United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 2002-03-29 monographic deposited born digital 28 p. GA 1.13:GAO-02-512 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-02-512 P0b002ee1803a1326 f:d02512 DGPO 2010-08-12 2011-03-23 GAOREPORTS-GAO-02-512 machine generated eng fdlp REPORT GAOREPORTS-GAO-02-512 GAO-02-512 Federal aid to states Federal/state relations Health insurance Health services administration Children Child care programs Health care programs BLS Current Population Survey Early and Periodic Screening, Diagnosis, and Treatment Program Other Written Product A02946 Congress created the State Children's Health Insurance Program (SCHIP) in 1997 to reduce the number of uninsured children in families with incomes that are too high to qualify for Medicaid. Financed jointly by the states and the federal government, SCHIP offers a strong incentive for states to participate by offering a higher federal matching rate than the Medicaid program. Although this incentive encourages state participation in SCHIP, concerns were raised that states might inappropriately enroll Medicaid-eligible children in SCHIP and thus obtain higher federal matching funds than allowed under Medicaid. The Department of Health and Human Services Office of Inspector General (OIG) concluded that Medicaid-eligible children were not being enrolled in SCHIP by the 13 states that administer separate child health care programs. Further, the issue of appropriate enrollment is not limited to states with completely separate child health programs, but also applies to those states with combination programs and Medicaid expansions, which also receive the higher SCHIP matching rate. The OIG could not conclude whether states were reducing the number of uninsured children and in meeting the objectives and goals they established in their SCHIP programs. Furthermore, the OIG found that some states had set program goals without considering how they might be measured and that states' staffs often lacked adequate evaluation skills. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-02-512/html/GAOREPORTS-GAO-02-512.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-02-512/pdf/GAOREPORTS-GAO-02-512.pdf GAO-02-512 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-02-512 Other Written Product GAO-02-512; Children's Health Insurance: Inspector General Reviews Should Be Expanded to Further Inform the Congress; Federal aid to states Federal/state relations Health insurance Health services administration Children Child care programs Health care programs BLS Current Population Survey Early and Periodic Screening, Diagnosis, and Treatment Program Title 5 Appendix 3 5 U.S.C. App. 3 Public Law 105-33