Connecticut to Implement Presumptive Eligibility for Children’s Health Insurance Plan

Barriers to Medicaid Enrollment: Who Is at Risk?

Contents:

  • Presumptive Eligibility in Medicaid and CHIP
  • National Association of Community Health Centers
  • Recent Provider Bulletins
  • Will State or Government Insurance Cover My Abortion?

    • Legal immigrants may apply if they provide proof of immigration status. There are three ways to apply for DenaliCare. The Affordable Care Act ensures there is no wrong door to apply for health insurance coverage. State law requires the application to be processed within 30 days, though the office tries to do so within days.

    Presumptive Eligibility in Medicaid and CHIP

    Presumptive Eligibility. . In , Congress created the Children's Health Insurance Program (CHIP) in order to increase the eligible for HUSKY to apply for private health insurance, and, importantly, subsidies to pay for. RE: Discontinue Use of Expired Form W-1HUS (HUSKY Application and Renewal Form). Questions? to apply for Connecticut Medicaid or the. Children's Health Insurance Program. (CHIP), also known time HUSKY Health eligibility determinations by applying For those DSS partners performing Presumptive. Eligibility.

    Please call , if you submitted an application for Medicaid and someone is experiencing an urgent need for medical assistance. The requirements and enrollment process will vary depending on the county where you live. This program covers abortion. Sometimes Medi-Cal eligibility workers get this wrong, though. If you run into a problem with someone asking you for proof of citizenship, you can call your local abortion fund, ACCESS, for help: Go in person to your nearest county office.

    A list of offices where you may apply for Medi-Cal is available here. When applying for Restricted Pregnancy Medi-Cal, you do not need to say that you plan to have an abortion. You also may download an application online. Find out the phone number of your local county office here. If you would like advice or counseling on how to apply for Medi-Cal, you may call ACCESS, a non-profit reproductive justice organization, at English or Spanish.

    The state may choose not to count all of your income and you may qualify anyway. We encourage you to apply online or over the phone in order to get the fastest determination of whether you are eligible. If you are a documented immigrant and are pregnant, you may qualify for the State Medical Assistance Program for Pregnant Immigrant Women. Fill out Medical Assistance Application for pregnant people.

    Deliver the completed application in person or send in the mail. The state medicaid program in Maryland is called Maryland Medical Assistance. If you are already enrolled in Medical Assistance, ask your clinic or hospital if they will accept this coverage. Because of the amount of time it takes to enroll in Medical Assistance, however, we do not recommend that you apply for Medical Assistance if you are trying to raise money for your abortion. Instead, search for abortion funds that may be able to assist you.

    There are three major public insurance options that cover abortion in Massachusetts: All three insurance options have the same application procedure. All MassHealth programs cover abortion with two exceptions: If other people rely on your income, you can make more look at the chart below. The state will look at your income and decide when of the plans MassHealth, Commonwealth Care, or Health Safety Net makes sense for you. You can use an unofficial online eligibility check to see if you are eligible for MassHealth.

    Noncitizens must provide proof of immigration status. Specific requirements will be explained in the instructions of your application. You may be required to submit some of the following with your application:. After you submit your application, MassHealth will decide which insurance coverage program you will receive and then notify you. The application process is the same for all of the state health care programs. The fastest way to apply is in person at your local community health care center. To find one near you, click here or call Before going to a health care center, you should make sure that the center offers insurance enrollment by consulting its website or calling.

    For more information, look at the MassHealth website and check out the application. Health Care for All is a non-profit, non-government group that helps people in Massachusetts get health insurance. They are an excellent resource for information or if you get confused by the process at any point. Please note that this process may take a couple weeks. To learn the differences between Medical Assistance and MinnesotaCare, click here. The income limits are higher for pregnant women and children and are calculated differently for disability-based MA.

    Pregnant non-citizens are NOT required to provide proof of immigration status. Click here for more information. For Medical Assistance, coverage may begin in the month you became pregnant, but no earlier than three months before you applied. The full Medicaid program in Montana covers abortion for pregnant people. This means that you can enroll quickly because you are pregnant. You must provide proof of citizenship or legal immigrant status.

    To apply in person recommended , go to your local Office of Public Assistance with required documents and fill out an application. You can also apply online.

    You must provide documentation of U. Find contact information for local County Welfare Agency. Medicaid Presumptive Eligibility called Category allows you to receive immediate coverage from the date your pregnancy is confirmed until the last day of the next month. You must provide proof of U. Home pregnancy tests do not count. Pregnancy may be confirmed at your local county public health office or hospital, but not a Crisis Pregnancy Center or Abortion Alternatives Center.

    Scientific Session: Forum on the Diagnosis, Evaluation, Management of Zika Infection among Infants

    First, gather all necessary documents. Once you have the required documents, you may: For more information on Medicaid in New Mexico, check the state website. There are a number of state programs in New York that will assist you with paying for an abortion if you qualify. Pregnant women may get Medicaid coverage through Presumptive Eligibility. This program allows women to get Medicaid coverage quickly. Presumptive Eligibility coverage begins the same day that you apply for it.

    National Association of Community Health Centers

    Women are eligible regardless of citizenship or immigration status and may apply for presumptive eligibility. You do not need proof of citizenship or immigrant status. Responses of yes to each were coded 1; responses of no were coded 0. In addition, we asked respondents about the health insurance status of each child in the household and then created a variable to assess if any child in the household currently lacked health insurance. Responses of yes were coded 1; responses of no were coded 0. A variable to measure the extent to which each state in the study had simplified Medicaid enrollment procedures was created also.

    Four simplification policies were assessed: The Medicaid enrollment simplification variable ranged from 0 to 4 and was the sum of the number of these simplification policies enacted in the state. The mean of this variable was 1. One state Texas had adopted none of the simplification policies; 2 states Colorado, West Virginia had adopted 1 policy; 5 states Idaho, Pennsylvania, Missouri, Michigan, California and Washington DC had adopted 2 policies; 2 states South Carolina, Massachusetts had adopted 3 policies; and no state had adopted all 4 simplification policies.

    We use standard frequency analyses to describe the study population and the prevalence of the dependent variables. Unadjusted associations between each of the dependent variables and the independent variables were assessed with relative risk RR ratios because the outcomes variables were sufficiently prevalent that the odds ratio OR would not be a reasonable approximation of the relative risk. We estimated both ordered relative risk regressions using 4- and 5-level ordered outcomes, respectively and relative risk regression by means of the dichotomized outcomes.

    Because the results were comparable between the 2 approaches, we show only the latter results for simplicity. We used dummy variables in the analysis to control for regional fixed effects. We used generalized estimating equations to adjust the standard errors of the parameter estimates because of the nonindependence of responses of individuals within states and within selected community health centers. Respondents were nearly evenly split between non-Hispanic White, non-Hispanic Black, and Hispanic individuals.

    Twenty eight percent stated that they had participated in welfare over this same period of time. United States, a. Patients in 2 health centers within each state were selected to participate in the study. Many respondents lacked knowledge about Medicaid program rules. The prevalence of perceived enrollment barriers was also high among respondents. Thirty percent agreed or strongly agreed with at least 3 of these items. Several factors were significantly associated with a lack of knowledge about Medicaid eligibility rules in the multivariable analysis.

    State simplification policies were not significantly associated with perceived enrollment barriers. The findings indicated that there were substantial gaps in knowledge about Medicaid program rules and that many respondents perceived enrollment barriers.

    Recent Provider Bulletins

    The modest correlation between these variables suggested that these were independent dimensions and not just related measures. The study also revealed important patterns in those facing increased Medicaid enrollment barriers and misinformation about Medicaid program rules. The data indicated that those with greater health problems, those with less education, and non-Hispanic Black parents had more limited information about Medicaid rules or perceived greater enrollment barriers.

    Prior experience with Medicaid may mitigate these issues to some extent, in that those with prior experience reported fewer barriers to enrollment and were better informed than those without such prior experience. However, even after adjusting for state policies and regional fixed effects, health and demographic factors remained significantly associated with our outcomes.

    Will State or Government Insurance Cover My Abortion?

    Since this study was completed, almost all states have cut their Medicaid budgets in response to the current fiscal crisis. For example, states have increased paperwork requirements on first-time applicants and have shortened eligibility periods from 12 to 6 months; thus, families who do not complete or submit forms will lose coverage. They may make it more difficult to stay enrolled in public insurance programs and thus reduce the rolls, as was their intent.

    Recent studies have shown substantial administrative costs associated with Medicaid enrollment, which compete for the limited pool of health care dollars. The finding that respondents with health problems were more likely to perceive enrollment barriers and to lack knowledge about Medicaid program rules was particularly perverse and may lead to delays in receiving care and to higher levels of morbidity among parents and their children. Researchers have been concerned about knowledge disparities regarding other entitlement programs such as Medicare because knowledge deficiencies hamper the implementation of programs.

    Studies of Medicare beneficiaries have shown that several demographic factors are associated with knowledge of that program, including higher education, 24— 28 higher income, 24— 28 being male, 26 being White, 27 and younger age. Disparities in knowledge about key features of Medicaid programs is an area that merits additional research as this is one of only 2 studies identifying groups who may be at greater risk for limited knowledge. The results of this study should be interpreted in light of its limitations. To the extent that the use of health care services was associated with a greater ability to overcome enrollment barriers, this sample may underestimate the prevalence of enrollment barriers in the general low-income population.

    On the other hand, respondents may be using community health centers precisely because they are unable or unwilling to negotiate enrollment barriers. The net effect of these 2 possible biases is unclear. In addition, community health center patients may be better informed about Medicaid program rules than low-income people in the general population because the federal Medicaid law requires states to offer enrollment assistance at health centers.

    Because the measure of Medicaid simplification policies is strongly correlated with states, we were unable to reliably estimate the model retaining both variables. However, we were able to control for regional fixed effects. Our findings identify groups that might be targeted with outreach and marketing interventions, especially in tight budgetary times. Because respondents with prior recent experience in the Medicaid program were at lower risk for misinformation and for perceiving enrollment barriers, it is possible that they may have learned from their previous experiences in the Medicaid program.

    States may want to target outreach and marketing strategies to reach nontraditional coverage populations such as parents whose children have no prior experience in the Medicaid program.

    Our findings suggest other groups that should be targeted for marketing and outreach interventions including 1 parents with less education; 2 parents who are in poor physical or poor mental health; and 3 non-Hispanic Blacks. Many states have devised creative strategies to find and enroll eligible children; some of these strategies are targeted at specific vulnerable groups. For example, in California and Michigan, trusted community groups have been engaged to inform Blacks about the Medicaid program and to provide enrollment assistance, because in some Black communities, residents harbor suspicion of health care institutions.

    • Presumptive Eligibility in Medicaid and CHIP | The Henry J. Kaiser Family Foundation.
    • The Yellow House: Van Gogh, Gauguin, and Nine Turbulent Weeks in Arles.
    • In the Heat of the Bite?
    • The Impact of the Holocaust on Jewish Theology!

    Even after we controlled for the degree of Medicaid simplification policies in each state, significant differences by region in terms of perceptions of enrollment barriers remained. We were unable to assess whether this variation by region was attributable to other unmeasured state or local policies and practices, including those at the individual community health centers. Several best practices for Medicaid enrollment and retention strategies have been described in the literature. Human Participant Protection The institutional review board at the Yale University School of Medicine approved all research procedures.

    Stuber led the design and implementation of the study and the writing of the article. Bradley helped to conceptualize the ideas, plan the analysis, and write the article. National Center for Biotechnology Information , U. Am J Public Health. Find articles by Jennifer Stuber.

    Find articles by Elizabeth Bradley. Accepted July 13, This article has been cited by other articles in PMC. Data Collection Surveys were administered in person by research staff; interviews lasted between 20 and 30 minutes. Data Analysis We use standard frequency analyses to describe the study population and the prevalence of the dependent variables. Open in a separate window. Perceived Enrollment Barriers The prevalence of perceived enrollment barriers was also high among respondents.

    Factors Associated With a Lack of Knowledge About Medicaid Program Rules Several factors were significantly associated with a lack of knowledge about Medicaid eligibility rules in the multivariable analysis. Notes Peer Reviewed Contributors J. Health insurance and under-immunization: Pappas G, Hadden W. Otitis media and reading achievement: Int J Pediatr Otorhinolaryngol. Speech perception and verbal memory in children with and without histories of otitis media.

    J Speech Lang Hear Res.