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Cover More Kids
Strategies to reduce the number of children and youth with special health care needs (CYSHCN) who do not have health insurance.
Three to nine percent of CYSHCN are without health insurance coverage.[1] While the percentage of uninsured CYSHCN may be small compared to that of the general population, for those approximately 900,000 children the lack of health insurance is a fundamental threat to health, development, and well-being. Strategies to reduce the number of CYSHCN who do not have health insurance include:
- Expand eligibility for the State Children’s Health Insurance Program (CHIP);
- The TEFRA State Plan Option for Severely Disabled Children (formerly Katie Beckett waivers);
- Home and Community-Based Services Waivers (referred to as 1915c waivers);
- Premium assistance;
- Assistance with other costs of insurance;
- Private sector initiatives;
- Comprehensive health care reform;
- Medicaid buy-in programs;
- Other strategies to expand coverage.
[1] National Survey of Children with Special Health Care Needs. NS-CSHCN 2009/10. Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health website. Retrieved January 30, 2013 from http://www.childhealthdata.org.
Additional Resources
- Financing the Special Health Care Needs of Children in Foster Care: A Primer
- Risk Adjustment and Other Financial Protections for Children with Special Health Care Needs in Our Evolving Health Care System
- Public Insurance Programs and Children with Special Health Care Needs: A Tutorial on the Basics of Medicaid and the Children's Health Insurance Program (CHIP)
- The Massachusetts Child Psychiatry Access Project: Combining Innovation and Collaboration to Enhance Children's Mental Health Services in the Primary Care Setting [PDF]
- Dancing with Data: Using data to support your message
- Video: Bridging the gaps for families of children with special health care needs: RI Pediatric Practice Enhancement Project
- Just the Facts: The 411 on Health Insurance for Young Adults Ages 18 - 30 in Florida