Enrollment Barriers, Procedural Denials, and Loss of Medicaid Coverage

April 7, 2026 updated by: University of Wisconsin, Madison

The goal of this study is to try new outreach methods to improve access to Medicaid for those who lost Medicaid for procedural reasons. The main questions it aims to answer are:

  1. How does a live phone call from a Navigator impact Medicaid enrollment among people who lost Medicaid coverage for procedural reasons?
  2. What is the effectiveness of outreach using a live call rather than a pre-recorded call?

Study Overview

Status

Recruiting

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

230000

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

    • Wisconsin
      • Madison, Wisconsin, United States, 53705
        • Recruiting
        • University of Wisconsin - Madison
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Eligible for Medicaid
  • Lost Medicaid coverage between June 2024 and November 2025

Exclusion Criteria:

  • Preferring a language other than English, Spanish, or Hmong
  • No working phone number

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Live Outreach
People in this cohort will receive a live outbound call from a Navigator
Participants will receive either a live or pre-recorded outbound phone call
Experimental: Pre-recorded Outreach
People in this cohort will receive a pre-recorded outbound call providing a hotline number
Participants will receive either a live or pre-recorded outbound phone call
No Intervention: No outreach
People in this cohort will not receive outreach of any kind

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of people who successfully renew their Medicaid coverage within 3 months of receiving the live outbound call
Time Frame: 3 months
Numbers will be counted using Wisconsin administrative data on Medicaid enrollment housed at the UW Institute for Research on Poverty.
3 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Duration of coverage gaps
Time Frame: 6 months
Duration of gaps will be measured using Wisconsin administrative data on Medicaid enrollment housed at the UW Institute for Research on Poverty.
6 months
Number of people who successfully renew their Medicaid coverage within 6 months of receiving the live outbound call
Time Frame: 6 months
Numbers will be counted using Wisconsin administrative data on Medicaid enrollment housed at the UW Institute for Research on Poverty.
6 months
Number of people who successfully renew their Medicaid coverage within 6 months of receiving the pre-recorded outbound call
Time Frame: 6 months
Numbers will be counted using Wisconsin administrative data on Medicaid enrollment housed at the UW Institute for Research on Poverty.
6 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Rebecca Myerson, PhD, University of Wisconsin, Madison

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

February 12, 2025

Primary Completion (Estimated)

February 1, 2027

Study Completion (Estimated)

December 1, 2027

Study Registration Dates

First Submitted

March 26, 2024

First Submitted That Met QC Criteria

April 1, 2024

First Posted (Actual)

April 2, 2024

Study Record Updates

Last Update Posted (Actual)

April 8, 2026

Last Update Submitted That Met QC Criteria

April 7, 2026

Last Verified

April 1, 2026

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 2024-0434
  • A538500 (Other Identifier: UW- Madison)
  • SMPH/POP HEALTH SCI/POP HLTH (Other Identifier: UW- Madison)
  • Protocol Version 4/17/2025 (Other Identifier: UW- Madison)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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