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Outreach & Enrollment Grants

Outreach and enrollment grants support activities aimed at identifying and enrolling children who are eligible for Medicaid and the Children's Health Insurance Program (CHIP). Along with the National Connecting Kids to Coverage Campaign, these activities have helped boost enrollment of eligible children in Medicaid and CHIP.

History of Connecting Kids to Coverage Funding

Connecting Kids to Coverage outreach and enrollment funding was first included under the Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009 (Pub. L. 111-3) and then continued under the Patient Protection and Affordable Care Act (ACA) of 2010 (Pub. L. 111-148). Of the total amount of funding allocated for outreach and enrollment, 10% supports the national campaign and 10% is set aside for grants to Indian tribes, tribal health care providers and other tribal organizations. The remaining 80% supports funding for outreach and enrollment activities in states and local communities.

Under CHIPRA and the Affordable Care Act combined, a total of approximately $126 million in funding has been awarded, as follows:

The remaining $14 million supported the national campaign.

Funding under the Medicare Access and Chip Reauthorization Act (MACRA)

The Medicare Access and CHIP Reauthorization Act (MACRA), signed into law by President Obama on April 16, 2015, provides funding for the Children's Health Insurance Program (CHIP) through federal fiscal year (FFY) 2017. MACRA also provides funding for activities aimed at reducing the number of children who are eligible for Medicaid and CHIP but are not enrolled, and improving retention of eligible children who are currently enrolled. MACRA funding for outreach and enrollment cooperative agreements will build upon successful strategies facilitated by previous grant funding initiatives. The cooperative agreements will allow close collaboration between CMS and awardees throughout the duration of their projects to better ensure that funding is used as effectively and efficiently as possible.

To date CMS has awarded $32 million in cooperative agreements to states, school districts, and local community organizations through the Cycle IV Awards in 2016.

Funding under the Helping Ensure Access for Little Ones, Toddlers and Hopeful Youth by Keeping Insurance Delivery Stable (HEALTHY KIDS) Act

The Helping Ensure Access for Little Ones, Toddlers and Hopeful Youth by Keeping Insurance Delivery Stable (HEALTHY KIDS) Act provides $120 million for activities aimed at reducing the number of children who are eligible for, but not enrolled in, Medicaid and CHIP, and improving retention of enrolled children. Of the total $120 million in funding, 10% will be set aside for outreach to American Indian/Alaska Native (AI/AN) children, 10% will be set aside for the National Campaign, and the remainder will be awarded for outreach and enrollment of uninsured children and their parents. The remaining $96 million will be awarded through cooperative agreements to states, local governments, Indian tribes, tribal consortium, urban Indian organizations receiving funds under title V of the Indian Health Care Improvement Act, federal health safety net organizations, community-based organizations, faith-based organizations, and schools.