The Application Process For TANF, Food Stamps, Medicaid, and SCHIP. Greater Availability of Translated Application

01/01/2003

There is greater availability of translated Medicaid/SCHIP applications in all sites compared to integrated applications. Medicaid/SCHIP applications are available in both English and Spanish in all sites. Although not available during our visit, the Spanish version of the Medicaid/SCHIP form is currently available in New York City.13 There is also a two-page information sheet about the Medicaid/SCHIP program available in Spanish, which was available at the time of visit. In addition, translations of the SCHIP application used in Arlington are currently under construction for five other languages.14

The questions regarding language access and interpretation have much greater detail in the Medicaid/SCHIP applications compared to the integrated applications. For instance, there is a set of language related questions at the beginning of the Medicaid/SCHIP application used in Seattle that ask: "Do you have trouble speaking, reading or writing English? (Yes/No); Do you need materials sent to you in another language? (Yes/No); Do you need an interpreter? (If yes, we will help you through an interpreter) (Yes/No); What language do you speak?"

Exhibit 4-3:
Key Characteristics of Medicaid/SCHIP Applications in the Study Sites
Sites Programs Length Without Instructions SSN Citizenship/Immigration Status Language Access Will Not Share Information about Non-applicants with the INS
All in HH Statement on Non-applicants All in HH Statement on Non-applicants Box Translated
Medicaid/
SCHIP
Medicaid/
SCHIP
Medicaid/
SCHIP
Medicaid/
SCHIP
Medicaid/
SCHIP
Medicaid/
SCHIP
Medicaid/
SCHIP
Medicaid/
SCHIP
Medicaid/
SCHIP
Arlington, VA* Yes 4 No No No Yes No Spanish Yes
Dallas, TX Yes 2 No Yes No Yes No Spanish Yes
New York, NY Yes 8 No Yes No No Yes Spanish** No***
Raleigh, NC Yes 2 No No No No No Spanish No
Seattle, WA Yes 2 No Yes No Yes Yes Spanish Yes
Sedalia, MO Yes 2 No No No No No Spanish No
*  Prior to September 2001, there was a joint Medicaid/SCHIP application. For SCHIP, this was replaced with a new separate application. Workers and advocates reported that they were using either the TANF/FSP/Medicaid integrated application or the old Medicaid/SCHIP application for children's Medicaid-only.
**  The Spanish version of the Medicaid/SCHIP application was created in April 2001 and is currently available in New York City. At the time of the December 2001 site visit, only a one-page information sheet was available in Spanish.
***  Not explicitly stated that information will not be shared with INS, but implied.

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