Children's Health Insurance Patterns: A Review of the Literature

TABLE IV.2
ESTIMATES OF MEDICAID PARTICIPATION RATES FOR CHILDREN, BY SOURCE
Source Data Time Period Estimate Definitions and Eligibility Criteria Eligibles (millions) Enrollees (millions) Part. Rate
Urban Institute's

TRIM2 Model

(which adjust for Medicaid undercount)

CPS 3/96 1995 Estimate definition: Participation rate for all children age 17

Eligibility criteria:

State-specific poverty related

AFDC children

SSI children

Medically needy children

Assets

26.4 22.1 83.6%
Reschovsky et al. (1997) CTS late 1996 /early 1997 Estimate definition: Participation rate for all children age 17

Eligibility criteria: State-specific poverty-related criteria only

20.3 10.8 53.3%
CBO (Bilheimer 1997) CPS 3/96 1995 Estimate Definition: Participation rate for children who met expansion eligibility criteria.

Eligibility criteria:

Children receiving welfare cash assistance or covered by private insurance are excluded from all calculations. No other criteria specified.

- - 60%
GAO (1996) CPS 3/95 1994 Estimate definition:

Children age 11 eligible for Medicaid by federal mandate because of age and income eligibility.

Eligibility criteria:

Poverty-related only. Not state-specific. Only includes children age 5 with family incomes below 133% of poverty and children 6-11 with family incomes below 100% of poverty.

14.3 - -
Center for Budget and Policy Priorities (Summer et al. 1997) CPS 3/95 1994 Estimate definition:

Participation rate for children age 10.

Eligibility criteria:

Poverty related only. Not state-specific. Only the federal minimum poverty-related eligibility criteria for children age 10.

- - 66%
Estimate definition:

Participation rate for children age 10 who do not receive welfare cash assistance. This approximates the participation rate among children in poverty-related eligibility groups only.

- - 38%