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ExpectMore.govExpectMore.gov home pageEXPECT FEDERAL PROGRAMS TO PERFORM WELL, AND BETTER EVERY YEAR.
Program Assessment

Program

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State Children's Health Insurance Program

The State Children's Health Insurance Program provides funds to states to expand health insurance coverage to low-income, uninsured children under age 19.

Rating

What This Rating Means

PERFORMING
Adequate

This rating describes a program that needs to set more ambitious goals, achieve better results, improve accountability or strengthen its management practices.
  • The program has been successful in enrolling and providing health coverage to uninsured children. The program enrolled 7.1 million children in 2007, compared to approximately 600,000 children in 1998.
  • The program does not measure its impact on improving children's health. Existing strategic goals such as number of children enrolled in the program, do not assess health outcomes. Additional goals related to outcomes are still under development.
  • CMS has begun to produce error rate estimates for the SCHIP program, which awards approximately $5 billion per year to States. We expect SCHIP will be measured in all states by the end of FY 2009; with the appropriate corrective actions to be taken by each set of 17 states as the measurement continues in the future.

Improvement Plan

About Improvement Plans

We are taking the following actions to improve the performance of the program:

  • Working with States to develop long-term goals and implement a core set of national performance measures to evaluate the quality of care received by low-income children.
  • Working with States to develop goals for measuring the impact of the program on targeted low-income children through the annual state reporting process.
  • Establishing a methodology to measure improper payments, including producing error rates.

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