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How CHIP Can Help Meet Child Specific Requirements and Needs in the Exchange

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Health insurance exchanges or marketplaces need to be prepared to serve children’s needs as well as adults. The Children’s Health Insurance Program (CHIP), an already established and tested program, offers features that can help states meet ACA exchange requirements while establishing good coverage for children. With support from the David and Lucile Packard Foundation, NASHP analyzed federal statutes, regulations, and guidance for CHIP and exchanges, and interviewed state and national experts to inform this work. The resulting brief offers options for drawing on CHIP as a tool to inform exchange design and the companion piece compares selected CHIP and exchange requirements and identifies ways the program requirements align. This webinar geared toward state exchange officials includes a discussion of options on ways CHIP could be used to inform the design of Essential Health Benefits, provider networks and more. Officials working with all types of exchanges—State Based, Partnership, and Federally Facilitated—are encouraged to listen.

Speakers:

Moderator: Catherine Hess, Managing Director for Coverage and Access, NASHP
Presenter: Maureen Hensley-Quinn, Program Manager, NASHP
Discussants: 
Miriam Fordham, Director, Health Care Policy Administration
William Nold, Deputy Director, Kentucky Health Benefit Exchange
Lisa Lee, Director, Kentucky CHIP Program
 
 

Anita Cardwell, Policy Associate

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Anita Cardwell joined NASHP in March 2013 and focuses on projects related to children’s coverage and access issues as well as health reform. Prior to joining NASHP, she worked at the National Association of Counties on a wide range of health topics, including providing information to county officials and staff about health reform implementation. She has also worked for the National Academy of Social Insurance, volunteered through AmeriCorps and interned with the Children’s Defense Fund and the Oregon State Senate. She has a BA in psychology from the University of California, Santa Cruz and an MPP with a certificate in health policy from Johns Hopkins University.
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How CHIP Can Help Meet Child Specific Requirements and Needs in the Exchange: Considerations for Policymakers

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There are compelling reasons to consider how the Children’s Health Insurance Program (CHIP) can be used as a resource to meet the child-specific exchange requirements of the Affordable Care Act (ACA). With support from the David and Lucile Packard Foundation, NASHP analyzed federal statutes, regulations, and guidance for CHIP and the exchange, and interviewed state and national experts to inform this work. The resulting brief offers options for using CHIP as a tool to inform exchange design and the companion piece compares selected CHIP and exchange requirements to highlight their alignment.
 
Issue Brief: Considerations for Policymakers
Compendium Document: Selected CHIP and Exchange Requirements: Alignment and Considerations
 

Lessons Learned from Children’s Coverage Programs: Outreach, Marketing, and Enrollment

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The Affordable Care Act is expected to result in millions of individu­als obtaining health care coverage—many for the first time. States have already invested significant resources to develop outreach and enrollment strategies to reduce the number of uninsured children. Lessons from children’s coverage programs, specifically the Children’s Health Insurance Pro­gram (CHIP) and Medicaid can help shape the strategies needed to reach, assist, enroll and retain individuals and families in the near future. This brief is part of a series that explores lessons from children’s cov­erage programs. What a Difference a Dollar Makes: Affordability Lessons from Chil­dren’s Coverage Programs that can Inform State Policymaking under the Affordable Care Act is the first brief in this series.

outreach.lessons.children.pdf 243.1 KB

 

It’s decision time for states. Do you know where your children are?

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By Catherine Hess
July 2012
As the National Academy for State Health Policy’s (NASHP) recent webinars The Future of CHIP and Children’s Coverage and Keeping a Focus on Children in Health Care Reform conveyed, the Affordable Care Act (ACA) includes boosts for children’s coverage but raises myriad questions and issues.  The country has achieved tremendous progress in reducing the uninsured rate for low-income children, from 23 percent in 1997 to 10 percent in 2010.  The ACA extended CHIP funding to 2015, required maintenance of effort for children’s CHIP and Medicaid coverage to 2019, and created the opportunity for parents to obtain affordable insurance through Medicaid or health insurance exchanges. These and other provisions offer potential for continued progress in assuring that all children have access to quality health coverage—one important ingredient in the formula for their healthy development.
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Keeping a Focus on Children in Health Care Reform

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For a complete slide presentation, click here.
 
This is the second of a two-part webinar series on children’s coverage. The Affordable Care Act (ACA) provides numerous tools for states to improve health coverage, including for children. However, the focus in implementation is primarily on the adults who will become newly eligible for affordable coverage through the Medicaid expansion and new health insurance exchanges. Following on NASHP’s May 14 webinar, The Future of CHIP and Children’s Coverage, and NASHP’s recent publication, Keeping Children’s Coverage Strong in the Context of the Affordable Care Act: Perspectives from State Children’s Health Insurance Leaders this second webinar will discuss key issues for children in health care reform design and implementation, and reasons to keep a spotlight on kids. Presentations will include a discussion of complex coverage scenarios for children, opportunities and challenges in the final federal rules on eligibility, and how Massachusetts integrated children’s coverage programs into state reform efforts and what issues remain as the state looks toward implementation of federal reforms.

Catherine Hess, NASHP Managing Director for Coverage and Access will be joined by:

  • Genevieve Kenney, Senior Fellow, Health Policy Center, The Urban Institute
  • Stacey McMorrow, Research Associate, Health Policy Center, The Urban Institute
  • Jocelyn Guyer, Co-Executive Director, the Georgetown University Center for Children and Families

This webinar was supported by a grant from The Atlantic Philanthropies.

Keeping Children’s Coverage Strong in the Context of the Affordable Care Act: Perspectives from State Children’s Health Insurance Leaders

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With passage of the Affordable Care Act, the stakes for children’s coverage perhaps have never been higher. Children potentially have much to gain in coverage for themselves and for their parents. However, they also have much to lose in shifting attention, and in unintended consequences of reforms focused on adults. To examine the options for keeping children’s coverage strong in future, NASHP initiated discussions with CHIP program directors. This brief highlights themes from those discussions, focusing on key considerations for children’s coverage that NASHP and most CHIP directors believe policymakers should take into account in making decisions that may affect children’s coverage.

keeping.children’s.coverage.strong.pdf 157.8 KB

 

Low Income Children with Disabilities: How Will They Fare Under Health Care Reform?

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The purpose of this report is to alert public and private decision makers who are engaged in the health reform debate to the special circumstances facing low-income children with disabilities. These children require more care, different and specialized care, and more costly care than children without disabilities. Some benefit greatly from many of the services covered by the Medicaid program that are not reimbursable under private insurance plans; but too many of them are uninsured, underinsured, or cut off from vital support that could facilitate their well-being and development. Health reform could rectify may of the inadequacies of our current delivery and financing systems in meeting the special needs of this group of children.

1994.Aug_.low_.income.children.disabilities.health.care_.reform.pdf 1.4 MB

 

Public Insurance Programs and Children with Special Health Care Needs, A Tutorial on the Basics of Medicaid and the Children’s Health Insurance Program

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This tutorial on the basics of Medicaid and CHIP is a collaboration of NASHP and the Catalyst Center: Improving Financing of Care for Children and Youth with Special Health Care Needs (CSHCN). The tutorial gives a broad overview of Medicaid and CHIP, the many different populations these programs serve, the changes they are undergoing as a result of health care reform and some options to help readers think about opportunities to improve services for CSHCN through communication and collaboration with Medicaid and CHIP staff. The tutorial starts with an overview of how definitions of CSHCN may vary by agency or program, followed by eight major topic areas and then recommendations for steps Title V programs can take to build successful partnerships with public insurance programs.

Jill Rosenthal, Senior Program Director
Mary Henderson
Jennifer Dolatshahi
Catherine Hess, Managing Director for Coverage and Access
Carol Tobias
Sara Bachman
Meg Comeau
February 2012
Attachment Size
Medicaid_101_tutorial.pdf 5.69 MB

The Role of Children's Coverage Programs in a Changing Health Care Landscape: EPSDT, CHIP, and Health Care Reform

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With the support of The Commonwealth Fund and the David and Lucile Packard Foundation, in late 2010 NASHP convened an invitational leadership forum on the role of children’s coverage programs in a changing health care landscape. Participants included representatives from state Medicaid EPSDT and CHIP programs, Maternal and Child Health Title V, CMS and other children’s health care experts. This brief captures the themes and explores the opportunities and challenges identified in that meeting to lay out a vision for how EPSDT and CHIP can work together to improve health coverage for children in the context of health care reform.

role.childrens.coverage.programs.pdf 135.6 KB

 

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