Barriers to Access for Children on Medicaid

According to the New England Journal of Medicine:

"Expansions of Medicaid and the Children’s Health Insurance Program (CHIP) are designed to extend access to high-quality medical care to all U.S. children. However, evidence suggests that the 37 million children covered by Medicaid–CHIP are less likely to receive specialty care than children covered by commercial insurance."

Access Disparities for Medicaid Children
Researchers have found that medical specialists are more likely to deny appointments to children with Medicaid. Assistants posed as mothers and made phone calls to 273 clinics in Cook County, IL. Only 11% of privately insured individuals were denied appointments, while 66% of the children on Medicaid were denied. 

Disparities were also present in waiting times. At the 89 clinics that accepted both insurances, there was a 42 day wait for a child on Medicaid as opposed to a 20 day wait for those with private insurance. 

Possible reasons for the differences include lower reimbursement rates for Medicaid and more problems with the payment process.

Researchers say that the results are not likely to be unique to Cook County. The study was published in the New England Journal of Medicine.

2010 Ohio Medicaid Atlas

The 2010 Ohio Medicaid Atlas contains amazing maps and detailed demographics regarding various populations - but emancipated foster youth are not among them.

Despite the fact that current and former foster successfully advocated to extend Medicaid coverage for foster care youth until age 21, there remain barriers to access regarding these benefits that still need to be overcome.

When Ohio foster care youth between the ages of 18-21 go to their local Medicaid office to apply for benefits, they have run into the following challenges:

• The staff person they speak to is unaware that emancipated foster care youth are eligible for Ohio Medicaid until age 21
• The young person is told that their card is "in the mail," and six months or more go by without the young person ever receiving it
• The young person does initially receive Medicaid, but services are dropped before the young person reaches age 21

As I mentioned in a previous blog post:

"The Fostering Connections Act of 2008 requires States to create and maintain a health oversight and coordination plan for each young person in foster care, in order to ensure that each child receives regular and comprehensive care, access to services beyond his or her 18th birthday, and a medical passport."

My hope is that Ohio foster care youth, alumni and allies can continue to work together towards this goal.