Estimating the Costs and Consequences of Enrollment Instability in Medicaid, Child Health Plus, and Family Health Plus


Roughly half of New Yorkers enrolled in Medicaid and Child Health Plus do not complete the eligibility recertification process and lose their health coverage within a year. Such a low reenrollment rate not only undermines efforts to reduce the uninsured population, it threatens the quality and continuity of care provided to low-income families. This project will develop case studies that document the human consequences of enrollment turnover, estimate the resources spent on current recertification processes, and analyze the income dynamics of low-income families. The analyses will determine whether New York's system, in the course of screening out the relatively few enrollees who are no longer eligible for coverage, inappropriately screens out many families who continue to qualify. To develop recommendations for simplifying New York's recertification rules, project staff will examine how other states have streamlined their procedures.

Grant Details

Grantee Organization:
The Commonwealth Fund
Principal Investigator:
David Sandman
Award Amount:
Approval Date:
November 13, 2001

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