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Mathematica’s wide-ranging evaluation of Covering Kids and Families (CKF), a national initiative, is documenting the program’s success in increasing enrollment in the State Children’s Health Insurance Program and Medicaid. This brief reviews evaluation findings about best practices in this area, including information about the potential value of outreach and other types of program supports.

The study found that enrollment increases were most likely when the full set of CKF strategies was implemented: an effective coalition, successful efforts to simplify enrollment and coordinate coverage, sustained intensive outreach, and innovative projects emanating from local programs. In addition, the best results occurred when states were not facing budget pressure (and thus not inclined to cut outreach or make enrollment more difficult).