Impact of Outreach on Medicaid Enrollment

NCT05433454 | Active Not Recruiting

• 4 other identifiers: 2022-0806Protocol Amend 2/21/2024A538500SMPH/POP HEALTH SCI/POP HLTH
• Study Type: interventional
• Target: 119,308
• Locations: 1 country
• Sites: 1

Brief Summary

This project will assess the impact of various forms of outreach from navigators on Medicaid enrollment. Navigators are professionals who can provide one-on-one assistance with the Medicaid renewal process. The investigators propose to randomize the nature of outreach to households in Wisconsin enrolled in fee-for-service Medicaid who must renew or lose their coverage.

Conditions

Health Insurance

Keywords

Outreach; Enrollment; Medicaid

Outcome Measures

Primary Outcomes (1)

• Number of Participants Who Renew Medicaid Coverage

  up to 1 year

Other Outcomes (5)

• Number of Participants Who Submit an Application to Renew Medicaid Coverage

  up to 1 year

• Number of Participants for Whom Application to Renew Medicaid Coverage is Denied for Administrative Reasons

  up to 1 year

• Demographics of People who Renew Medicaid Coverage

  up to 1 year

Study Arms (10)

Outreach via Postcard

EXPERIMENTAL

40 percent of the sample

Other: Outreach From Navigators

Outreach via Postcard + Outbound Call

EXPERIMENTAL

Outreach via postcard, plus placed an outbound phone call from navigators (20% of sample)

Other: Outreach From Navigators

Outreach via Text Message Encouraging Call to Hotline

EXPERIMENTAL

Outreach via text message encouraging a call to a hotline for assistance (15% of sample)

Other: Outreach From Navigators

Outreach via Text Message Encouraging Call to Hotline + Outbound Call

EXPERIMENTAL

Outreach via text message encouraging a call to a hotline for assistance, plus outbound phone call from navigators (7.5% of sample)

Other: Outreach From Navigators

Outreach via Text Message Encouraging Text Reply To Connect with Navigators

EXPERIMENTAL

Outreach via text message encouraging a text reply to connect with navigators via chatbot (15% of sample)

Other: Outreach From Navigators

Outreach via Text Message Encouraging Text Reply To Connect with Navigators + Outbound Call

EXPERIMENTAL

Outreach via text message encouraging a text reply to connect with navigators via chatbot, plus an outbound phone call from navigators (7.5% of sample)

Other: Outreach From Navigators

Outreach via Text Message Encouraging a Call to a Hotline for Assistance + a Reminder Message

EXPERIMENTAL

Outreach via text message encouraging a call to a hotline for assistance plus a similar reminder message two weeks later (15% of sample)

Other: Outreach From Navigators

Outreach Text Message Encouraging Call a Hotline for Assistance + Reminder Message

EXPERIMENTAL

Outreach via text message encouraging a call to a hotline for assistance plus a similar reminder message two weeks later + outbound call (7.5% of sample)

Other: Outreach From Navigators

Outreach via Text Message Encouraging Text Reply To Connect with Navigators+ a Reminder Message

EXPERIMENTAL

Outreach via text message encouraging a text reply to connect with navigators via chatbot plus a similar reminder message two weeks later (15% of sample)

Other: Outreach From Navigators

Outreach via Text Message Encouraging Reply To Connect with Navigators + Reminder Message

EXPERIMENTAL

Outreach via text message encouraging a text reply to connect with navigators via chatbot plus a similar reminder message two weeks later + outbound call (7.5% of sample)

Other: Outreach From Navigators

Interventions

Outreach From Navigators OTHER

Navigators are professionals who can provide one-on-one assistance with the Medicaid renewal process. The nature of the outreach will be randomized to participants.

Outreach Text Message Encouraging Call a Hotline for Assistance + Reminder Message; Outreach via Postcard; Outreach via Postcard + Outbound Call; Outreach via Text Message Encouraging Call to Hotline; Outreach via Text Message Encouraging Call to Hotline + Outbound Call; Outreach via Text Message Encouraging Reply To Connect with Navigators + Reminder Message; Outreach via Text Message Encouraging Text Reply To Connect with Navigators; Outreach via Text Message Encouraging Text Reply To Connect with Navigators + Outbound Call; Outreach via Text Message Encouraging Text Reply To Connect with Navigators+ a Reminder Message; Outreach via Text Message Encouraging a Call to a Hotline for Assistance + a Reminder Message

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Included on the lists Wisconsin DHS provides to Covering Wisconsin of fee-for-service Medicaid beneficiaries who need to renew their Medicaid coverage

You may not qualify if:

• Prefer a language other than English or Spanish or lack a cellular phone number

Sponsors & Collaborators

• University of Wisconsin, Madison: lead
• Covering Wisconsin: collaborator

Study Sites (1)

University of Wisconsin

Madison, Wisconsin, 53705, United States

Location

Study Officials

• Rebecca Myerson, MPH, PhD

  UW-Madison School of Medicine and Public Health

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The nature of the intervention will be randomized to participants.

Study Record Dates

• First Submitted: June 21, 2022
• First Posted: June 27, 2022
• Study Start: May 17, 2023
• Primary Completion: May 1, 2026
• Study Completion: May 1, 2026
• Last Updated: December 12, 2025

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)