Improving Health Service Access for Medicaid-Eligible Migrant Farmworkers
Author: Kenesson, Mary S.
Medicaid-eligible migrant farmworkers present an array of challenges in outreach, eligibility determination, access and continuity of care. This report presents a basic orientation to the health status and access problems facing migrant farmworkers, and the challenges of providing Medicaid and State Children's Health Insurance Program (SCHIP) coverage to farmworkers and their family members who travel across state lines. The report also: summarizes past research on and current prospects for multi-state reciprocity demonstrations; raises options and issues for public/private partnerships through insurance or managed care models; and notes a variety of short-term policy and operational alternatives.
Medicaid-eligible migrant farmworkers present an array of challenges in outreach, eligibility determination, access and continuity of care. This report presents a basic orientation to the health status and access problems facing migrant farmworkers, and the challenges of providing Medicaid and State Children's Health Insurance Program (SCHIP) coverage to farmworkers and their family members who travel across state lines. The report also: summarizes past research on and current prospects for multi-state reciprocity demonstrations; raises options and issues for public/private partnerships through insurance or managed care models; and notes a variety of short-term policy and operational alternatives.
