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Crowd

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NJ FamilyCare & Crowd-Out. Original crowd-out period at the inception of the program was 12 months. ... SCHIP Bills will not affect New Jersey crowd out policy ... – PowerPoint PPT presentation

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Title: Crowd


1
CrowdOut In NJ FamilyCare
  • Ann Clemency Kohler
  • Deputy Commissioner
  • New Jersey Department of Human Services
  • August 29, 2007

2
NJ FamilyCare Crowd-Out
  • Original crowd-out period at the inception of the
    program was 12 months.
  • In January 1999, crowd-out was reduced to 6
    months
  • In November 2005, crowd-out was reduced to 3
    months
  • Reducing crowd-out has not had a significant
    impact on enrollment

3
Crowd-Out Criteria
  • Applies only to SCHIP/NJFC not to the traditional
    Medicaid program
  • Exceptions
  • Regardless of income, if prior coverage was lost
    through no fault of the family
  • Familys income is less than 200 FPL they are
    purchasing coverage from an individual plan or
    COBRA
  • Familys income is between 201-350 FPL COBRA
    has expired

4
Affect of Reduced Crowd-Out Period
  • In SFY, 388 applicants were found to have
    insurance in the 3 months prior to applying for
    NJFC.just over 1/2 of applicants.
  • 1820 applicants were found to have health
    insurance at the time of the application.3.2
    of total applications

5
Changes to Crowd-Out
  • SCHIP Bills will not affect New Jersey crowd out
    policy
  • Recent CMS letter requiring 1 year crowd out
    will cause havoc with our program and could
    jeopardize coverage for thousands of children.
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