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

12/19/1997

1.  Throughout this chapter, the term "Medicaid eligible" will be used to refer to those that are eligible for Medicaid regardless of whether they are actually enrolled. This differs from HCFA(now known as CMS)'s definition of the term "Medicaid eligible," which denotes those that are enrolled but may or may not be receiving services.

 

2.  Ribicoff coverage continues to be important for children in two-parent families born before October 1, 1983 (ages 14 to 18) who are not covered by the mandatory poverty-related expansions for children or by optional state expansions.

3.  The Urban Institute is the only organization that accounts for Medicaid and cash welfare underreporting in their estimates of Medicaid participation rates.

4.  The participation rate among children whose eligibility was tied to welfare participation was higher than that for those whose eligibility was tied to poverty related expansions. Using March 1994 CPS data and the TRIM2 model, Dubay and Kenney (1996) found that the Medicaid participation rate among children whose eligibility was tied to welfare participation was 90 percent versus 69 percent for children eligible under the poverty-related expansions.

5.  Comparing Medicaid participation rates among the cash and non-cash eligibility groups is problematic using the CPS because the Census Bureau assigns Medicaid to children in all families that receive AFDC and in most families that receive SSI. In other words, the Medicaid participation rate for the cash groups in the CPS is, by definition, 100 percent.

6.  Related to this fourth reason is the argument that many parents may feel their children are, in fact, covered by Medicaid because their children can be enrolled once they get sick. Of course, these children would not be receiving preventive health services.