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A school-based Children’s Health Insurance
Program/Children’s Medicaid
Outreach Model
The 100% Campaign
Health Action 2010January 28, 2010
Why Texas?
1.5 million children are uninsured
~230,000 undocumented
~500,000 live in families above 200%FPL.
750,000 are eligible for but not enrolled in CHIP or Children’s Medicaid.
•.
Why school-based outreach?
• 22% of Texas children are uninsured
• Texas’ eligibility system has challenges
• Confidentiality laws (i.e. HIPPA)
• Uninsured children are 25% more likely to miss school
• Schools can more easily track data on their students
History
• The Michael and Susan Dell Foundation (MSDF) insureakid® (iak) grants in 2002.
• Rio Grande Valley project has been ongoing.
• The project re-launched as the 100% Campaign in 2007.
• Of the 40 grantees, CDF-Texas is one of the few that has sustained the initiative.
100% Campaign
A partnership with Texas school districts to systematically identify and link eligible uninsured children with the Children’s Health Insurance Program (CHIP) and
Children’s Medicaid.
* Two implementation models in 20 districts.
Commitment
Children’s Defense Fund would:• Offer a rubric for implementation.• Provide training and ongoing technical assistance to appropriate
staff.
The school district would: • Add the health insurance question to the school enrollment form.• Gain the buy-in of key administrators and the school board• Work with CDF to develop an implementation and sustainability
plan.• Designate appropriate staff to implement the Campaign.• Track data to evaluate progress.
Ask the Question
What type of medical insurance do you carry for
this child?
CHIP Medicaid Private None
What type of medical insurance do you carry for
this child?
CHIP Medicaid Private None
Enter the Data
HISD Region 2007-08 2008-09
North 2,391 4,528
Central 258 (began March ‘08)
2,849
West 3,930 3,097
East 6,903 7,515
South 3,714 4,831
All Regions: 17,196 22,820
Conduct the Outreach
• Houston ISD outreached to 32,440 children – 2,926 children received direct assistance applying,
renewing or resolving barriers to the programs.
– nearly 8,500 did not qualify for coverage but were linked to alternative health resources.
• Edinburg CISD went from having a 40% uninsured rate in 2005 to 22.3% in 2008. The District currently has a 98% attendance rate.
• 15 school districts in the Rio Grande Valley assist an average of 1,400 children to apply every month.
Business Partnerships
1300 children assisted in one day in
Southeast TX
18 city-wide enrollment drives, assisting 23,000
children
100 statewide bilingual billboards
Outreach Challenges
• Smaller districts vs. larger districts
• Adding the health insurance question
• Student mobility
• Urban myths
• Unforeseen incidents
Children’s Health Insurance Program Reauthorization Act (CHIPRA) Outreach and Enrollment Grant
Outreach grant awarded to the Texas Association of School Administrators (TASA) to implement the 100% Campaign
into 8 target school districts:
•Corpus Christi ISD•Hidalgo ISD•Houston ISD•McAllen ISD
•Pharr San Juan ISD•San Antonio ISD•Valley View ISD•Harlingen CISD
CHIPRA Goals
• Identify and assist 25% of FRL student population
• Emphasize and assist families with renewal and troubleshooting processes
• Track and report data on outreach
• Sustain the initiative within each District by the end of Year 2
How is the project funded?
• Houston: local hospitals and HISD
• Alief: local health plan
• Rio Grande Valley Districts (16): Title I
• Corpus Christi: CHIPRA and Stimulus
• San Antonio: United Way and local health plan
Endorsements
Questions
Kelli King-JacksonTexas Director of Outreach
4500 Bissonnet, Suite 260Bellaire, Texas 77401T: 713-664-4080F: [email protected]
Children’s Defense Fund – Texaswww.cdftexas.org