MCHbest. NPM 15: Continuous and Adequate Insurance
Strategy. Outreach Using Mini-Grant Opportunities
Approach. Provide small grants to community-based organizations to improve enrollment and utilization of Medicaid and CHIP.
Overview. Small grants to community-based organizations can be effective in garnering the involvement of the local community in health promotion efforts. A mini-grant program in Georgia leveraged modest funding and resources to promote community involvement efforts in order to improve enrollment and utilization of Medicaid and CHIP services for children.1
Evidence. Emerging. There is some evidence that funded community-based organizations can improve utilization of children’s health services by developing innovative staffing patterns, creating new data systems for scheduling appointments and maintaining records, and forging new collaborative relationships to leverage financial support, but further research is needed to confirm effects. This strategy has been tested more than once and results trend positive overall. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. State/Community.
Outcomes. Increased levels of enrollment for children in Medicaid and CHIP; improved appointment setting and referrals for social and other services. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the “Intervention Results” for each study.
Examples from the Field. Access descriptions of ESMs that use this strategy directly or intervention components that align with this strategy. You can use these ESMs to see how other Title V agencies are addressing the NPM.
Sample ESMs. Using the approach “Provide small grants to community-based organizations to improve enrollment and utilization of Medicaid and CHIP,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):
Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4):
1 Phillips MA, Rivera MD, Shoemaker JA, Minyard K. Georgia's utilization minigrant program: promoting Medicaid/CHIP outreach. Journal of health care for the poor and underserved. 2010;21(4):1282-91.