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Center Background

The Eligibility Process Improvement Center has evolved from the knowledge gained through the many years of experience in direction of national initiatives Supporting Families After Welfare Reform, Covering Kids and Covering Kids & Families. These initiatives helped to reduce the number of uninsured children and adults eligible for but not enrolled in Medicaid and SCHIP. The Southern Institute is an independent nonprofit organization that improves the well being of children and families through knowledge leadership and action. We educate through research of policies, systems and practices. We generate greater awareness and equip community and business leaders and policymakers with knowledge to make informed decisions.

 

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Eligibility Process Improvement Center

Introduction

The Southern Institute on Children and Families' Eligibility Process Improvement Center assists customers in improving the accuracy, efficiency and effectiveness of the eligibility process within public benefit programs that support lower-income children and families. The current focus of the center is the eligibility process and related caseload management of Medicaid and the State Children's Health Insurance Program (SCHIP).

Having health insurance for children is a vital link to health care access and, eventually, to good health. Children without health insurance are less likely to have a regular source of care, more likely to delay or avoid care when it is needed and less likely to receive the proper medical care for childhood illnesses such as sore throats, earaches and asthma. They are four times more likely to seek care in emergency rooms when they do seek care and are 25% more likely to miss school than insured children.

Click here to download informational materials about the Eligibility Process Improvement Center, including a detailed brochure.

Services

The Eligibility Process Improvement Center assists state and local eligibility offices in streamlining their application and renewal processes for Medicaid and SCHIP. In addition to having a solid, practical foundation in these programs, our staff has experience and knowledge in process improvement methodology and group facilitation. The center makes use of a Process Improvement Collaborative to affect Medicaid and SCHIP eligibility process improvement. Read more here...

The Center's Process Improvement Collaborative

Staff makes use of a Collaborative to affect improvement in the eligibility process. The Collaborative is a 12-month engagement between the Eligibility Process Improvement Center and up to 15 teams of public program and related private business leaders who share a common goal of rapidly achieving Medicaid and SCHIP eligibility process improvements. Read more here...

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