Planning a program of universal health insurance coverage for children in New Jersey

The Foundation's program, State Coverage Initiatives, was designed to help states plan and develop insurance market reforms, Medicaid reforms, and other significant health care financing and delivery changes.This project will provide a seamless system of near-universal continuous coverage for children. New Jersey's current approach to expanding coverage calls for expanding Medicaid up to 133 percent of the federal poverty level, and providing a subsidized managed care benefits package to children between 133 and 200 percent of poverty under Title XXI. Policy makers plan to eventually offer a subsidized benefit, modeled on existing employer-based coverage, to children between 200 and 400 percent of poverty. Two over-arching principles of the expansion are to build on, rather than replace, available employer-based coverage, and to promote family responsibility by requiring cost-sharing based on ability to pay. New Jersey proposes a number of analyses that will allow the State to better define the problem and to focus on efficient and effective policies to address the problem. These include: (1) analysis of current population survey data to yield a comprehensive profile of uninsured children in New Jersey; (2) compilation and analysis of data to dependent coverage; and (3) ongoing analysis of options for benefit design, for outreach and enrollment, for addressing coverage gaps, for the use of health outcomes to measure quality of care, and for incentives to assure the delivery of all benefits included in contracts with health plans.

Grant Details

Amount Awarded $380,205.00

Awarded on: 4/23/1998

Time frame: 5/1/1998 - 9/30/2000

Grant Number: 34374


State of New Jersey Department of Human Services, Division of Medical Assistance and Health Serv

Quakerbridge Plaza Building 7
P.O. Box 712
Trenton, 08625-0712


Deborah C. Bradley
Project Director