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:10/13/2015)... ... October 13, 2015 , ... ... development solutions for drugs, biologics, consumer health and animal health products, today announced ... will lead a new, dedicated global team of drug development and technology experts. ...
(Date:10/12/2015)... Nashville, TN (PRWEB) , ... October 13, 2015 ... ... the recipients of its biannual Heroes in Recovery Awards at Foundations Recovery Network’s ... Foundations Recovery Network presented the one-of-a-kind awards to Noah Levine and Dean Dauphinais ...
(Date:10/12/2015)... ... October 13, 2015 , ... North American Tool Corporation has been named ... National Meeting in Rosemont, IL on October 4th. , Each year, ... excellence that customers have come to expect from members of IBC’s marketing group. ...
(Date:10/12/2015)... ... ... of the “Check-In and Win a Vacation to Hawaii” Facebook contest at Gold’s Gym ... didn’t believe I could win a free vacation simply by checking in on Facebook every ... and invest in my own health – and now I’m going to Hawaii.” , Thanks ...
(Date:10/12/2015)... ... , ... Amerec , a leader in the steam and sauna industry, ... be displaying custom sauna and steam room solutions at the ISPA Conference & Expo ... customers, SpaEquip is recognized for their ability to assist in the design and implementation ...
Breaking Medicine News(10 mins):
(Date:10/12/2015)... Minn. , Oct. 12, 2015 Device ... a need to help integrate these devices into existing ... of ergonomic healthcare mounting and mobility solutions, has launched ... lightest cart yet, for a wide array of laptops ... Cart SV10 was developed exclusively for Microsoft Surface and ...
(Date:10/12/2015)... , October 12, 2015 ... Forecast to grow at 7.2% CAGR, microscopy ... by rising focus on nanotechnology, technological advancements, ... research report available with ... . --> Complete report ...
(Date:10/12/2015)... England , Oct. 12, 2015 Indivior PLC ... the District of Delaware granted the ... Teva Pharmaceuticals, Abbreviated New Drug Application (ANDA) No. 205299 to ... SUBOXONE® (buprenorphine and naloxone) Sublingual Film (CIII) in ... --> Since August 2013, Indivior has received Paragraph ...
Breaking Medicine Technology: