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Diversion as a Work-Oriented Welfare Reform Strategy and Its Effect on Access to Medicaid: An Examination of the Experiences of Five Local Communities

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TITLE PAGE

ACKNOWLEDGMENTS

EXECUTIVE SUMMARY

CHAPTER ONE: INTRODUCTION

1. THE POLICY CONTEXT
2. DIVERSION AS A STRATEGY TO SHIFT TO A WORK-ORIENTED ASSISTANCE SYSTEM
3. EXAMINING DIVERSION PROGRAMS AND THEIR POTENTIAL INTERACTION WITH MEDICAID
4. A FRAMEWORK FOR UNDERSTANDING THE IMPLEMENTATION OF DIVERSION PROGRAMS
5. COMMUNITY PROFILES: DIVERSE APPROACHES TO DIVERSION
6. ROADMAP TO THE REMAINDER OF THE REPORT

CHAPTER TWO: APPLICANT JOB SEARCH PROGRAMS IN PRACTICE

1. LOCAL PROGRAM PHILOSOPHIES AND GOALS ARE REFLECTED IN THE DEGREE WHICH IMMEDIATE EMPLOYMENT IS EMPHASIZED
2. DIFFERENT PROGRAM PHILOSOPHIES AND RESOURCE CONSTRAINTS HAVE RESULTED IN DIVERSE PROGRAM DESIGNS AND STRUCTURES
3. ACCESS TO SUPPORTIVE SERVICES AND WORK INCENTIVES: KEY COMPONENTS OF APPLICANT JOB SEARCH PROGRAMS
4. IMPLEMENTATION CHALLENGES
5. LIMITED DATA AVAILABLE TO EVALUATE THE OUTCOME OF APPLICANT JOB SEARCH PROGRAMS
6. SUMMARY

CHAPTER THREE: THE IMPLEMENTATION OF LUMP SUM PAYMENT AND ALTERNATIVE RESOURCE DIVERSION PROGRAMS

1. LUMP SUM PAYMENT PROGRAMS: COMMON PROGRAMS BUT INFREQUENTLY USED
2. LINKING TANF APPLICANTS WITH ALTERNATIVE RESOURCES
3. SUMMARY AND CONCLUSIONS

CHAPTER FOUR: ASSESSING THE POTENTIAL IMPACT OF DIVERSION ON TO MEDICAID

1. DEFINING THE EFFECT OF DIVERSION PROGRAMS ON MEDICAID ELIGIBILITY
2. APPROACHES TO MAKING MEDICAID ACCESSIBLE TO DIVERTED FAMILIES
3. USING SECTION 1931 OPTIONS: DEVELOPING NEW PATHWAYS FOR MEDICAID ELIGIBILITY
4. SUMMARY AND CONCLUSION

CHAPTER FIVE: SUMMARY AND CONCLUSION

1. THE POTENTIAL EFFECT OF DIVERSION ON ACCESS TO MEDICAID
2. DIVERSION-RELATED OUTCOMES FOR FAMILIES
3. RECOMMENDATIONS

APPENDIX: SITE VISIT REPORTS

GEORGIA SITE VISIT REPORT: JUNE 2-4 1998 FULTON COUNTY (ATLANTA)

MARYLAND SITE VISIT REPORT: JUNE 14-17 1998 ANNE ARUNDEL COUNTY

MISSOURI SITE VISIT REPORT: JULY 7-9 1998 KANSAS CITY

MONTANA SITE VISIT REPORT: AUGUST 6-8 1998 MISSOULA COUNTY (MISSOULA)

OHIO STATE VISIT REPORT: JUNE 20-22 1998 HAMILTON COUNTY (CINCINNATI)

 

 

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