anticipated effects of the children s health insurance program chip in illinois
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Anticipated Effects of the Children’s Health Insurance Program (CHIP) in Illinois. Kathy Chan, Policy Director Metropolitan Family Services Friday, March 6, 2009. Illinois Maternal and Child Health Coalition. Mission is to improve the health of women, infants, children and families

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anticipated effects of the children s health insurance program chip in illinois

Anticipated Effects of the Children’s Health Insurance Program (CHIP) in Illinois

Kathy Chan, Policy Director

Metropolitan Family Services

Friday, March 6, 2009

illinois maternal and child health coalition
Illinois Maternal and Child Health Coalition
  • Mission is to improve the health of women, infants, children and families
  • Through policy development, education – provider and consumer, advocacy, and community empowerment
  • Issues: health care for all, school health centers, immunizations, reducing maternal and infant mortality
covering kids and families illinois
Covering Kids and Families Illinois
  • RWJF grant
  • 1999 through June 2006
  • Back-to-School, Faith, Health and Unity
  • Toolkits
  • Advocacy efforts – legislative and administrative
state of children s health coverage in il
State of children’s health coverage in IL
  • All Kids since July 2006
  • Enrollment
  • Simplifications
brief history of chip
Brief history of CHIP
  • 1997 Balanced Budget Act
  • Block grant
  • State flexibility
    • Covered populations
    • Coverage package
  • Previous attempts for reauthorization
  • Temporary extension
hr2 children s health insurance program reauthorization act of 2009 chipra
HR2: Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA)
  • Similar to CHIPRA legislation from previous Congress
  • Additional flexibility, tools and incentives
  • September 2013
funding
Funding
  • $69 billion over 4 ½ years
  • $.62/pack increase in cigarette tax
  • CHIP federal match, block grant remains the same
  • “Use it or lose” it timeframe reduced
  • Allocation formula
  • Contingency fund
funding illinois specific
Funding – Illinois specific
  • Illinois - $344.9 million in FY09, increase of 73%
enrollment
Enrollment
  • 7 million currently enrolled
    • Additional 4.1 million by 2013
  • Performance bonuses
    • Exceed Medicaid enrollment target
    • Implement 5 of 8 best practices
      • 12-month continuous eligibility
      • No asset test
      • No face-to-face interview
      • Joint Medicaid/CHIP application
      • Automatic/administrative renewal
      • Presumptive eligibility
      • Express lane eligibility
      • Premium assistance
enrollment illinois specific
Enrollment – Illinois specific
  • All Kids enrollment
  • Current best practices
  • Will we meet Medicaid enrollment targets?
eligibility
Eligibility
  • Full CHIP match up to 300%
  • Above 300% will be lower Medicaid match
  • Cit/doc requirements will apply to CHIP Oct 09
  • Premium assistance
  • ICHIA provisions included*
  • Phase-out of adult coverage
eligibility illinois specific
Eligibility – Illinois specific
  • Match for All Kids enrollees 200-300% FPL
  • Cit/doc - Presently, no negative action for children
  • No anticipated effect on All Kids Premium (134-200% FPL)
  • Illinois already covered LPRs with less than five years of residency, but state-only funds
  • No effect on FamilyCare (Medicaid)
outreach
Outreach
  • $100 million for grants
    • $10 million national campaign
    • $10 million specific to Native Americans
    • $80 to state and local organizations through HHS
outreach illinois specific
Outreach – Illinois specific
  • Covering Kids and Families coalition model
  • National CKF Network
  • Congressional delegation and HHS
other provisions
Other provisions
  • At least 75% match for outreach and interpretation services
  • Required dental benefit with baseline services
  • Dental wrap-around coverage
  • Mental health parity
  • Recognition of school health centers
  • New quality measures, health IT/EMRs, preventing childhood obesity, MEDPAC
conclusions
Conclusions
  • First step toward comprehensive health care reform
  • Reality of state budget deficits
  • Great plan – what about implementation?
contact information
Contact Information

Illinois Maternal & Child Health Coalition

Kathy Chan

Policy Director

312-491-8161x24

[email protected]

www.ilmaternal.org

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