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This analysis of the SCHIP and Medicaid application processes in 8 states finds that states have implemented similar strategies for simplifying SCHIP enrollment, but simplifications to Medicaid are less extensive. Inconsistencies between SCHIP and Medicaid eligibility requirements and procedures can make the enrollment process confusing for families. While less than 50 percent of applications were approved for SCHIP in many states, a large proportion appeared eligible for Medicaid and were referred to that program. Large proportions of SCHIP applications are denied for procedural reasons. SCHIP programs ask families about existing health insurance coverage, but only a small proportion already have insurance. State data systems cannot precisely report on the outcomes of the eligibility process.