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February, 2009
 CMS Should Improve Efforts to Assess Whether SCHIP
is Substituting for Private Insurance
In this report, relevant SCHIP annual reports
were examined and reviewed to determine the crowd-out.
CMS provided guidance to states
regarding activities to minimize crowd-out in SCHIP, and the information
it collected was of limited use in assessing whether crowd-out should be
a concern. In issuing guidance to states, CMS instituted specific
requirements for program designs that the agency identified as being at
greater risk of crowd-out, including programs with higher income
eligibility thresholds.
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OPEN MINDS