Promising strategies are emerging from the participating states’ efforts to
improve the retention of eligible children and adults in Medicaid and SCHIP.
These states have been engaged in identifying areas for improvement, planning
strategies and making changes to their Medicaid and SCHIP renewal policies and
processes. Strategies implemented include improving and streamlining the
renewal process for Medicaid and SCHIP, simplifying renewal forms and
communications, and increasing efficiency in eligibility determination offices.
The strategies are designed to reduce the number of inappropriate Medicaid and
SCHIP closures and decrease churning of eligible children and adults off and on
these programs; thereby, the rate of retention for their state’s Medicaid and
SCHIP programs improves.
Electronic Referral Systems Between Medicaid and SCHIP
The Iowa and Pennsylvania teams have implemented electronic referral systems
between their Medicaid and SCHIP systems. These strategies have the potential
to work in other states with effective leadership and adequate resources.
Outcome data from both systems demonstrate effective coordination between
Medicaid and SCHIP, preventing gaps in health coverage for eligible children
and adults. When public programs are coordinated, continuity of health coverage
is maintained and state and local eligibility offices experience increased
efficiency and administrative cost savings. Click on the hyperlinks below for
descriptions of the Iowa and Pennsylvania electronic referral systems:
Iowa’s Auto Referral
System for Medicaid and SCHIP
Electronic Referral: Healthcare Handshake
Simplified and Streamlined Medicaid and SCHIP Correspondence
Florida, in the effort to improve readability and eliminate duplication and inconsistencies of its correspondence for children’s Medicaid and SCHIP programs, conducted a comprehensive review of its numerous written communications. A state task force was organized to simplify and streamline the content and number of correspondence.
Florida’s Simplified and Streamlined Medicaid and SCHIP Correspondence
Statewide Centralized Medicaid Renewal System
New Mexico implemented its Medicaid Renew Project (MRP) as a statewide pilot effective October 01, 2007. One centrally located unit is now responsible for the Medicaid/Medicaid Expansion renewal process for children and families. The centralized renewal system reduces the caseload burden for the county office workers and streamlines the renewal process through a simplified pre-populated renewal form and by offering multiple renewal options.
New Mexico’s Centralized Medicaid Renewal System