Impact of Outreach on Medicaid Enrollment
- Conditions
- Health Insurance
- Interventions
- Other: Outreach From Navigators
- Registration Number
- NCT05433454
- Lead Sponsor
- University of Wisconsin, Madison
- Brief 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.
- Detailed 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 & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 224000
- Included on the lists Wisconsin DHS provides to Covering Wisconsin of fee-for-service Medicaid beneficiaries who need to renew their Medicaid coverage
- Prefer a language other than English or Spanish or lack a cellular phone number
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Outreach via Text Message Encouraging Call to Hotline + Outbound Call Outreach From Navigators Outreach via text message encouraging a call to a hotline for assistance, plus outbound phone call from navigators (7.5% of sample) Outreach Text Message Encouraging Call a Hotline for Assistance + Reminder Message Outreach From Navigators Outreach via text message encouraging a call to a hotline for assistance plus a similar reminder message two weeks later + outbound call (7.5% of sample) Outreach via Postcard + Outbound Call Outreach From Navigators Outreach via postcard, plus placed an outbound phone call from navigators (20% of sample) Outreach via Text Message Encouraging Call to Hotline Outreach From Navigators Outreach via text message encouraging a call to a hotline for assistance (15% of sample) Outreach via Text Message Encouraging Text Reply To Connect with Navigators Outreach From Navigators Outreach via text message encouraging a text reply to connect with navigators via chatbot (15% of sample) Outreach via Text Message Encouraging a Call to a Hotline for Assistance + a Reminder Message Outreach From Navigators Outreach via text message encouraging a call to a hotline for assistance plus a similar reminder message two weeks later (15% of sample) Outreach via Text Message Encouraging Reply To Connect with Navigators + Reminder Message Outreach From Navigators Outreach via text message encouraging a text reply to connect with navigators via chatbot plus a similar reminder message two weeks later + outbound call (7.5% of sample) Outreach via Text Message Encouraging Text Reply To Connect with Navigators + Outbound Call Outreach From Navigators Outreach via text message encouraging a text reply to connect with navigators via chatbot, plus an outbound phone call from navigators (7.5% of sample) Outreach via Text Message Encouraging Text Reply To Connect with Navigators+ a Reminder Message Outreach From Navigators Outreach via text message encouraging a text reply to connect with navigators via chatbot plus a similar reminder message two weeks later (15% of sample) Outreach via Postcard Outreach From Navigators 40 percent of the sample
- Primary Outcome Measures
Name Time Method Number of Participants Who Renew Medicaid Coverage up to 1 year
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
University of Wisconsin
🇺🇸Madison, Wisconsin, United States