Status of Research on the Outcomes of Welfare Reform, 2000. Supporting Families After Welfare Reform: Access to Medicaid, S-CHIP and Food Stamps (1999)

12/01/2000

Current Status: ASPE, along with the Administration for Children and Families, the Health Care Financing Administration and USDA, contributed funding to a major $5.9 million initiative of the Robert Wood Johnson Foundation to provide technical assistance and grants to states and large counties to improve their enrollment and redetermination processes for Medicaid, the State Children's Health Insurance Program (SCHIP), and Food Stamps. Under the Supporting Families program, the Robert Wood Johnson Foundation will provide funding for assistance to states or counties to work on Medicaid and SCHIP, while federal funding will provide assistance to work on Food Stamps, Medicaid, and SCHIP. The expert technical assistance may take the form of analysis of performance data, identification of the root causes of problems in their enrollment processes, and/or development of specific implementation plans to solve the problems and increase the participation rates in Medicaid, SCHIP, and Food Stamps. Information on the Robert Wood Johnson Foundation's overall initiative to solve problems in eligibility processes that make it difficult for low-income families to access and retain Medicaid, SCHIP or Food Stamps - particularly families moving from welfare to work - can be found at under "Supporting Families after Welfare Reform" at <www.rwjf.org/main.html>.

Federal funding supported a literature review and synthesis on the recent drop in participation in the Medicaid and Food Stamp programs, including the reasons underlying the changes in participation, and the potential strategies for increasing participation among eligible families. The report, Access to and Participation in Medicaid and the Food Stamp Program - A Review of the Recent Literature, was released in March 2000, and can be found at <www.acf.dhhs.gov/programs/opre/med-fs.htm>. It includes findings from government- and privately sponsored research projects, studies of participation in the Food Stamp Program (FSP) and Medicaid at the national and state level, studies of low-income families who have left welfare, reviews of research, and ongoing analysis and data collection efforts. Federal funding is also supporting reviews of promising practices sites and a report describing the practices that appear to enhance or facilitate participation in the Medicaid/SCHIP and Food Stamp programs by former TANF and low-income families.

Estimated Completion Date: September 2001