California is planning major changes in its enrollment process for public health and social service programs. This report seeks to inform the California Health and Human Services Agency and stakeholders about the experiences other states have had with similar initiatives to simplify and streamline the enrollment and eligibility process. The report examines initiatives in Florida, Pennsylvania, Texas, and Washington, and focuses on staffing functions, policy simplification, technology, community partners, and measures of program performance.
The purpose of this report is to use the experience of these four states to raise issues and approaches for consideration in California. The report draws primarily on interviews with state officials, local staff, and advocates. We report on their perceptions about the purpose and success of changes to the enrollment and eligibility processes. We make no recommendations for specific approaches and processes, but rather raise issues and approaches for consideration based on the experiences reported by interviewees. (author abstract)