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February 2005, Vol 95, No. 2 | American Journal of Public Health 292-298
© 2005 American Public Health Association
DOI: 10.2105/AJPH.2002.006254

RESEARCH AND PRACTICE

Barriers to Medicaid Enrollment: Who Is at Risk?

Jennifer Stuber, PhD and Elizabeth Bradley, PhD

Jennifer Stuber is with the Division of Health and Science Policy, New York Academy of Medicine, New York, NY. Elizabeth Bradley is with the Division of Health Policy and Administration, Yale University, New Haven, Conn.

Correspondence: Requests for reprints should be sent to Jennifer Stuber, PhD, Research Associate, The New York Academy of Medicine, 1216 Fifth Ave, New York, NY 10029 (e-mail: jstuber{at}nyam.orgelizabeth.bradley{at}yale.edu).

Objectives. We identified factors associated with levels of knowledge about Medicaid eligibility rules and perceived Medicaid enrollment barriers.

Methods. Community health center patients who were parents of children potentially eligible for Medicaid (n=901) were interviewed in person during their clinic visit between April and December 1999.

Results. Individuals reporting physical health problems were more likely to be misinformed as were non-Hispanic Black individuals, compared with non-Hispanic White individuals. In states where more policies had been enacted to simplify Medicaid enrollment procedures, individuals were less likely to be misinformed. Individuals reporting mental health problems, those with less education, and women were more likely to perceive Medicaid enrollment barriers. Prior experience in Medicaid was associated with both a reduced risk of perceiving Medicaid enrollment barriers and being misinformed.

Conclusions. Findings highlight target groups for whom additional outreach and additional simplification policies may be most needed.




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