The number of children enrolled in Medicaid and CHIP increased by more than 812,000 cases across participating states during the program’s duration.
However, the magnitude of the difference between increases in these states and those not part of the program was small and not statistically significant, and could have been caused by many possible factors. Evaluators at Mathematica Policy Research found that several confounding variables, including an economic recession and passage of several major federal laws, made it difficult to determine the program’s impact.
Facing greater demand for services and fewer resources as the program unfolded, states had to do more with less. “The only way to meet the need was to use technology and their systems in the best way they could.”—MaxEnroll Deputy Director Maureen Hensley-Quinn