Iowa use of the state income tax form provides and example of how CHIP and Medicaid can expand enrollment outreach.

Iowa used tax forms to determine which children had family incomes that met the Medicaid and CHIP requirements but were not enrolled in these programs. After identifying eligible kids who are not yet enrolled, DHS sends pamphlets and applications to the identified families. The families then become aware of the programs and their children’s eligibility.

Maine’s all-payer claims database (ACPD) has been a useful example for states looking to create their own claims databases.

ACPDs are emerging as a vital source of information for states implementing health reforms. Thirteen states currently operate APCDs and collect data on health care utilization and costs that can be used to inform consumers, researchers, policymakers and health industry stakeholders. These APCDs exist in various forms with different functionalities, but the state of Maine has been a useful example for states looking to create their own claims databases.

Maryland Fiscal Model

Maryland’s Health Care Reform Coordinating Council developed a financial modeling tool for use in estimating the fiscal impact of federal health reform. The tool aims to identify how health reform will change the state’s budget by comparing costs, savings and revenues related to reform with what would be expected in the absence of reform. To react to evolving provisions of federal health reform, the financial modeling tool has the ability to change and be updated as projections are replaced with actual data. Similarly, as decisions are made, the tool can accommodate an ever-changing environment and adjust to generate useful long-term fiscal estimates.

The North Carolina Health Professions Data System (HPDS) exists in close partnership with the North Carolina Area Health Education Centers (AHEC) Program, and in collaboration with the North Carolina health professional licensing boards. The HPDS contains licensure files for 19 health professions, with annual files on most professions dating back to 1979. This system represents one of the most comprehensive health professions databases in the country, as well as one of the few that is continuously maintained.