Navigation Links
Community Health Centers Reveal Specific Ramifications of The Medicaid Citizenship and Identification Documentation Requirements

Continued Assessment of Impact Underway; Updated Results to Be Released in

Fall 2007 as Congress Considers Legislation to Ease Requirements

WASHINGTON, Sept. 24 /PRNewswire-USNewswire/ -- As part of its ongoing assessment of the impact of Medicaid documentation requirements enacted by Congress in 2006, The George Washington University School of Public Health and Health Services (GW SPHHS) compiled profiles documenting the experiences of community health centers across the country. The details that emerged as part of the research, which is supported by the RCHN Community Health Foundation, illustrate the major and measurable impact the rules are having on access to care and health centers' operations. Patients, particularly children and citizens, are facing barriers to continued service, and centers are experiencing the financial fallout. Snapshots of the case studies are available at:

The preliminary findings of the study, released in May 2007, revealed the requirements are disrupting coverage for hundreds of thousands of health center patients, while delaying enrollment in Medicaid for potentially hundreds of thousands more. GW SPHHS is now in the process of repeating the survey in order to provide updated results in fall 2007, when House and Senate Conferees are expected to meet to resolve differences in legislation that could ease these requirements.

"Our initial research coupled with these case studies make it clear that the Medicaid documentation requirements are presenting significant enrollment barriers and jeopardizing healthcare access for vulnerable populations," said study author Peter Shin, PhD, MPH, associate research professor and research director for the Geiger Gibson Program/RCHN Community Health Foundation Research Collaborative.

"The accounts of the community health center leaders underscore the devastating consequences of these requirements," said Julio Bellber, president of the RCHN Community Health Foundation, which supports ongoing health center research and scholarship at GW SPHHS. "We've uncovered these stories and we're sharing them because we're dedicated to supporting health centers in their mission to provide exceptional care. If health centers and their patients are compromised because of the new rules, that hurts everyone."

The research, which includes interviews with community health leaders from Wichita, Kansas; Nogales, Arizona; Pittsburg, Kansas, and others, shows that health centers' ability to provide care for both their insured and uninsured patients is being adversely affected in the following ways:

-- Barriers to Access:

Rather than curtailing enrollment of ineligible individuals, the

reforms are affecting American citizens and documented immigrants. The

policy has erected particularly daunting barriers to healthcare access

for U.S.-born children and, ironically, for American Indians and Alaska

Natives, whose tribal documents may not always be officially recognized

by the federal government.

-- Financial Ramifications:

Because of significant delays in the Medicaid application and

enrollment process, health centers suffer adverse financial

consequences while they continue to serve patients awaiting coverage


The interviews may be viewed at

In 2006, health centers -- the largest source of comprehensive primary care for low income patients -- served more than 15 million patients, including 5.3 million Medicaid beneficiaries and one quarter of the nation's children living at or below the poverty level. Medicaid accounts for 37 percent of all health center operating revenues. Results from this initial national impact assessment, the first study to systematically study the effects of documentation rules, show that documentation requirements have caused a nationwide disruption in Medicaid coverage for health center patients.

Sara Rosenbaum, JD, Hirsh Professor and Chair of the School of Public Health and Health Services, and a co-author of the study, commented: "What is staggering is that more than 90 percent of all health centers reported enrollment difficulties for patients of all ages, including newborn children. Our latest data, and the profiles gathered in our interviews, suggest that eligible citizens are experiencing the biggest obstacles to enrollment."

The initial report, "An Assessment of the Effects of Medicaid Documentation Requirements on Health Centers and Their Patients" can be downloaded at: pdf

The updated results are expected in October.

About the RCHN Community Health Foundation

The RCHN Community Health Foundation (RCHN CHF) is a New York-based not- for-profit operating foundation dedicated to supporting and benefiting community health centers (CHCs) in New York state and nationally. The Foundation develops and supports programmatic and business initiatives related to community health center access, pharmacy and health information technology through strategic investment, research, outreach, education, and coalition building and advocacy. For more information about RCHN CHF, contact Chief Operating Officer Feygele Jacobs at (212) 246-1122, ext. 712, or or visit

About The George Washington University Medical Center

The George Washington University Medical Center is an internationally recognized interdisciplinary academic health center that has consistently provided high-quality medical care in the Washington, DC, metropolitan area for 176 years. The Medical Center comprises the School of Medicine and Health Sciences, the 11th oldest medical school in the country; the School of Public Health and Health Services, the only such school in the nation's capital; GW Hospital, jointly owned and operated by a partnership between The George Washington University and a subsidiary of Universal Health Services, Inc.; and the GW Medical Faculty Associates, an independent faculty practice plan. For more information on GWUMC, visit

All news releases available online at

CONTACT: Sarah Freeman, GW (202) 994-8874

Sara Rosenbaum, GW (202) 530-2343

Peter Shin, GW (202) 530-2313

SOURCE RCHN Community Health Foundation; George Washington U.Medical
Copyright©2007 PR Newswire.
All rights reserved

Related medicine news :

1. International community warns India on HIV situation
2. Medical community worried that new curriculum will Promote Quackery
3. Wangaratta Community fundraising for Herceptin drug
4. Community hospitals inundated with Psychiatric care cases (12%)
5. Canadian Sikh Community Donates To Hospital Project In Canada
6. Local Community Objects to Mental Facility
7. People Want Community Hospitals to Stay
8. Bird Flu attacks the feline community
9. Community Service at Lincoln County, to serve mentally ill
10. Community Dentists To Receive 10 Percent Salary Boost
11. Coraki Community Wants To Know About the Plans for the Campbell Hospital
Post Your Comments:
(Date:11/25/2015)... ... November 25, 2015 , ... For the first time, Vitalalert ... Organizations, One Beat ” campaign. The partnership between the two groups began in 2014 ... MAP International’s cause. , MAP International was founded in 1954 and is an international ...
(Date:11/25/2015)... ... ... On November 25, 2015, officials of Narconon Arrowhead , the drug rehabilitation ... new cutting edge recovery program that has been 50 years in the making. ... with the purpose to free addicts from the symptoms and negative behaviors of addiction. ...
(Date:11/25/2015)... ... ... Smiles by Stevens is pleased to announce the addition of Botox® for ... aware of the benefits of Botox® in the treatment of moderate facial wrinkling, few ... and pain as a result of Jaw Tension, TMJ (temporo-mandibular joint) disorder, and Bruxism ...
(Date:11/25/2015)... ... November 25, 2015 , ... In an ongoing Clinical Study conducted by an ... IL, UV Angel is evaluating the efficacy of its product and its disinfection protocol. ... 30 beds) from May 2014 through October 2015 at a 360-bed, acute-care, academic medical ...
(Date:11/25/2015)... Spring, Md (PRWEB) , ... November 25, 2015 ... ... Pulmonary Hypertension Association (PHA) announces the nation’s Periwinkle Pioneers, individuals and groups responsible ... history of this disease. The Periwinkle Pioneers, nominated by the public, will receive ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... 2015 Kitov Pharma ceuticals ... a biopharmaceutical company focused on the development of therapeutic ... today announced the closing of its previously announced underwritten ... ), each representing 20 ordinary shares of the Company, ... ADSs and warrants were issued in a fixed combination ...
(Date:11/25/2015)...  Today AVACEN Medical announced the issue of United States patent No. ... ". This patent shields the company,s AVACEN 100 dry heat therapy medical device and specific methods ... Photo - ... ... ...
(Date:11/25/2015)... , Nov. 25, 2015 USP 800 ... drug preparations (e.g. pharmacists, pharmacy technicians, nurses, physicians, ... technicians). The chapter also covers all entities which ... pharmacies, hospitals, other healthcare institutions, patient treatment clinics, ... --> --> What is ...
Breaking Medicine Technology: