Issues in Developing Programs for Uninsured Children: A Resource Book for States. II. the Enrollment Process


Families with uninsured children access health care through various means. Some families apply for state- or federally-subsidized health insurance, i.e., Medicaid, while others rely on direct health care programs for their care such as community health centers and WIC. One of the biggest challenges states are facing is the creation of an enrollment system focused on channeling uninsured children into the most appropriate program without losing them in the process. To address this concern, states are beginning to channel uninsured children into appropriate programs by creating more coordinated enrollment processes among Medicaid, separate state insurance programs, and other existing state programs (e.g., Title V and welfare programs). None of the nine states opted to use enrollment brokers.

The following sections present strategies used by the nine study states to establish a seamless enrollment process.