CHIPRA Mandated Evaluation of Express Lane Eligibility: First Year Findings. 3. Evaluation States


To varying degrees, every state and the District of Columbia will be included in the evaluation. All states are in the SEDS analysis, and all states will be in the assessment of the state policy context, which includes an information review of published data, a 51-state survey, and quarterly interviews (limited to non-case study states).

Six states (Alabama, Iowa, Louisiana, Maryland, New Jersey, and Oregon) implemented ELE before 2011 and have already begun to participate in the evaluation (as part of the descriptive study of enrollment and costs); we also plan to conduct case studies in these states. Colorado, Georgia and South Carolina received their ELE approval later, in mid-2011, and are expected to participate in evaluation case studies beginning later this year. In addition to being the focus of multiday site visits, all these states will be part of the study of enrollment and costs.

States will be recruited for the study of non-ELE simplifications later this year. Following the design for the evaluation, the recruited states will feature best practice simplifications, such as those simplifications identified in the CHIPRA performance bonus criteria (for example, presumptive eligibility or auto-renewal procedures). In addition, like the ELE states, selected states must be able to identify children who entered through the particular non-ELE pathway being studied in their administrative data, both to track enrollment and to permit recruiting for focus groups. Therefore, as part of the non-ELE state recruiting process, we will speak with state officials to understand the feasibility of inclusion given the study’s goals. Finally, states will be chosen to reflect diversity along several dimensions, including geography, percentage of uninsured children, and participation rates in public coverage.10

10 See Wrobel et al. (2012) for more information on state selection criteria.

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