@article{ref1,
title="Medicaid disenrollment patterns among children coming into contact with child welfare agencies",
journal="Maternal and child health journal",
year="2016",
author="Raghavan, Ramesh and Allaire, Benjamin T. and Brown, Derek S. and Ross, Raven E.",
volume="20",
number="6",
pages="1280-1287",
abstract="OBJECTIVEs To examine retention of Medicaid coverage over time for children in the child welfare system. <br><br>METHODS We linked a national survey of children with histories of abuse and neglect to their Medicaid claims files from 36 states, and followed these children over a 4 year period. We estimated a Cox proportional hazards model on time to first disenrollment from Medicaid. <br><br>RESULTS Half of our sample (50 %) retained Medicaid coverage across 4 years of follow up. Most disenrollments occurred in year 4. Being 3-5 years of age and rural residence were associated with increased hazard of insurance loss. Fee-for-service Medicaid and other non-managed insurance arrangements were associated with a lower hazard of insurance loss. <br><br>CONCLUSIONS for Practice A considerable number of children entering child environments seem to retain Medicaid coverage over multiple years. Finding ways to promote entry of child welfare-involved children into health insurance coverage will be critical to assure services for this highly vulnerable population.<p /> <p>Language: en</p>",
language="en",
issn="1092-7875",
doi="10.1007/s10995-016-1929-9",
url="http://dx.doi.org/10.1007/s10995-016-1929-9"
}