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Children’s Coverage in the HUSKY Program: 2008-2012. Presentation by Connecticut Voices for Children to Council on Medical Assistance Program Oversight January 10, 2014 . Enrollment is…. Count of those with coverage who were : Ever enrolled OR Continuously enrolled OR

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children s coverage in the husky program 2008 2012

Children’s Coveragein the HUSKY Program: 2008-2012

Presentation by

Connecticut Voices for Children

to Council on Medical Assistance Program Oversight

January 10, 2014

enrollment is
Enrollment is…
  • Count of those with coverage who were:
    • Ever enrolled OR
    • Continuously enrolled OR
    • Enrolled at point-in-time
  • Net effect of:
    • New enrollees coming on +
    • Current enrollees staying on +
    • Current enrollees losing coverage (including some who may be still eligible)

Connecticut Voices for Children

husky program enrollment trends
HUSKY Program Enrollment Trends

HUSKY A child

Connecticut Voices for Children

coverage continuity is
Coverage Continuity is…
  • The absence of gaps or loss of coverage
  • A key component of quality in the HUSKY Program.me

Connecticut Voices for Children

coverage continuity is important for
Coverage Continuity Is Important For…
  • Timely access to primary care for age-appropriate preventive care (screening, health education, anticipatory guidance)
  • Timely diagnosis, treatment and follow-up for acute and chronic health conditions
  • Continuity of care from providers in ambulatory care settings rather than emergency departments

Connecticut Voices for Children

coverage continuity is affected by
Coverage Continuity Is Affected By…
  • Public awareness and outreach
  • Availability of application assistance
  • Simplified applications and procedures for applying and renewing coverage
  • Timely, readily understandable notices
  • How often coverage must be renewed
  • Timely, error-free processing

Connecticut Voices for Children

monitoring coverage continuity
Monitoring Coverage Continuity…
  • Data: HUSKY A and B enrollment records
  • Measures:
    • Continuously enrolled: Children under 19 were enrolled in January and subsequently enrolled for the entire calendar year in HUSKY A, HUSKY B, or HUSKY A and B (children who changed programs)
    • Gaps or loss of coverage: Children were enrolled in January and for 1 to 11 months in the calendar year

Connecticut Voices for Children

slide8

Connecticut Voices for Children

Note: Changes in HUSKY B may be due in part to data quality improvements in 2012

gaps or loss of coverage among children who were enrolled in january1
Gaps or Loss of Coverage Among Children Who Were Enrolled in January

Connecticut Voices for Children

Note: Changes in HUSKY B may be due in part to data quality improvements in 2012

conclusions
Conclusions
  • In 2012, most children were enrolled for the entire year, without gaps in coverage.
  • Between 2010 and 2012, the percentage of children with gaps in coverage declined, including for children at greatest risk—infants and older adolescents.
  • Children in HUSKY A (Medicaid) were more likely to have been continuously enrolled than children in HUSKY B (CHIP).

Connecticut Voices for Children

recommendations
Recommendations

1. Continue state- and community- based efforts to improve coverage continuity for eligible children, especially infants and older adolescents

2. Adopt 12-months continuous eligibility for children and parents to help them maintain coverage

Connecticut Voices for Children

recommendations1
Recommendations

3. Continue to improve front-end systems for applying and renewing coverage

4. Develop a plan for monitoring coverage continuity across the HUSKY Program and Connecticut’s new health insurance marketplace

Connecticut Voices for Children

slide14

For further information:

Mary Alice Lee, Ph.D.

Connecticut Voices for Children

malee@ctvoices.org

www.ctvoices.org

Connecticut Voices for Children