ABSTRACT

States’ initial choices, under the State Children’s Health Insurance Program (SCHIP), of Medicaid expansion (M-SCHIP), separate state plan (S-SCHIP), or combination program (C-SCHIP) have received attention in the public administration literature. Attempts have been made to establish statistically significant links between choice of administrative model and program enrollment and retention (Kronebusch and Elbel 2004; Wolfe, Scrivner, and Snyder 2005; Sommers 2005, 2007), but results have been inconsistent (Nicholson-Crotty 2007). A more nuanced interpretation of this key administrative choice will reestablish its relevance to the expansion of coverage for children.