Eligibility and enrollment of adolescents in Medicaid and SCHIP: recent progress, current challenges

Morreale, Madlyn C.; English, Abigail

doi:10.1016/s1054-139x(03)00066-1

Cited by 26 publications

(19 citation statements)

References 5 publications

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“…The lack of consistent primary healthcare causes healthcare needs among uninsured children. The growing number of children without health insurance is also caused by the complexity of the insurance system [4,42].…”

Section: Unmet Healthcare Needsmentioning

confidence: 99%

“…State allotments per fiscal year are determined by the number of children enrolled and the state cost factor. Since 1997, state and federal governments have greatly expanded SCHIP single and combination programs in order to offset the problems associated with uninsured children [4][5][6][7][8][9]. In 2002, 16 states had SCHIP single, 19 states had SCHIP combination, and 16 states had SCHIP Medicaid expansion programs, including the District of Columbia.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Improving children's healthcare through state health insurance programs: An emerging need

et al. 2011

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Section: Unmet Healthcare Needsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Improving children's healthcare through state health insurance programs: An emerging need

et al. 2011

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“…In Fiscal Year 2001, nearly 521,000 adolescents aged 13 through 18 years were enrolled in Medicaid expansion SCHIP programs and nearly 941,000 were enrolled in statedesigned SCHIP programs [62]. Minority adolescents and adolescents with special health care needs are disproportionately represented among publicly insured individuals, and thus are particularly vulnerable to any changes in public funding.…”

Section: Eligibility Requirements For Medicaid and Schip Programsmentioning

confidence: 99%

Section: Eligibility Requirements For Medicaid and Schip Programsmentioning

confidence: 99%

“…In Fiscal Year 2001, 4.72 million adolescents aged 13 through 18 years were enrolled in the traditional Medicaid program [62]. Most adolescents who are eligible for Medicaid qualify either on the basis of age and family income or because they fit certain "categorical" eligibility criteria, such as receiving Supplemental Security Income (SSI) for individuals with disabilities, receiving federal foster care payments (under Title IV-E of the Social Security Act), or being pregnant [62]. Estimates of the number of Medicaid-enrolled adolescents who receive mental health or substance abuse services are not available, however, one study analyzed data from 1995 and found that approximately 8% of children and adolescents under age 21 used these services [63].…”

Section: Eligibility Requirements For Medicaid and Schip Programsmentioning

confidence: 99%

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Financing Mental Health Services for Adolescents: A Background Paper

Kapphahn

Morreale

Rickert

et al. 2006

Journal of Adolescent Health

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Trends in Private and Public Health Insurance for Adolescents

Newacheck¹

2004

JAMA

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Context Previous studies (1984-1995) of adolescent health insurance have shown little change in the proportion with coverage. Federally mandated expansions in Medicaid were offset by declines in private coverage. Further expansions of Medicaid and implementation of the State Children's Health Insurance Program (SCHIP) have opened new avenues for increasing coverage rates. Objectives To assess the current health insurance status of adolescents, the demographic and socioeconomic correlates of insurance coverage, and document recent changes in public and private coverage rates. Design, Setting, and Participants We analyzed data on 12995 adolescents aged 10 to 18 years, who had been included in the 2002 National Health Interview Survey. We conducted multivariate analyses to assess the independent association of age, sex, race, poverty status, family structure, family size, and region on the likelihood of having insurance coverage. Results are compared with previously published findings on adolescent health insurance coverage spanning 1984 to 1995. Main Outcome Measure Insurance coverage for adolescents. Results An estimated 12.2% of adolescents were uninsured in 2002, which is a decrease from 14.1% in 1995 (PϽ.003). The decrease occurred entirely because of an expansion of public coverage and is concentrated among children in poor (Ͻ100% of the federal poverty level) and near-poor (100%-199% of the federal poverty level) families. A substantial decrease in the differences between poor and higher-income groups occurred between 1995 and 2002 due to gains in coverage for adolescents in poor and near-poor families and losses in coverage among those in middle-and upperincome families (Ն200% of the federal poverty level). Specifically, the proportion of adolescents in poor families without coverage declined from 27.4% in 1995 to 19.7% in 2002 (PϽ.001). The proportion of adolescents in near-poor families without coverage declined from 24.8% in 1995 to 19.2% in 2002 (PϽ.002). In contrast, the proportion of adolescents in middle-and higher-income families without insurance increased from 4.1% in 1995 to 6.3% in 2002 because availability of insurance through the private market declined (PϽ.001). Conclusions A modest but significant reduction in the percentage of adolescents without insurance has occurred since 1995, largely as a result of expansions in public coverage. An even larger reduction in the proportion of adolescents without coverage would have occurred, if not for a reduction in private coverage for adolescents in middle-and higher-income families.

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Eligibility and enrollment of adolescents in Medicaid and SCHIP: recent progress, current challenges

Cited by 26 publications

References 5 publications

Improving children's healthcare through state health insurance programs: An emerging need

Improving children's healthcare through state health insurance programs: An emerging need

Financing Mental Health Services for Adolescents: A Background Paper

Trends in Private and Public Health Insurance for Adolescents

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