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Key Lessons from Medicaid and CHIP for Outreach and Enrollment Under the Affordable Care Act

Issue Brief
  1. G. Kenney, et al. “Medicaid/CHIP Participation Among Children and Parents.” December 2012. http://www.rwjf.org/en/research-publications/find-rwjf-research/2012/12/medicaid-chip-participation-among-children-and-parents.html.

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  2. Ibid.

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  3. L. Leininger and M. Burns. “Why Are Low-Income Teens More Likely to Lack Health Insurance than their Younger Peers” Inquiry 48.2 (2011): 123-137.

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  4. Holahan, J. A. Cook, and L. Dubay. “Characteristics of the Uninsured: Who is Eligible for Public Coverage and Who Needs Help Affording Coverage?” KCMU. February 2007. https://www.kff.org/uninsured/7613.cfm.

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  5. G. Flores et al. “A Randomized, Controlled Trial of the Effectiveness of Community-Based Case Management in Insuring Uninsured Latino Children.”  Pediatrics. December 2005. 116. 1433.

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  6. M. Abreu. “The Latino Health Insurance Program: A Pilot Intervention for Enrolling Latino Families in Health Insurance Programs, East Boston, Massachusetts, 2006-2007. Preventing Chronic Disease. October 2009. 

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  7. G. Kenney, et al., 2012

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  8. “Covering Uninsured Children: Reaching and Enrolling Citizen Children with Non-Citizen Parents.” KCMU. https://www.kff.org/uninsured/7845.cfm.

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  9. J. Hudson. “Families with Mixed Eligibility for Public Coverage: Navigating Medicaid, CHIP, and Uninsurance.” Health Affairs. 28.4. (August 2009)

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  10. B. Sommers & A. Epstein. “Medicaid Expansion – The Soft Underbelly of Health Care Reform?” NEJM. November 2010. 363.22.

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  11. Ibid.

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  12. J Stuber and E. Bradley. “Barriers to Medicaid Enrollment: Who is at Risk?” American Journal of Public Health. February 2005. 

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  13. G. Flores et al., 2005.

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  14. Lake Research Partners. “Informing CHIP and Medicaid Outreach and Education: Key Findings from a National Survey of Low-Income Parents.” Conducted for Centers for Medicare and Medicaid Services. November 2011.

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  15. Goldstein, A. “Childless Adults: Barriers to Enrollment in Public Health Insurance.”  April 2010. 

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  16. “Medicaid and Children: Overcoming Barriers to Enrollment. Findings from a National Survey.” KCMU. Jan.2000.

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  17. Ibid. 

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  18. G. Flores et al, 2005.

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  19. Feinberg, E. et al. “Language Proficiency and the Enrollment of Medicaid-Eligible Children in Publicly Funded Health Insurance Programs.” Maternal and Child Health Journal. March 2002 

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  20. Yin, HS. et al. "The Health Literacy of Parents in the United States : A Nationally Representative Study." Pediatrics. November 2009. 124.3. 

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  21. Hansen, J. et al. "How Readable are Spanish-language Medicaid applications?" Journal of Immigrant and Minority Health. April 2011. 13.2:293-8. 

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  22. Wallace, L et al. "Assessment of Children’s Public Health Insurance Program enrollment applications : A health literacy perspective." Journal of Pediatric Health Care. March-April 2011. 

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  23. Gomez, D., Day, L., and S. Artiga, “Connecting Eligible Immigrant Families to Health Coverage and Care: Key Lessons from Outreach and Enrollment Workers,” KCMU, October 2011.

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  24. K.M. Mathieson. "Barriers to Enrollment and Successful Outreach Strategies in CHIP: Reflections on the Arizona Experience." Journal of Health Care for the Poor and Underserved 14.4 (2003): 465-477. 

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  25. R. Capps et al. “The Health and Well-Being of Young Children of Immigrants.” Urban Institute. 2004.

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  26. Hendryx, Michael, et al. “Effects of a Cost-Sharing Policy on Disenrollment from a State Health Insurance Program.” Social Work in Public Health; Vol. 27 (No. 7):671-686, 2012.

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  27. Hudman, J. and M. O’Malley. “Health Insurance Premiums and Cost-Sharing: Findings from the Research on Low-Income Populations. March 2003. https://www.kff.org/medicaid/4071-index.cfm

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  28. Lake Research Partners, 2011. 

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  29. “Medicaid and Children: Overcoming Barriers to Enrollment. Findings from a National Survey.” Kaiser Commission on Medicaid and the Uninsured. January 2000. https://www.kff.org/medicaid/2174-index.cfm

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  30. Ibid.

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  31. Lake Research Partners, June 2012

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  32. Rosenbach, M., et al. “National Evaluation of the State Children’s Health Insurance Program: A Decade of Expanding Coverage and Improving Access.” September 2007. 

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  33. Lake Research Partners “

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  34. Ibid.

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  35. “Medicaid and Children: Overcoming Barriers to Enrollment. Findings from a National Survey.” Kaiser Commission on Medicaid and the Uninsured. January 2000. https://www.kff.org/medicaid/2174-index.cfm

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  36. Perry, M. and J. Paradise. “Enrolling Children in Medicaid and SCHIP: Insights from Focus Groups with Low-Income Parents.” KCMU. May 2007. https://www.kff.org/medicaid/7640.cfm.

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  37. “Medicaid and Children: Overcoming Barriers to Enrollment. Findings from a National Survey.” KCMU. Jan.2000.

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  38. Lake Research Partners, 2011.

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  39. Lake Research Partners. Preparing for 2014: Findings from Research with Lower-Income Adults in Three States. June 2012. 

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  40. Ibid. 

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  41. Finkelstein, A, et al. “The Oregon Health Insurance Experiment: Evidence from the First Year.” July 2011. http://www.nber.org/papers/w17190.

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  42. Faces of the Medicaid Expansion: How Obtaining Coverage Impacts Low-Income Adults. KCMU. January 2013. https://www.kff.org/medicaid/8404.cfm

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  43. Perry, M. and J. Paradise, 2007.

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  44. “Next Steps in Covering Uninsured Children: Findings from the Kaiser Survey of Children’s Health Coverage.” January 2009. https://www.kff.org/uninsured/7844.cfm

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  45. Lake Research Partners, 2011.

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  46. Willams, S. and M. Rosenbach. “Evolution of State Outreach Efforts Under SCHIP.” Health Care Financing Review. Summer 2007. 28.4.

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  47. Schlattman, S. “Super Blog-Off: Go Ravens!” Georgetown Center for Children and Families Sah Ahhh! Blog. February 1, 2013. Available at: http://ccf.georgetown.edu/all/go-ravens/

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  48. Ringold, E, et al. “Managing Medicaid Take-Up.” Federalism Research Group supported by the Robert Wood Johnson Foundation. July 2003.

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  49. Cousineau, Stevens, and Farias, 2011. 

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  50. Rosenbach, M et al., September 2007.

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  51. Felland, L. and A. Benoit. “Communities Play Key Role in Extending Public Health Insurance to Children.” Center for Studying Health System Change. October 2001. http://hschange.org/CONTENT/377/377.pdf

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  52. Lake Research Partners, 2011.

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  53. Edwards, J., Rodin, D., and S. Artiga, “Profiles of Medicaid Outreach and Enrollment Strategies: One-on-One Assistance through Community Health Centers in Utah,” Kaiser Commission on Medicaid and the Uninsured, March 2013, https://www.kff.org/medicaid/issue-brief/profiles-of-medicaid-outreach-and-enrollment-strategies-one-on-one-assistance-through-community-health-centers-in-utah/

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  54. Willams and Rosenbach, 2007.

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  55. National Association of Community Health Centers. “Promising Practices #5. Innovative CHIP/Medicaid Outreach and Enrollment Strategies.” http://www.nachc.com/client/Promising%20Practices%205%20FINAL.pdf

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  56. M. Rickard  “School Superintendents’ Perceptions of Schools Assisting Students in Obtaining Public Health Insurance.” Journal of School Health. 81.12 (December 2011)

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  57. Woolridge, J.  “Covering Kids and Families Evaluation: A Continuing Program for Increasing Insurance Coverage Among Low-Income Families.” (June 2010).

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  58. M. Cousineau et al. “Measuring the Impact of Outreach and Enrollment Strategies for Public Health Insurance in California” Health Services Research. 2011

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  59. KCMU. Overcoming Barriers to Enrollment. Findings from a National Survey. January 2000. 

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  60. Ibid. 

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  61. Community Health Center Network. Member Retention Top Priority. December 2011. http://chcnetwork.org/member-retention-top-priority/

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  62. J. Guyer, T. Brooks, and S. Artiga, “Secrets to Success: An Analysis of Four States at the Forefront of the Nation’s Gains in Children’s’ Health Coverage,” Kaiser Commission on Medicaid and the Uninsured (January 2012).

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  63. I.Hill “Medicaid Outreach and Enrollment for Pregnant Women: What is the State of the Art?” March 2009. 

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  64. Wachino, V. and AM Weiss. “Maximizing Kids’ Enrollment in Medicaid and SCHIP: What Works in Reaching, Enrolling, and Retaining Eligible Children.” NASHP and RWJF. February 2009 

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  65. KCMU and United Hospital Fund. “New York’s Disaster Relief Medicaid: Insights and Implications for Covering Low-Income People.”. August 2002.  https://www.kff.org/medicaid/4062-index.cfm.

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  66. Ross, D. “New Citizenship Documentation Option for Medicaid and CHIP is Up and Running: Data Matches with Social Security Administration are Easing Burdens on Families and States.” Center on Budget and Policy Priorities. April 2010. 

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  67. KCMU and United Hospital Fund, 2002. 

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  68. Dunkelberg, A. and M. O’Malley. “Children’s Medicaid and SCHIP in Texas: Tracking the Impact of Budget Cuts. Kaiser Commission on Medicaid and the Uninsured. July 2004. https://www.kff.org/medicaid/7132.cfm

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  69. Lake Research Partners, 2011.

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  70. Heberlein, M. et al, 2013.

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  71. “Oklahoma Health Care Authority launches online Medicaid enrollment.” June 2012. http://h20195.www2.hp.com/v2/GetPDF.aspx/4AA3-9191ENW.pdf

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  72. Ross, D., 2010. 

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  73. Heberlein, M. et al, 2013.

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  74. Horner, D. et al. “Building an On-Ramp to Children’s Health Coverage: A Report on California’ Express lane Eligibility Option.” The Children’s Partnership and KCMU. https://www.kff.org/medicaid/7173.cfm

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  75. “Optimizing Medicaid Enrollment: Spotlight on Technology- Louisiana’s Express Lane Eligibility.”  https://www.kff.org/healthreform/8088.cfm

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  76. Goldstein, 2010.

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  77. Perry, M. and J. Paradise, 2007. 

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  78. Goldstein,  2010

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  79. Wachino and Weiss, 2009.

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  80. Ibid. 

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  81. Rosenbach et al. 2007.

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  82. Flores  et al, 2005.

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  83. Heberlein, M. et al, 2013.

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  84. Williams and Rosenbach, 2007.

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  85. Miller, C. “KATCH-ing the Uninsured: Lessong from Kansas’ Out-stationed Eligibility Workers. Enroll America.  http://www.enrollamerica.org/blog/katch-ing-the-uninsured-lessons-from-kansas-out-stationed-eligibility-workers

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  86. Williams and Rosenbach, 2007.

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  87. Chung, P, et al. “Trusted Hands: The Role of Community-Based Organizations in Enrolling Children in public Health Insurance Programs.” The Colorado Trust. February 2010.

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  88. Aizer, A. “Public Health Insurance, Program Take-Up, and Child Health.” The Review of Economics and Statistics. 89.3.2006

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  89. Gomez, O. and S. Artiga., October 2011.

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  90. Williams and Rosenbach, 2007.

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  91. Abreu and Hynes 2009 

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  92. J. Guyer, T. Brooks, and S. Artiga, January 2012.

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  93. Abreu and Hynes, 2009. 

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  94. Goldstein, 2010.

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  95. Cadogan, M. “Connecting New York City’s Uninsured to Coverage: A Collaborative Approach to Reaching Residents Eligible for Public Health Insurance but not Enrolled.” NYC Human Resources Administration Office of Citywide Health Insurance Access. May 2010.

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  96. California Healthy Families Program Enrollment Entities and Certified Application Assistant Program Information Available at: http://www.healthyfamilies.ca.gov/EEs_CAAs/Forms.aspx#CAA_Agreement

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  97. Paredes, M, and L. Galloway-Gilliam. “Bridging the Health Divide: California’s Certified Application Assistants.” Community Health Councils, Inc. February 2010.

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  98. Ibid. 

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  99.  California Healthy Families Program Monthly Enrollment Reports. Available at: http://www.mrmib.ca.gov/mrmib/HFPReports1.shtml

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  100. Wachino and Weiss, 2009 

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  101. “Using Data and Technology to Drive Process Improvement in Medicaid and CHIP: Lessons from South Carolina.” KCMU. https://www.kff.org/medicaid/quicktake_using_data.cfm

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  102. Fairbrother, G. and J. Schuchter. “Stability and Churning in Medi-Cal and Healthy Families.” March 2008

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  103. Thompson, F. “Children and the Take-Up Challenge: Renewal Processes in Medicaid and CHIP.” February 2003.

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  104. Fairbrother, and Schuchter, 2008. 

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  105. Ku, L. and D. Cohen Ross. “Staying Covered: The Importance of Retaining Health Insurance for Low-Income Families.” The Commonwealth Fund. December 2002. 

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  106. “Retaining Eligible Children and Families in Medicaid and SCHIP: What We Know So Far. A Review of Research Prepared for Covering Kids and Families.” June 2003.

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  107. Olson, L. et. al. “Children in the United States with Discontinuous Health Insurance Coverage. NEJM. July 2005.

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  108. “Retaining Eligible Children and Families in Medicaid and SCHIP” June 2003. 

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  109. Rosenbach, 2007.

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  110. Summer, L. and C. Mann. “Instability of Public Health Insurance Coverage for Children and Their Families: Causes, Consequences, and Remedies.” The Commonwealth Fund. June 2006. 

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  111. Ibid. 

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  112. Heberlein, M. et al, 2013.

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  113. Program Design Snapshot: 12-Month Continuous Eligibility. Center for Children and Families. March 2009. 

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  114. Heberlein, M. et al, 2013.

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  115. Ibid.

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  116. Wachino and Weiss, 2009

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  117. “Using Data and Technology to Drive Process Improvement in Medicaid and CHIP.”

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