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The SSRC Library allows visitors to access materials related to self-sufficiency programs, practice and research. Visitors can view common search terms, conduct a keyword search or create a custom search using any combination of the filters at the left side of this page. To conduct a keyword search, type a term or combination of terms into the search box below, select whether you want to search the exact phrase or the words in any order, and click on the blue button to the right of the search box to view relevant results.

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  • Individual Author: Hoag, Sheila; Swinburn, Adam
    Reference Type:
    Year: 2013

    In September 2010, the Oklahoma Health Care Authority (OHCA) implemented the first realtime online enrollment system for Medicaid and the Children’s Health Insurance Program (CHIP). Oklahoma’s system functions as an online application and uses a sophisticated rules engine that provides an eligibility determination instantly. Almost three-fourths (72 percent) of applicants are eligible to use the online enrollment system to apply for Medicaid and CHIP coverage, known as SoonerCare in Oklahoma. This report summarizes findings from a case study analyzing Oklahoma’s real-time online enrollment system, conducted as part of a larger study evaluating Express Lane Eligibility (ELE) and alternative simplifications that might help identify, enroll, and retain children eligible for Medicaid and CHIP coverage. (author abstract)

    In September 2010, the Oklahoma Health Care Authority (OHCA) implemented the first realtime online enrollment system for Medicaid and the Children’s Health Insurance Program (CHIP). Oklahoma’s system functions as an online application and uses a sophisticated rules engine that provides an eligibility determination instantly. Almost three-fourths (72 percent) of applicants are eligible to use the online enrollment system to apply for Medicaid and CHIP coverage, known as SoonerCare in Oklahoma. This report summarizes findings from a case study analyzing Oklahoma’s real-time online enrollment system, conducted as part of a larger study evaluating Express Lane Eligibility (ELE) and alternative simplifications that might help identify, enroll, and retain children eligible for Medicaid and CHIP coverage. (author abstract)

  • Individual Author: Rosenbaum, Sara
    Reference Type: Journal Article
    Year: 2013

    The article discusses the state of Medicaid in the wake of the U.S. Patient Protection and Affordable Care Act (ACA), with particular focus on the prospects for further healthcare reform given the political landscapes surrounding the program. It states that Medicaid was largely transformed by the ACA, but needs further reform to be part of a comprehensive national plan to provide universal health insurance coverage. It adds that the potential decline of Medicaid will be a strong political determination than a program driven mainly by health policy. (author abstract)

    The article discusses the state of Medicaid in the wake of the U.S. Patient Protection and Affordable Care Act (ACA), with particular focus on the prospects for further healthcare reform given the political landscapes surrounding the program. It states that Medicaid was largely transformed by the ACA, but needs further reform to be part of a comprehensive national plan to provide universal health insurance coverage. It adds that the potential decline of Medicaid will be a strong political determination than a program driven mainly by health policy. (author abstract)

  • Individual Author: Liu, Su; Croake, Sarah
    Reference Type: Report
    Year: 2010

    The Medicaid Buy-In program is a key component of the federal effort to make it easier for people with disabilities to work without losing health benefits. Authorized by the Balanced Budget Act of 1997 (BBA) and the Ticket to Work and Work Incentives Improvement Act of 1999 (Ticket Act), the Buy-In program allows states to expand Medicaid coverage to workers with disabilities whose income and assets would ordinarily make them ineligible for Medicaid. To be eligible for the Buy-In program, an individual must have a disability (as defined by the Social Security Administration, SSA) and earned income, and must meet other financial eligibility requirements established by states. States have some flexibility to customize their Buy-In programs to their unique needs, resources and objectives. As of December 31, 2009, 37 states with a Medicaid Infrastructure Grant (MIG) reported covering slightly more than 150,000 individuals in the Medicaid Buy-In program.

    This issue brief, the eleventh in a series on workers with disabilities, provides an in-depth profile of Buy-In participants...

    The Medicaid Buy-In program is a key component of the federal effort to make it easier for people with disabilities to work without losing health benefits. Authorized by the Balanced Budget Act of 1997 (BBA) and the Ticket to Work and Work Incentives Improvement Act of 1999 (Ticket Act), the Buy-In program allows states to expand Medicaid coverage to workers with disabilities whose income and assets would ordinarily make them ineligible for Medicaid. To be eligible for the Buy-In program, an individual must have a disability (as defined by the Social Security Administration, SSA) and earned income, and must meet other financial eligibility requirements established by states. States have some flexibility to customize their Buy-In programs to their unique needs, resources and objectives. As of December 31, 2009, 37 states with a Medicaid Infrastructure Grant (MIG) reported covering slightly more than 150,000 individuals in the Medicaid Buy-In program.

    This issue brief, the eleventh in a series on workers with disabilities, provides an in-depth profile of Buy-In participants who have severe mental illness and compares their characteristics, employment experiences, and medical expenditures with those of other participants in the program. (author abstract)

  • Individual Author: Government Accountability Office
    Year: 2009

    Children's access to Medicaid dental services is a long-standing concern. The tragic case of a 12-year-old boy who died from an untreated infected tooth that led to a fatal brain infection renewed attention to this issue. He was enrolled in Medicaid--a joint federal and state program that provides health care coverage, including dental care, for 30 million low-income children--but, like many children in Medicaid, he experienced difficulty finding a dentist who would treat him. At the federal level, the Centers for Medicare & Medicaid Services (CMS), an agency within the Department of Health and Human Services (HHS), oversees Medicaid. In this report, GAO examined (1) state strategies to monitor and improve access to dental care for children in Medicaid and (2) CMS actions since 2007 to improve oversight of Medicaid dental services for children. GAO surveyed all state Medicaid programs and interviewed state and federal officials, and dental researchers and associations

    State Medicaid programs reported that they use multiple strategies to monitor and improve access to...

    Children's access to Medicaid dental services is a long-standing concern. The tragic case of a 12-year-old boy who died from an untreated infected tooth that led to a fatal brain infection renewed attention to this issue. He was enrolled in Medicaid--a joint federal and state program that provides health care coverage, including dental care, for 30 million low-income children--but, like many children in Medicaid, he experienced difficulty finding a dentist who would treat him. At the federal level, the Centers for Medicare & Medicaid Services (CMS), an agency within the Department of Health and Human Services (HHS), oversees Medicaid. In this report, GAO examined (1) state strategies to monitor and improve access to dental care for children in Medicaid and (2) CMS actions since 2007 to improve oversight of Medicaid dental services for children. GAO surveyed all state Medicaid programs and interviewed state and federal officials, and dental researchers and associations

    State Medicaid programs reported that they use multiple strategies to monitor and improve access to dental services for children, but problems persist. Most states responding to our survey use a variety of tools, such as examining claims and utilization data, to monitor the provision of dental services to children in Medicaid. Although all 21 states that provide Medicaid dental services through managed care organizations (MCO) reported that they set measurable access standards for MCOs, 14 states reported that MCOs do not meet all of the state's dental access standards. Almost all states described initiatives to improve access to dental services, including simplifying claims processing, increasing reimbursement rates, recruiting providers, and educating beneficiaries. Nonetheless, access rates remain low and states reported that long-standing barriers hinder further improvement. Since May 2007, CMS has taken steps to strengthen its oversight of Medicaid dental services for children, but gaps remain. For example, CMS reviews of Medicaid dental services in 17 states identified a number of concerns and made recommendations for improvement. Nonetheless, at the time of our review CMS did not plan to perform more reviews, even though other states had utilization rates well below HHS's 2010 target for low-income children receiving a preventive dental service. CMS also provided guidance to states and facilitated collaboration among stakeholders, but states reported needing more CMS support, including guidance on setting dental payment rates, on quality initiatives, and on promoting outreach. States also reported wanting more information on other states' efforts to improve dental utilization. (author abstract)

  • Individual Author: Families USA
    Reference Type: Stakeholder Resource
    Year: 2009

    Recent Census data reveal that Medicaid and CHIP have served as an effective health care safety net for many newly uninsured and impoverished families. These programs have greatly softened the blow of the recession and offset some of the losses in job-based coverage, working especially well for low-income children (for whom eligibility levels are generally higher than the eligibility levels for their parents).

    However, Medicaid in its current form cannot help all of the low-income people who have been affected by the recession, for two reasons: many states set their Medicaid eligibility levels for parents at extremely low levels; and in 42 states, adults without dependent children are not eligible for Medicaid, regardless of their income.

    Without health reform, millions of low-income families will continue to fall through the cracks in our health care system, adding to the ranks of the uninsured. Enacting national health reform will likely raise the Medicaid eligibility level to 133 percent of poverty for all Americans, helping states close the holes in the health...

    Recent Census data reveal that Medicaid and CHIP have served as an effective health care safety net for many newly uninsured and impoverished families. These programs have greatly softened the blow of the recession and offset some of the losses in job-based coverage, working especially well for low-income children (for whom eligibility levels are generally higher than the eligibility levels for their parents).

    However, Medicaid in its current form cannot help all of the low-income people who have been affected by the recession, for two reasons: many states set their Medicaid eligibility levels for parents at extremely low levels; and in 42 states, adults without dependent children are not eligible for Medicaid, regardless of their income.

    Without health reform, millions of low-income families will continue to fall through the cracks in our health care system, adding to the ranks of the uninsured. Enacting national health reform will likely raise the Medicaid eligibility level to 133 percent of poverty for all Americans, helping states close the holes in the health care safety net so that all low-income people have access to high-quality, affordable health care. (Author abstract)

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