TY  - JOUR
PY  - 2016//
TI  - Medicaid disenrollment patterns among children coming into contact with child welfare agencies
JO  - Maternal and child health journal
A1  - Raghavan, Ramesh
A1  - Allaire, Benjamin T.
A1  - Brown, Derek S.
A1  - Ross, Raven E.
SP  - 1280
EP  - 1287
VL  - 20
IS  - 6
N2  - 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>
LA  - en
SN  - 1092-7875
UR  - http://dx.doi.org/10.1007/s10995-016-1929-9
ID  - ref1
ER  -