Enrollment Barriers, Procedural Denials, and Loss of Medicaid Coverage

Enrollment Barriers, Procedural Denials, and Loss of Medicaid Coverage: A Randomized Trial to Identify and Implement Effective Outreach Solutions

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• Status: Withdrawn
• Conditions: No Medicaid Coverage

• Study Type: Observational

Contacts and Locations

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

People in Wisconsin who lost Medicaid coverage for procedural reasons any time between June 2024 and November 2025

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

How is the study designed?

Number of groups / cohorts

3

Cohorts and Interventions

Group / Cohort
Live Outreach; People in this cohort will receive a live outbound call from a Navigator
Pre-recorded Outreach; People in this cohort will receive a pre-recorded outbound call providing a hotline number
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	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	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	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	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

• Sponsor: University of Wisconsin, Madison
• Collaborators: Covering Wisconsin
• Investigators: Principal Investigator: Rebecca Myerson, PhD, University of Wisconsin, Madison

Study record dates

Study Major Dates

• Study Start (Estimated): July 1, 2024
• Primary Completion (Estimated): March 1, 2026
• Study Completion (Estimated): June 1, 2026

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 9, 2024
• Last Update Submitted That Met QC Criteria: April 4, 2024
• Last Verified: April 1, 2024

More Information

Terms related to this study

• Keywords: Medicaid
• Other Study ID Numbers: 2024-0427; A538500 (Other Identifier: UW- Madison); SMPH/POP HEALTH SCI/POP HLTH (Other Identifier: UW- Madison); Protocol Version 3/20/2024 (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