Maximizing Enrollment for Kids: Making Medicaid and SCHIP Work Getting to the Finish Line July 17, 2008

Source: Dubay, L. (Center for Children and Families at Georgetown University) analysis of March 2005 Current Population Survey using July 2004 eligibility rules. The Enrollment Challenge Total: 9.0 million uninsured children

Lessons Learned from CKF State leadership and political will are critical –Greatest success when Medicaid and SCHIP officials with authority to make changes were involved Simplification and coordination work –Evidence from case studies in Virginia and Arkansas Infrastructure is needed –Infrastructure and systems facilitate enrollment and retention, or can create hurdles when inadequate to meet demand. Source: Wooldridge, J. “Making Health Care a Reality for Low-Income Children and Families” (Issue Brief). February 2007.

NASHP: Working with States to Cover Children More than 10 years of SCHIP implementation work 2006 meeting funded by RWJF and David and Lucile Packard Foundations Seven Steps Toward State Success in Covering Kids Continuously

Retracing 7 Steps to Maximize Enrollment Enrollment and renewal simplification Community-based outreach Technology Agency culture Leadership Partnerships Marketing strategies

Program Basics Up to 8 state grants Up to $1,000,000 over 4 years One proposal per state from State agency or office designated by Governor (DC included)

Key Program Goals Increase enrollment/retention rates Improve state measurement capacity Implement enduring policy changes Demonstrate and disseminate best practices

Diagnostic Assessment Improvement Plans Benchmarks Implement Strategies Measure Progress PEER LEARNINGPEER LEARNING Year 1 Years 2-4 TECHNICALTECHNICAL ASSISTANCEASSISTANCE

Program Resources and Activities Diagnostic Assessment Technical Assistance Teleconference/Web conference calls Site Visits Annual Meetings Evaluation

Eligibility Criteria State government agency* designated by Governor must: Demonstrate executive branch leadership commitment Commit to participation in key program areas: –Provide access to staff, documents, data for assessment –Work with TA team to create and implement new benchmarks –Engage in peer-to-peer learning –Collect and share data Demonstrate cooperation and participation of state and local agencies with related responsibilities * Agency with authority to implement policy changes

Selection Criteria Demonstrated Commitment Data Sharing External Stakeholder Support Sustainability

What we will fund Personnel/consultants Data collection/analysis Convening Travel What we will not fund Capital improvements/expenditures Direct services Lobbying

Key Deadlines Registration Deadline: June 24, 2008, 3:00 pm ET Application Deadline*: August 6, 2008, 3:00 pm ET *Proposals must be submitted online through Grantmaking Online.

Timeline Proposal review: August-September 2008 Site visits: October-November 2008 Notification: December 2008 Grants begin: February 1, 2009

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