Access to Care for SCHIP and Medicaid Enrollees

Findings from Site Visits to Ten States

The primary objective of Covering Kids & Families® (CKF) is to increase Medicaid and SCHIP coverage, thus reducing the number of uninsured children and parents.This memo examines site visit respondents’ perceptions about access to care among those covered by Medicaid and SCHIP, as well as the uninsured in the 10 sample states, and identifies some of the barriers to access that members of these groups experience. For instance, enrollment in Medicaid or SCHIP does not guarantee that providers in the area accept these kinds of insurance, or that community safety-net providers have the capacity to serve all eligible patients.

This memo is based on data collected from site visits to selected CKF grantees in 10 states. As part of the CKF evaluation, 4 to 5 day site visits were conducted to the following 10 states in March through June 2003: Arkansas, California, Colorado, Illinois, Massachusetts, Minnesota, New Mexico, New York, Texas, and Virginia. In addition to regional and geographic diversity, sites were selected based on the size of their uninsured population, type of CKF grantee (state agency, non-profit organization, or university), degree of state financial distress, and the populations the state was targeting with their CKF outreach.

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