Impact of Outreach on Medicaid Enrollment

Health Insurance Clinical Trial

Official title:

Outreach and Maintenance of Medicaid Enrollment: Evidence From Wisconsin's Navigator Program

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05433454
• Other study ID #: 2022-0806
• Secondary ID: Protocol Amend 2
• Status: Recruiting
• Phase: N/A
• Start date: May 17, 2023
• Est. completion date: May 2026

Study information

• Verified date: February 2024
• Source: University of Wisconsin, Madison
• Contact: Rebecca Myerson, MPH, PhD
• Phone: (608) 263-2082
• Email: rmyerson[@]wisc.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This project will assess the impact of various forms of outreach from navigators on Medicaid enrollment. Navigators are professionals who can provide one-on-one assistance with the Medicaid renewal process. The investigators propose to randomize the nature of outreach to households in Wisconsin enrolled in fee-for-service Medicaid who must renew or lose their coverage.

Description:

During the COVID-19 public health emergency, states received support to maintain continuous Medicaid coverage, raising Medicaid enrollment to unprecedented levels. In Wisconsin, enrollment was nearly 30% higher by the end of 2021 compared to February 2020, with the maintenance of enrollment policy contributing to much of this increase. After the end of the public health emergency, normal renewal processes will resume.

The Wisconsin navigator program, Covering Wisconsin, has been commissioned by the Department of Health Services (DHS) to conduct outreach to the group of fee-for-service Medicaid beneficiaries who need to re-determine eligibility after the conclusion of the public health emergency. To identify what outreach strategies are most effective, the investigators propose to randomize the nature of outreach used. While there will be some variation in the content and timing of messages, all beneficiaries will receive messages with clear information on how to contact the navigators.

Per a protocol amendment approved on 2/21/24, the study team will no longer randomize receipt of an outbound call but rather will provide it to all participants.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 224000
• Est. completion date: May 2026
• Est. primary completion date: May 2026
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Included on the lists Wisconsin DHS provides to Covering Wisconsin of fee-for-service Medicaid beneficiaries who need to renew their Medicaid coverage

Exclusion Criteria:

• Prefer a language other than English or Spanish or lack a cellular phone number

Related Conditions & MeSH terms

• Health Insurance

Intervention

Other:
• Outreach From Navigators
Navigators are professionals who can provide one-on-one assistance with the Medicaid renewal process. The nature of the outreach will be randomized to participants.

Locations

Country	Name	City	State
United States	University of Wisconsin	Madison	Wisconsin

Sponsors (2)

Lead Sponsor	Collaborator
University of Wisconsin, Madison	Covering Wisconsin

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Number of Participants Who Submit an Application to Renew Medicaid Coverage		up to 1 year
Other	Number of Participants for Whom Application to Renew Medicaid Coverage is Denied for Administrative Reasons		up to 1 year
Other	Demographics of People who Renew Medicaid Coverage	The investigators will measure the characteristics of people who renew medicaid coverage, including baseline income, race/ethnicity, and language preference.	up to 1 year
Other	Number of Participants Responding 'DONE' to Text Message Outreach		up to 1 year
Other	Survey of Participants Who Received an Outbound Call Reported in Count of Participants	People who received an outbound call will be asked whether they finished an application to renew their coverage or receive new coverage, and whether they received a text message or postcard with a reminder and information about how to get help.	up to 1 year
Primary	Number of Participants Who Renew Medicaid Coverage		up to 1 year