ED Medicaid Support
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorHackensack Meridian Health
About this trial
The study introduces a bedside intervention assisting families with the enrollment or re-enrollment process through patient direct contact with NJFamily Care and financial departments, using an emergency department (ED)-based navigator tool. The primary objective is to identify the barriers contributing to the lack of insurance coverage through NJ Family Care coverage using a brief survey with the parents of children who are treated in the ED and identified as uninsured, and to study the effect of a bedside intervention designed to assist families with the enrollment or re-enrollment process.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Parent/guardian/ legal authorized representative (age 18 years or older) with children aged: 1 month to 17 years of age who obtain care in the pediatric emergency department
Child Uninsured (ie, Charity Care, HUMC Charity Care, Pending Medicaid, Self-Pay)
Interested in applying or receiving assistance with NJfamilycare
Not pending private insurance coverage
Disqualifiers
Parent/guardian/legal authorized representative with children aged: less than 1 month and greater than 17 years old Insured pediatric patient Parent/ Guardian/Legal Authorized Representative not present Parent/ Guardian/Legal Authorized Representative age 17 years or younger Primary language not identified as English Patients visiting the Emergency Department related to Motor Vehicle Accidents Already participated in this study
Trial design
Design model
Single group
Treatments tested in this trial
Navigation through financial systems and linkage to resources
Other interventionNavigation through financial systems and linkage to resources to connect families and ultimately help them gain access to insurance for the pediatric patient.
Treatment groups
180 Participants
are divided into 1 treatment groupGroup A: Bedside intervention and supportExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Barriers to medicaid enrollment or reenrollment
Outcome of questionnaire regarding barriers expressed as percentage of participants who identified each barrier
Time frame
Survey is completed upon enrollment2
Rate of Successful Medicaid Enrollment or Re-enrollment Approval
The proportion of the enrolled participants who reported approval for Medicaid coverage. This outcome measures the ultimate success of the intervention of re-establishing health insurance.
Time frame
Assessed via participant follow-up call or review of the electronic health record at 90 days post-intervention.Secondary outcomes
1
Enrollment in Temporary Insurance Coverage
The proportion of participants who, after receiving additional assistance, were successfully enrolled in a temporary or bridge insurance plan, known as presumptive eligibility. This measures the intervention's success in providing a safety net for families during the Medicaid application waiting period.
Time frame
Assessed via participant follow-up within 10 days (+/- 5 days) post-intervention and/or chart review.Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Hackensack Meridian Health
Lead sponsor
New Jersey Health Foundation
Collaborator
Source ClinicalTrials.gov