ED Medicaid Support

NCT07594782 | Not Yet Recruiting

• 1 other identifier: Pro2026-0127
• Study Type: interventional
• Target: 180
• Locations: 0 countries
• Sites: N/A

Brief Summary

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.

Conditions

Pediatric Uninsured Emergency Visits; Emergencies

Keywords

Pediatric uninsured emergency visits; lack of insurance; linkage to resources; Medicaid

Outcome Measures

Primary Outcomes (2)

• Barriers to medicaid enrollment or reenrollment

  Outcome of questionnaire regarding barriers expressed as percentage of participants who identified each barrier

  Survey is completed upon enrollment

• 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.

  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

  Assessed via participant follow-up within 10 days (+/- 5 days) post-intervention and/or chart review.

Study Arms (1)

Bedside intervention and support

EXPERIMENTAL

A bedside intervention assisting families with the enrollment or re-enrollment process through patient direct contact with NJFamily Care and local financial departments, using an ED-based navigator tool.

Other: Navigation through financial systems and linkage to resources

Interventions

Navigation through financial systems and linkage to resources OTHER

Navigation through financial systems and linkage to resources to connect families and ultimately help them gain access to insurance for the pediatric patient.

Bedside intervention and support

Eligibility Criteria

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

You may qualify if:

• 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
• Primary language of the parent or guardian is identified as English
• Pediatric patient lives in New Jersey

You may not qualify if:

• 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

Sponsors & Collaborators

• Hackensack Meridian Health: lead
• New Jersey Health Foundation: collaborator

MeSH Terms

Conditions

Emergencies

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Karen Eigen, MD, MPH

  Hackensack Meridian Health

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Daisy Negron, MBA, BSN, RN

CONTACT

551-996-3206; Daisy.Negron@hmhn.org

Study Design

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

Study Record Dates

• First Submitted: May 11, 2026
• First Posted: May 19, 2026
• Study Start: May 15, 2026
• Primary Completion (Estimated): May 15, 2028
• Study Completion (Estimated): May 15, 2028
• Last Updated: May 19, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share