Clinical trial NCT05433454: Impact of Outreach on Medicaid Enrollment
Official title: Outreach and Maintenance of Medicaid Enrollment: Evidence From Wisconsin's Navigator Program
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Health Insurance
Keywords: Outreach
Enrollment
Medicaid
Lead sponsor: University of Wisconsin, Madison
Sponsor class: OTHER
Collaborators: name: Covering Wisconsin
First posted: 2022-06-27
Enrollment: 224000
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The nature of the intervention will be randomized to participants.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: This project will assess the impact of various forms of outreach from navigators on Medicaid enrollment. Navigators are professionals who can provide one-on-one assistance with the Medicaid renewal process. The investigators propose to randomize the nature of outreach to households in Wisconsin enrolled in fee-for-service Medicaid who must renew or lose their coverage.

Detailed description: During the COVID-19 public health emergency, states received support to maintain continuous Medicaid coverage, raising Medicaid enrollment to unprecedented levels. In Wisconsin, enrollment was nearly 30% higher by the end of 2021 compared to February 2020, with the maintenance of enrollment policy contributing to much of this increase. After the end of the public health emergency, normal renewal processes will resume.

The Wisconsin navigator program, Covering Wisconsin, has been commissioned by the Department of Health Services (DHS) to conduct outreach to the group of fee-for-service Medicaid beneficiaries who need to re-determine eligibility after the conclusion of the public health emergency. To identify what outreach strategies are most effective, the investigators propose to randomize the nature of outreach used. While there will be some variation in the content and timing of messages, all beneficiaries will receive messages with clear information on how to contact the navigators.

Per a protocol amendment approved on 2/21/24, the study team will no longer randomize receipt of an outbound call but rather will provide it to all participants.

Eligibility criteria: Inclusion Criteria:

* Included on the lists Wisconsin DHS provides to Covering Wisconsin of fee-for-service Medicaid beneficiaries who need to renew their Medicaid coverage

Exclusion Criteria:

* Prefer a language other than English or Spanish or lack a cellular phone number

Primary outcomes:
measure: Number of Participants Who Renew Medicaid Coverage
timeFrame: up to 1 year
Secondary outcomes:
Other outcomes:
measure: Number of Participants Who Submit an Application to Renew Medicaid Coverage
timeFrame: up to 1 year
measure: Number of Participants for Whom Application to Renew Medicaid Coverage is Denied for Administrative Reasons
timeFrame: up to 1 year
measure: Demographics of People who Renew Medicaid Coverage
timeFrame: up to 1 year
measure: Number of Participants Responding 'DONE' to Text Message Outreach
timeFrame: up to 1 year
measure: Survey of Participants Who Received an Outbound Call Reported in Count of Participants
timeFrame: up to 1 year
Locations:
city: Madison
country: United States
facility: University of Wisconsin
state: Wisconsin
Study officials:
affiliation: UW-Madison School of Medicine and Public Health
name: Rebecca Myerson, MPH, PhD
role: PRINCIPAL_INVESTIGATOR
References: