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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: Shaefer, H. Luke; Grogan, Colleen M.; Pollack, Harold A.
    Reference Type: Journal Article
    Year: 2011

    This paper examines families of children who transition from private to public health insurance. These transitions include, but are not limited to, transitions that constitute crowd-out. We pool longitudinal panels from the Survey of Income and Program Participation (SIPP) covering 1990 to 2005. The annual rate of children who transition from private to public coverage more than doubled over this period, although it remains small. Transitioning children in recent years are typically in working families with median incomes of around 200% of poverty. Children who transition from private to public coverage are more likely to belong to minority groups, to have lower incomes, and to be in poorer health than children remaining privately insured. Public coverage now provides important protections for low-income working families, especially those with children in poor health. These findings underscore the need to implement post-health-reform policies with an eye towards possible adverse selection into public programs. (author abstract)

    This paper examines families of children who transition from private to public health insurance. These transitions include, but are not limited to, transitions that constitute crowd-out. We pool longitudinal panels from the Survey of Income and Program Participation (SIPP) covering 1990 to 2005. The annual rate of children who transition from private to public coverage more than doubled over this period, although it remains small. Transitioning children in recent years are typically in working families with median incomes of around 200% of poverty. Children who transition from private to public coverage are more likely to belong to minority groups, to have lower incomes, and to be in poorer health than children remaining privately insured. Public coverage now provides important protections for low-income working families, especially those with children in poor health. These findings underscore the need to implement post-health-reform policies with an eye towards possible adverse selection into public programs. (author abstract)

  • Individual Author: Wolfe, Barbara; Kaplan, Thomas; Haveman, Robert; Cho, Yoonyoung
    Reference Type: Journal Article
    Year: 2004

    The Wisconsin BadgerCare program, which became operational in July 1999, expanded public health insurance eligibility to both parents and children in families with incomes below 185% of the U.S. poverty line (200% for those already enrolled). This eligibility expansion was part of a federal initiative known as the State Children's Health Insurance Program (SCHIP). Wisconsin was one of only four states that initially expanded coverage to parents of eligible children. In this paper, we attempt to answer the following question: To what extent does a public program with the characteristics of Wisconsin's BadgerCare program reduce the proportion of the low-income adult population without health care coverage?

    Using a coordinated set of administrative databases, we track three cohorts of mother-only families: those who were receiving cash assistance under the Wisconsin AFDC and TANF programs in September 1995, 1997, and 1999, and who subsequently left welfare. We follow these 19,201 “welfare leaver” families on a quarterly basis for up to 25 quarters, from 2 years before they...

    The Wisconsin BadgerCare program, which became operational in July 1999, expanded public health insurance eligibility to both parents and children in families with incomes below 185% of the U.S. poverty line (200% for those already enrolled). This eligibility expansion was part of a federal initiative known as the State Children's Health Insurance Program (SCHIP). Wisconsin was one of only four states that initially expanded coverage to parents of eligible children. In this paper, we attempt to answer the following question: To what extent does a public program with the characteristics of Wisconsin's BadgerCare program reduce the proportion of the low-income adult population without health care coverage?

    Using a coordinated set of administrative databases, we track three cohorts of mother-only families: those who were receiving cash assistance under the Wisconsin AFDC and TANF programs in September 1995, 1997, and 1999, and who subsequently left welfare. We follow these 19,201 “welfare leaver” families on a quarterly basis for up to 25 quarters, from 2 years before they left welfare through the end of 2001, making it possible to use the labor market information and welfare history of the women in analyzing outcomes.

    We apply multiple methods to address the policy evaluation question, including probit, random effects, and two difference-in-difference strategies, and compare the results across methods. All of our estimates indicate that BadgerCare substantially increased public health care coverage for mother-only families leaving welfare. Our best estimate is that BadgerCare increased the public health care coverage of all adult leavers by about 17–25% points. (author abstract)

    This article is based on a working paper published by the Institute for Research on Poverty at the University of Wisconsin.

  • Individual Author: Joseph, Lawrence B.
    Reference Type: Report
    Year: 2004

    Medicaid enrollment trends for low-income children in both Illinois and the U.S. as a whole have been shaped by a series of major policy developments at the national level: federal mandates for gradual expansion of Medicaid coverage to all children in families below the federal poverty line, federal welfare reform legislation “delinking” Medicaid from family income assistance, and the State Children’s Health Insurance Program (SCHIP) giving states new options for extending health care coverage beyond federal mandates. By 2001, the convergence of these policy changes had resulted in a “quiet revolution” in health care coverage for children — a shift from welfare-based to income-based eligibility. Many more children are now eligible for either Medicaid or SCHIP, and the composition of medical assistance caseloads has changed dramatically. This report examines Medicaid enrollment for low-income children, the largest and most “visible” group eligible for Medicaid, in Illinois since 1991 and compares trends in Illinois with nation-wide trends and with those in other states. The...

    Medicaid enrollment trends for low-income children in both Illinois and the U.S. as a whole have been shaped by a series of major policy developments at the national level: federal mandates for gradual expansion of Medicaid coverage to all children in families below the federal poverty line, federal welfare reform legislation “delinking” Medicaid from family income assistance, and the State Children’s Health Insurance Program (SCHIP) giving states new options for extending health care coverage beyond federal mandates. By 2001, the convergence of these policy changes had resulted in a “quiet revolution” in health care coverage for children — a shift from welfare-based to income-based eligibility. Many more children are now eligible for either Medicaid or SCHIP, and the composition of medical assistance caseloads has changed dramatically. This report examines Medicaid enrollment for low-income children, the largest and most “visible” group eligible for Medicaid, in Illinois since 1991 and compares trends in Illinois with nation-wide trends and with those in other states. The comparative analysis, based on data from the federal Centers for Medicare and Medicaid Services, involves five other midwestern states and five states with the largest Medicaid programs. The report indicates that Illinois has not typically been at the forefront in moving beyond minimum federal mandates, but the state has made considerable progress in expanding eligibility for children in low-income families, especially in the past several years. The state also faces some ongoing policy challenges, which include reducing disparities in coverage of children and parents and closing the gap between eligibility and actual enrollment. (author abstract)

  • Individual Author: U.S. Congress
    Reference Type: Statute
    Year: 2009

    This statute reauthorized the Children’s Health Insurance Program (CHIP), providing additional funding and making changes to both CHIP and Medicaid. It also authorized new federal funding for outreach to children who were eligible for Medicaid or CHIP, but not enrolled. 

    Public Law No. 111-3 (2009).

     

    This statute reauthorized the Children’s Health Insurance Program (CHIP), providing additional funding and making changes to both CHIP and Medicaid. It also authorized new federal funding for outreach to children who were eligible for Medicaid or CHIP, but not enrolled. 

    Public Law No. 111-3 (2009).

     

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