decisions as soon as mid-October. Read more in our blog.
Increasing Urgency for States on Congressional Action for CHIP
We are five weeks away from September 30th, the date current federal funding for the Children’s Health Insurance Program (CHIP) is set to end. Learn more in our latest blog.
State CHIP Changes are Coming Soon
This blog explores increased pressure on states because federal funding for the Children’s Health Insurance Program (CHIP) remains uncertain beyond September 30.
CHIP and Medicaid are Essential Partners for Cross Agency Collaboration to Better Serve Children
This blog looks at how Massachusetts and D.C. are using their CHIP and Medicaid programs to create improved coordination across multiple state agencies and programs serving youth.
The Clock is Ticking as We Enter a Critical Time for the Future of CHIP
This blog highlights for federal and state policymakers and other stakeholders the main policy and programmatic issues and critical decision points that states would confront if federal CHIP funding remains uncertain in the coming months, and provides links to other resources on the topic.
Planning Now: State Policy and Operational Considerations if Federal CHIP Funding Ends
This blog outlines some of the main policy and operational issues and changes for states if federal CHIP funding is not extended beyond September 2017 and provides context about some of the factors that add complexity to state decision making.

State Checklist for Shutting Down CHIP Programs
Congress has not provided new funding for the Children’s Health Insurance Program (CHIP), and states are beginning to run out of CHIP funds. The 42 states with separate CHIP programs will need to begin closing them in the coming weeks and months, which will be very challenging, costly, and time consuming. See NASHP’s infographic that outlines the many tasks and hard choices that states now face.
State CHIP Fact Sheets
These fact sheets provide key, up-to-date information about the Children’s Health Insurance Program (CHIP) for each state, including data on enrollment, participation rates, eligibility levels, benefits, cost sharing requirements, and other key program characteristics.
Children’s Health Insurance Program Frequently Asked Questions
The Children’s Health Insurance Program (CHIP) was enacted in 1997 under Title XXI of the Social Security Act and has since provided critical health coverage to children in families with low to moderate income. In FY2016 more than 8.9 million children were enrolled in CHIP. This factsheet is intended to provide an overview of CHIP
Looking Ahead: A Timeline of State Policy and Operational Considerations if Federal CHIP Funding Ends for States
This timeline highlights the main policy and programmatic issues and critical decision points that states would confront if federal CHIP funding remains uncertain beyond September 2017.
Toolbox for Advancing Children’s Coverage through Health Reform Implementation
This online resource is a comprehensive and centralized source of information related to the impact of the ACA on children’s coverage, and includes relevant research and state examples.

State Perspectives on Children’s Coverage in the Changing Health Policy Landscape
This brief highlights the main themes from a February 2017 discussion with CHIP and Medicaid officials about ways to ensure that children’s health coverage needs continue to be met in the changing health policy environment.
Summary of NASHP’s 2017 CHIP Directors Survey
This February 2017 summary of NASHP’s survey of state CHIP officials highlights how states are budgeting and planning for CHIP considering its uncertain future beyond September 2017.
Potential Options and Policy Questions for Improving Exchange Coverage for Children
This brief examines potential options and policy questions for improving exchange coverage for children in terms of both affordability and pediatric benefit adequacy. In May 2016, NASHP convened a group of stakeholders including state officials, health policy researchers and advocates to explore ways to maintain affordable and comprehensive children’s coverage, and the brief summarizes the key themes from the group’s discussion.
Using CHIP and the ACA to Better Serve Children Now and in the Future
This March 2016 brief provides an overview of children’s current coverage options and summarizes the themes from a September 2015 stakeholder group discussion focused on identifying potential options for ensuring strong children’s coverage into the future.
Benefits and Cost Sharing in Separate CHIP Programs
This report, developed jointly with the Georgetown University Center for Children and Families, examines the scope of coverage and cost sharing in separate CHIP programs and can help inform discussions related to how CHIP compares to qualified health plans.
Health Care Reform and Children: Planning and Design Considerations for Policymakers
This brief examines potential challenges and opportunities for making health care reform work for children and youth, and describes some of the major implications of the ACA in regard to outreach, eligibility, coverage and access for children.
Keeping Children’s Coverage Strong in the Context of the Affordable Care Act: Perspectives from State Children’s Health Insurance Leaders
This brief highlights key considerations for children’s coverage that emerged from discussions with CHIP program directors soon after the passage of the ACA.

Celebrating 20 Years of CHIP and Looking Ahead
This webinar showcased the program’s successes by highlighting CHIP’s contributions to improving children’s coverage rates and featuring two state perspectives on the unique aspects of CHIP as well as the possible future role of the program in the changing health policy landscape.
Children’s Coverage Beyond CHIP: Policy Considerations for States
If federal CHIP funding is not extended beyond September 2017, children may need to transition to other sources of coverage in the future. This June 2015 webinar included perspectives from a national expert and officials from three different state health and insurance agencies to surface issues and questions about the future of children’s coverage.
Benefits and Cost Sharing in Separate CHIP Programs: Policy Implications in the Context of the ACA
This webinar features information from the Benefits and Cost Sharing report and presentations from both NASHP and CCF, as well as perspectives from Sharon Carte, West Virginia’s CHIP Director and a Medicaid and CHIP Payment and Access Commission (MACPAC) member.

Organizing Delivery Systems to Better Support Primary Care: What Can States in the US Learn From and Share With Australia?

September 8, 2014/in Policy Blogs Cost, Payment, and Delivery Reform /by Mary Takach

Walkabout Medical Homes with Mary Takach: A 10-month Study of Australia
September 2014
What can states with large frontier areas such as Alaska, Texas, Montana, and Arizona learn from how Australia organizes and supports primary care delivery in its vast outback?
What do publicly financed community-based teams, networks, and organizations found in states including Vermont, North Carolina, Oregon, and Colorado have in common with the Australia government’s four-year experiment in financing and organizing local primary health care organizations nation-wide?
What lessons can states such as Massachusetts, Rhode Island, and Pennsylvania share with the Australian government on how to evolve primary care provider payments from fee for service (FFS) (yes, Australia general practitioners also get paid FFS) to blended payment models that include capitation and shared savings to better support access to medical homes?
Read more

Using Payment Policies to Support Primary Care – Behavioral Health Integration in Medicaid

August 29, 2014/in Policy Blogs Chronic and Complex Populations /by Shayla Regmi

Many states are developing and implementing strategies for integrating behavioral health with primary care. Integrated care improves patients’ access to behavioral health services, attendance at scheduled appointments, satisfaction with care, and adherence to treatment. Minority populations in particular are more likely to seek mental health treatment from primary care practitioners than from mental health specialists. Medicaid payment policies, including reimbursement for behavioral health screenings, management, and referrals in primary care settings, can facilitate this integration.
Read more

Supporting High Performance in Early Entry into Prenatal Care Fact Sheets

August 29, 2014/in Policy /by NASHP

Ensuring women receive prenatal care during their first trimester is important to supporting healthy mothers, children, and families. States and federal agencies, including the Health Resources and Services Administration (HRSA), are increasingly focused on improving rates of early entry into prenatal care as well as improving other measures of maternal and child health quality and access.
This series of fact sheets showcases state policies and programs in four states—California, Illinois, Massachusetts, Washington—that support improvement in early entry into prenatal care. The fact sheets also highlight how federally qualified health centers (FQHCs) in these states are leveraging the state policies and programs to promote early entry into prenatal care as part of a patient-centered medical home.
The series includes spotlights on Washington and California.

This fact sheet series was made possible through the support of HRSA.

Additional Resources:

State Strategies for Improving Maternal and Infant Care

August 28, 2014/in Policy Blogs Cost, Payment, and Delivery Reform /by NASHP

Low birth weight and preterm birth carry substantial human and financial costs; they also are associated with health problems that can have long-lasting effects. Renewed state and national commitment to improving birth outcomes and the quality of maternal and infant care are evident in states across the country as well in federal initiatives such as the Health Resources and Services Administration (HRSA)’s Collaborative Improvement & Innovation Network (CoIIN) to Reduce Infant Mortality and Healthy Start program, as well as the Centers for Medicare and Medicaid Services (CMS)’ Strong Start for Mothers and Newborns and Maternal and Infant Health Initiative. These federal initiatives engage state policy makers, providers, and other stakeholders.
Read more

Care Coordination under the Medicaid Benefit for Children and Adolescents

August 25, 2014/in Policy Webinars Chronic and Complex Populations, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHP

Tuesday, September 9, 2014
3:00 – 4:00 pm ET
View Webinar Here
Care coordination provides a bridge across multiple systems that serve children and families, helping to ensure that a child receives additional screening, diagnosis and/or treatment as recommended by a health care practitioner. Care coordination strategies can help link providers and care settings by facilitating the arrangement of: appointments, referral forms, transportation, reminders and follow-up, and feedback reporting. This NASHP webinar provides a federal perspective from the Centers for Medicare & Medicaid Services on opportunities and promising strategies for states to coordinate care for children and adolescents enrolled in Medicaid.
The webinar is followed by a conversation with presenters from North Carolina and Oregon about strategies those states are using to bridge multiple systems for Medicaid–enrolled children. These states discuss building on patient-centered medical home infrastructure to coordinate care for children, facilitating data sharing across providers and measuring outcomes, and emerging issues that will impact new care coordination models. This webinar is the fifth and final in a series on the Medicaid benefit for children and adolescents (also known as EPSDT). In conjunction with this webinar series, NASHP launched a Resource Map to disseminate state-specific resources and information about strategies that state policymakers and Medicaid officials can use to deliver the Medicaid benefit for children and adolescents.

Speakers

Rosemary Feild, Insurance Specialist, Division of Quality, Evaluation & Health Outcomes, CMCS, CMS
Dana Hargunani, Child Health Director, Oregon Health Authority
Chris Collins, Director, Office of Rural Health and Community Care, North Carolina Department of Health and Human Services

NASHP Webinar: Strategies to Support Expanded Roles for Non-Clinicians on Primary Care Teams: Two State Case Studies

August 12, 2014/in Policy Webinars /by NASHP, Catherine Hess and Katharine Witgert

Tuesday, August 12, 2014
2:30 – 4:00 pm ET

Download Webinar

There is strong evidence that team-based primary care has significant benefits for patients and providers. Some care teams now include non-clinicians, such as medical assistants, health coaches, care coordinators, or community health workers. This requires both a financing source to support non-clincians’ services and training to integrate them with clinical care teams. This webinar provides context on the evidence supporting expanded roles for non-clinicians as members of care teams, and highlights case studies from two states, Maine and South Carolina, that have successfully leveraged Medicaid financing for non-clinician services and harnessed training opportunities to support expanded roles within redesigned primary care teams. This webinar is funded through NASHP’s NOSLO Cooperative Agreement with the Health Resources and Services Administration; a companion report, “Strategies for Supporting Expanded Roles for Non-Clinicians on Primary Care Teams,” followed this webinar.
Speakers:

Moderator: Katharine Witgert, NASHP
Melanie Giese, Director, South Carolina Birth Outcomes Initiative, South Carolina Department of Health and Human Services
Jackie Stafford, Nurse Practitioner, CareSouth-Carolina
Rhonda Selvin, Associate Medical Director, Maine Quality Counts
Michelle Aldrich, Quality Improvement Specialist – Residency, MaineGeneral Medical Center
Stephanie Calkins, MD, Director of Clinical Medicine for Residency Practices, MaineGeneral Medical Center

Transforming the Workforce to Provide Better Chronic Care: The Role of Nurse Care Managers in Rhode Island

July 30, 2014/in Policy Rhode Island Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by Mary Takach

^{Part 1 in the Transforming the Workforce to Provide Better Chronic Care:

The Role of Registered Nurses series.}^{Click to see the rest of the series.}
Chronic illnesses are responsible for more than three-quarters of health care spending and 7 out of 10 deaths in the United States—and nearly half of all Americans have at least one chronic illness—according to the Centers for Disease Control and Prevention.
To improve health outcomes, especially for those with chronic illnesses, and help contain health care costs, commercial and public payers broadly support patient-centered medical homes (PCMHs) for delivery of primary care. The PCMH care model emphasizes quality, comprehensive, coordinated, and patient- and family-centered care.
Many PCMH initiatives have found professional care management to be an effective component of a strategy to improve health outcomes by assisting consumers in accessing the medical, behavioral health, social service, and educational resources they need to best manage their care.
The shift to a PCMH model requires that practice staff improve the way they function individually and collectively as a team; the Rhode Island Chronic Care Sustainability Initiative (CSI-RI) is illustrative of how nurse care managers (NCMs) can function in a PCMH model of care. CSI-RI is a multipayer PCMH program that supports 36 practices with 303 providers, including nurse practitioners and physician assistants who serve over 220,000 Rhode Islanders.

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Sustaining Momentum in Multi-Payer Payment Reform: Transitioning from Design to Implementation

July 29, 2014/in Policy Webinars /by NASHP

Tuesday, July 29, 2014
1:00 – 2:15 pm ET
View Webinar Here
This webinar explores the leap from health system transformation planning to practice by showcasing four leading states that are designing and implementing multi-payer payment reforms. Through a facilitated discussion, state officials discuss policy levers to shift payment systems away from fee-for-service, offer strategies for sustaining stakeholder momentum and commitment, and share perspectives on promising practices for and operational challenges of turning a plan for multi-payer payment reform into reality.
This webinar is the first in a six-webinar series, supported by Kaiser Permanente Community Benefit, highlighting specific policy and technical issues critical to achieving multi-payer payment reform. It is useful for all states contemplating, designing, or implementing multi-payer payment reforms, particularly SIM Round 2 Model Design applicants.
Speakers:

Moderator: Anne Gauthier, Senior Program Director, NASHP
Marcela Myers, Director, Pennsylvania Center for Practice Transformation and Innovation, Pennsylvania Department of Health; Pennsylvania SIM Project Director
Karen Matsuoka, Director, Health Systems and Infrastructure Administration, Maryland Department of Health and Mental Hygiene; SIM Project Director
Mark Schaefer, Director, Healthcare Innovation, Connecticut’s Office of the Healthcare Advocate; Connecticut SIM Project Director
Vatsala Kapur Pathy, Founder, Rootstock Solutions; Colorado SIM Project Director

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