ED Medicaid Support

N/ANot Yet RecruitingNCT07594782

Hackensack Meridian Health180 enrolled

Overview

The study introduces a bedside intervention assisting families with the enrollment or re-enrollment process through patient direct contact with NJFamily Care and financial departments, using an emergency department (ED)-based navigator tool. The primary objective is to identify the barriers contributing to the lack of insurance coverage through NJ Family Care coverage using a brief survey with the parents of children who are treated in the ED and identified as uninsured, and to study the effect of a bedside intervention designed to assist families with the enrollment or re-enrollment process.

Study Type

INTERVENTIONAL

Allocation

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

180

Conditions

Pediatric Uninsured Emergency Visits Emergencies

Interventions

Navigation through financial systems and linkage to resourcesOTHER

Navigation through financial systems and linkage to resources to connect families and ultimately help them gain access to insurance for the pediatric patient.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Parent/guardian/ legal authorized representative (age 18 years or older) with children aged: 1 month to 17 years of age who obtain care in the pediatric emergency department * Child Uninsured (ie, Charity Care, HUMC Charity Care, Pending Medicaid, Self-Pay) * Interested in applying or receiving assistance with NJfamilycare * Not pending private insurance coverage * Primary language of the parent or guardian is identified as English * Pediatric patient lives in New Jersey Exclusion Criteria: * Parent/guardian/legal authorized representative with children aged: less than 1 month and greater than 17 years old Insured pediatric patient Parent/ Guardian/Legal Authorized Representative not present Parent/ Guardian/Legal Authorized Representative age 17 years or younger Primary language not identified as English Patients visiting the Emergency Department related to Motor Vehicle Accidents Already participated in this study

Outcomes

Primary Outcomes

Barriers to medicaid enrollment or reenrollment

Outcome of questionnaire regarding barriers expressed as percentage of participants who identified each barrier

Time frame: Survey is completed upon enrollment

Rate of Successful Medicaid Enrollment or Re-enrollment Approval

The proportion of the enrolled participants who reported approval for Medicaid coverage. This outcome measures the ultimate success of the intervention of re-establishing health insurance.

Time frame: Assessed via participant follow-up call or review of the electronic health record at 90 days post-intervention.

Secondary Outcomes

Enrollment in Temporary Insurance Coverage

The proportion of participants who, after receiving additional assistance, were successfully enrolled in a temporary or bridge insurance plan, known as presumptive eligibility. This measures the intervention's success in providing a safety net for families during the Medicaid application waiting period.

Time frame: Assessed via participant follow-up within 10 days (+/- 5 days) post-intervention and/or chart review.

Central Contacts

Daisy Negron, MBA, BSN, RN

CONTACT

551-996-3206 Daisy.Negron@hmhn.org

Data from ClinicalTrials.gov

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