Active renewal policies that required families to submit
documentation to verify their continued eligibility
were associated with substantial disenrollment.
Requiring active eligibility redetermination every 6
months rather than every 12 months resulted in even
higher levels of disenrollment over time. Up to one-
quarter of children who disenrolled at renewal
returned to SCHIP within 3 months (18 percent to
27 percent). A simplified renewal process that
automatically reenrolled children in SCHIP unless
their families submitted reenrollment forms indicating
a change affecting their eligibility substantially reduced
disenrollment at SCHIP renewal.
In some States with separate SCHIP programs,
SCHIP design limited coverage for certain specialty
services that are needed by CSHCN. This was done
directly by limiting the...