A school-based Children’s Health Insurance

Program/Children’s Medicaid

Outreach Model

The 100% Campaign

Health Action 2010January 28, 2010

Why Texas?

1.5 million children are uninsured

~230,000 undocumented

~500,000 live in families above 200%FPL.

750,000 are eligible for but not enrolled in CHIP or Children’s Medicaid.

•.

Why school-based outreach?

• 22% of Texas children are uninsured

• Texas’ eligibility system has challenges

• Confidentiality laws (i.e. HIPPA)

• Uninsured children are 25% more likely to miss school

• Schools can more easily track data on their students

History

• The Michael and Susan Dell Foundation (MSDF) insureakid® (iak) grants in 2002.

• Rio Grande Valley project has been ongoing.

• The project re-launched as the 100% Campaign in 2007.

• Of the 40 grantees, CDF-Texas is one of the few that has sustained the initiative.

100% Campaign

A partnership with Texas school districts to systematically identify and link eligible uninsured children with the Children’s Health Insurance Program (CHIP) and

Children’s Medicaid.

* Two implementation models in 20 districts.

Commitment

Children’s Defense Fund would:• Offer a rubric for implementation.• Provide training and ongoing technical assistance to appropriate

staff.

The school district would: • Add the health insurance question to the school enrollment form.• Gain the buy-in of key administrators and the school board• Work with CDF to develop an implementation and sustainability

plan.• Designate appropriate staff to implement the Campaign.• Track data to evaluate progress.

Ask the Question

What type of medical insurance do you carry for

this child?

CHIP Medicaid Private None

What type of medical insurance do you carry for

this child?

CHIP Medicaid Private None

Enter the Data

HISD Region 2007-08 2008-09

North 2,391 4,528

Central 258 (began March ‘08)

2,849

West 3,930 3,097

East 6,903 7,515

South 3,714 4,831

All Regions: 17,196 22,820

Conduct the Outreach

• Houston ISD outreached to 32,440 children – 2,926 children received direct assistance applying,

renewing or resolving barriers to the programs.

– nearly 8,500 did not qualify for coverage but were linked to alternative health resources.

• Edinburg CISD went from having a 40% uninsured rate in 2005 to 22.3% in 2008. The District currently has a 98% attendance rate.

• 15 school districts in the Rio Grande Valley assist an average of 1,400 children to apply every month.

Business Partnerships

1300 children assisted in one day in

Southeast TX

18 city-wide enrollment drives, assisting 23,000

children

100 statewide bilingual billboards

Outreach Challenges

• Smaller districts vs. larger districts

• Adding the health insurance question

• Student mobility

• Urban myths

• Unforeseen incidents

Children’s Health Insurance Program Reauthorization Act (CHIPRA) Outreach and Enrollment Grant

Outreach grant awarded to the Texas Association of School Administrators (TASA) to implement the 100% Campaign

into 8 target school districts:

•Corpus Christi ISD•Hidalgo ISD•Houston ISD•McAllen ISD

•Pharr San Juan ISD•San Antonio ISD•Valley View ISD•Harlingen CISD

CHIPRA Goals

• Identify and assist 25% of FRL student population

• Emphasize and assist families with renewal and troubleshooting processes

• Track and report data on outreach

• Sustain the initiative within each District by the end of Year 2

How is the project funded?

• Houston: local hospitals and HISD

• Alief: local health plan

• Rio Grande Valley Districts (16): Title I

• Corpus Christi: CHIPRA and Stimulus

• San Antonio: United Way and local health plan

Endorsements

Questions

Kelli King-JacksonTexas Director of Outreach

4500 Bissonnet, Suite 260Bellaire, Texas 77401T: 713-664-4080F: 713-664-1975kkingjackson@childrensdefense.org

Children’s Defense Fund – Texaswww.cdftexas.org