Page 41

Official source

Missouri Application for the State Children’s Health Insurance Program Effective Date: 09/01/2007 Approval Date: 09/28/2007

Prior Approval Date: - 18A - State to better assess whether the availability of SCHIP or whether market factors effecting the availability and cost of private insurance are the causative agent(s) in any reduction in private insurance enrollment and any increase in SCHIP enrollment. The following data sources will be utilized: • The Medical Expenditure Panel Survey (MEPS) Insurance Component. Data are available by state; as of July 11, 2007 Missouri specific data are available for the years 1996 – 2004. • Data from the annual “Employer Health Benefits Survey” conducted by the Kaiser Family Foundation and the Health Research and Education Trust (HRET). The data are national only; as of July 11, 2007, the most recent survey results available were from 2006. • State and Area Employment, Hours and Earnings data from the U.S. Department of Labor, Bureau of Labor Statistics (BLS). BLS data, are collected each month; as of July 11, 2007, the most recent data are from May 2007. In addition to using data, the State will augment its analysis through the use of recently published research and studies in the area of substitution and crowd-out. 4.4.4.3  Coverage provided to children in families above 250% FPL: describe how substitution is monitored and identify specific strategies in place to prevent substitution. Response: Refer to response in section 4.4.4.2. 4.4.4.4  If the State provides coverage under a premium assistance program, describe: The minimum period without coverage under a group health plan, including any allowable exceptions to the waiting period. The minimum employer contribution.

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Page 41

Official source

Missouri Application for the State Children’s Health Insurance Program Effective Date: 09/01/2007 Approval Date: 09/28/2007

Prior Approval Date: - 18A - State to better assess whether the availability of SCHIP or whether market factors effecting the availability and cost of private insurance are the causative agent(s) in any reduction in private insurance enrollment and any increase in SCHIP enrollment. The following data sources will be utilized: • The Medical Expenditure Panel Survey (MEPS) Insurance Component. Data are available by state; as of July 11, 2007 Missouri specific data are available for the years 1996 – 2004. • Data from the annual “Employer Health Benefits Survey” conducted by the Kaiser Family Foundation and the Health Research and Education Trust (HRET). The data are national only; as of July 11, 2007, the most recent survey results available were from 2006. • State and Area Employment, Hours and Earnings data from the U.S. Department of Labor, Bureau of Labor Statistics (BLS). BLS data, are collected each month; as of July 11, 2007, the most recent data are from May 2007. In addition to using data, the State will augment its analysis through the use of recently published research and studies in the area of substitution and crowd-out. 4.4.4.3  Coverage provided to children in families above 250% FPL: describe how substitution is monitored and identify specific strategies in place to prevent substitution. Response: Refer to response in section 4.4.4.2. 4.4.4.4  If the State provides coverage under a premium assistance program, describe: The minimum period without coverage under a group health plan, including any allowable exceptions to the waiting period. The minimum employer contribution.