Providing Medicaid to Youth Formerly in Foster Care under the Chafee Option. Providing Medicaid to Youth Formerly in Foster Care under the Chafee Option : Table 4


: Table 4

Youth involvement  -Youth is not involved; enrollment is either handled electronically or by a caseworker without the youth’s presence. -Youth and caseworker fill out the application together—youth may need to sign forms in some cases. -Youth calls a hotline after aging out. -Youth submits application at the Medicaid office on own. -Youth returns packet to Medicaid office to be enrolled.
Application form  -Application completely automated (no paper forms). -Caseworker uses customized/modified Medicaid application form. -Medicaid form is a standard form given to all Medicaid applicants. In some states, a specific question asks if the applicant was in foster care on his/her 18th birthday.
Mode of applying  -Linked computerized systems (i.e., SACWIS and Medicaid communicate). -Caseworker sends youth’s information to Medicaid office. -Online application. -Telephone/hotline number. -Mail-in application. -In-person application/ application turned in at Medicaid office.
Interagency communication-SACWIS/Medicaid-linked computerized communication. -Child Welfare communicates with Medicaid through phone or e-mail. -Child Welfare collects forms and sends to Medicaid. Child Welfare role -One person in Child Welfare collects all forms. -Child Welfare has specialized unit that collect all forms. -Child Welfare workers send in forms individually to Medicaid. Medicaid role -Forms received by one Medicaid person / centralized unit -Forms received by local offices throughout state. -No communication: Child Welfare has access to Medicaid enrollment system and enrolls the youth in Medicaid under the Chafee Option directly. -No communication: youth applies as would any other individual eligible for Medicaid.