The federal Medicaid policy documentation reforms enacted in July 2006, which require Medicaid applicants to provide evidence of citizenship or legal U.S. residence and personal identity have had an enormous impact on community health centers and their patients. To better understand the scope of the impact, the RCHN Community Health Foundation supported a study on the effects of the reforms conducted by The George Washington University (GWU) School of Public Health and Health Services. The preliminary findings were released in May 2007, in a report entitled “An Initial Assessment of the Effects of Medicaid Documentation Requirements on Health Centers and Their Patients”. This brief revealed that the requirements are disrupting coverage for hundreds of thousands of health center patients, while delaying enrollment in Medicaid for potentially hundreds of thousands more.

GWU is now in the process of repeating the survey in order to provide updated results.

Read the Policy Brief

Case study snapshots