The Home and Community Based Services (HCBS) settings rule (CMS 2249-F/2296-F) strictly enforces meaningful community-based settings for those receiving Medicaid HCBS funding. Stakeholders have the opportunity to impact states' setting rule plans and hold states accountable to ensure rules are truly community based. Yet, the complex rule can be…

Enacted in 1997, the State Children's Health Insurance Program (SCHIP) represented the largest expansion of U.S. public health care coverage since the passage of Medicare and Medicaid 32 years earlier. Although the program has recently been reauthorized, there remains a considerable lack of thorough and well-designed evaluations of the program. In…

We evaluate the effects of state policy design features on SCHIP take-up rates and on the degree to which SCHIP benefits crowd out private benefits. The results indicate overall program take-up rates of approximately 10 percent. However, there is considerable heterogeneity across states, suggesting a potential role of inter-state variation in…

The State Children's Health Insurance Program (CHIP) was designed in 1997 to support working families by providing affordable, quality health coverage for their children in an efficient, effective, and coordinated way. This report examines the progress made in implementing CHIP nationwide. Information sources included the following: (1) federal…

Under the Balanced Budget Act of 1997, Congress established the State Children's Health Insurance Program (SCHIP) to expand health insurance coverage to uninsured low-income children. This report summarizes the major findings of the first year of a national evaluation of SCHIP. Following a summary of major findings, the report examines state…

This report reviews work by the Department of Health and Human Services Office of Inspector General (OIG), which evaluated the State Children's Health Insurance Program (SCHIP), including whether children are being enrolled inappropriately in SCHIP rather than in Medicaid, and states' progress in reducing the number of uninsured children. This…

The State Children's Health Insurance Program (SCHIP) in 1997 signaled a major increase in time, energy, creativity, and money devoted to enrolling eligible children in health insurance programs. Child advocates and others have focused on developing outreach and enrollment strategies to bring the benefits of these new SCHIP programs to children…

Provides an overview of the major federal and state health care programs serving children and pregnant women, including (1) Medicaid; (2) the Maternal and Child Health Block Grant Program; (3) the Community and Migrant Health Center Program; and (4) the Special Supplemental Food Program for Women, Infants, and Children. (SLD)