Title XXI Outreach and Enrollment
Regulations: Options
Although no formal Title XXI regulations
had been issued, the Health Care Financing Administration (HCFA), now the Centers for Medicare and Medicaid Services (CMS), had
provided preliminary guidance for SCHIP outreach and enrollment in a letter to State officials dated January 23,
1998. This letter, and other HCFA (now CMS) guidance can be found at http://www.cms.hhs.gov/home/schip.asp  . The letter outlines the Title XXI
outreach rules, provides examples of and options for successful outreach and enrollment,
and describes Federal funding available for such activities.
Several options are available to
States for receipt of Federal matching funds to find and enroll uninsured children in
Medicaid and/or SCHIP:
- Medicaid will match States’
expenditures associated with outreach to Medicaid-eligible children, such as
informing families about Medicaid through brochures and other promotional materials,
providing necessary forms for Medicaid eligibility determination, and assisting families
in completing Medicaid applications.
- Under the Non-Medicaid SCHIP Option, up to 10 percent
of a State’s SCHIP allotment may be used for non-benefit activities such as
outreach to SCHIP-eligible children, administrative costs, and health services initiatives.
- The Medicaid-SCHIP Option allows outreach
activities related to a Medicaid expansion under SCHIP to be matched either from the
State’s SCHIP allotment or under regular Medicaid, at the State’s discretion.
- The Medicaid-SCHIP Option allows joint
Medicaid and SCHIP outreach efforts to be matched by either Medicaid or SCHIP. More detailed
guidance on this option is provided in a December
8, 1997, letter to State officials. This letter and other HCFA (now CMS) guidance can be found at http://www.cms.hhs.gov/home/schip.asp
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Outreach/Enrollment 
