Complete Health Indicator Report of Uninsured Children
DefinitionThe percentage of uninsured Utah children who are income eligible for the Medicaid (0-138% FPL) or CHIP (138-200% FPL) programs. Eligibility determination requires a review of circumstances in addition to income.
NumeratorThe number of children in surveyed households in each category (Utah Behavioral Risk Factor Surveillance System).
DenominatorThe total number of children in surveyed households for whom valid data were reported (i.e., the missing values were removed from the denominator).
Data Interpretation IssuesData for this report were calculated using only age and income eligibility requirements. However, there are additional requirements that must be met in order for children aged 0 to 18 years to qualify for either CHIP (Children's Health Insurance Plan) or Medicaid. Specifically, Medicaid requires that children aged 0 to 5 years must live in homes with incomes at or below 133% of poverty (plus a new 5% disregard effective January 2014, making the effective income level 138% of poverty). Children aged 6 to 18 years must live at or below 133% of poverty. Additionally, children can still qualify for Medicaid even if they have some other kind of insurance. For CHIP eligibility, all children aged 0 to 18 years must live in homes with incomes below 200% of poverty (plus a new 5% disregard effective January 2014, making the effective income level 205% of poverty) and cannot be eligible for Medicaid and cannot be enrolled on any another type of insurance plan. The Utah Behavioral Risk Factor Surveillance System (BRFSS) does not have the capacity to measure Medicaid and CHIP eligibility in a way that accounts for all requirements for the two programs. Therefore, data for this report are based only on income and whether or not children had insurance coverage. Beginning in 2011, BRFSS data include both landline and cell phone respondent data along with a new weighting methodology called iterative proportional fitting, or raking. This methodology utilizes additional demographic information in the weighting procedure. Graphs within this Indicator Report are based on the new methodology. More details about these changes can be found at: [https://ibis.health.utah.gov/pdf/opha/resource/brfss/RakingImpact2011.pdf]. BRFSS data were weighted to reflect the Utah population distribution by age, sex, geographic area, race, education, marital status, and home ownership. Health insurance was defined as including private coverage, Medicaid, Medicare, and other government programs.
Why Is This Important?Children who are not insured by private or employer-provided plans have an opportunity to be covered by Medicaid or the Children's Health Insurance Program (CHIP) if they are age 0-18, a U.S. citizen or legal resident, and live in households with incomes below 200% of poverty. This element is very important given the relationship between having insurance and accessing health care.
Other ObjectivesRelated to Healthy People 2020 Objective AHS 1.1: Increase the proportion of persons with medical insurance.[[br]] '''U.S. Target:''' 100 percent
How Are We Doing?In 2019, approximately 4.8% of Utah children aged 0 to 18 years (including 18-year-olds) had no health insurance coverage.
How Do We Compare With the U.S.?National estimates of the lack of health insurance coverage for children age 0-18 are lower (5.7%) than for Utah (8.3%) based on the 2019 ACS (American Community Survey). Please note that the methods used to calculate the uninsured rate between the ACS and the BRFSS are different. This report uses the BRFSS as its data source.
Available ServicesMEDICAID: In the Salt Lake City area, call 801-538-6155. In Utah, Idaho, Wyoming, Colorado, New Mexico, Arizona, and Nevada, call toll-free 1-800-662-9651.[[br]] From other states, call 1-801-538-6155.[[br]] Medicaid Customer Service staff are available to take inquiries. CHIP: Children's Health Insurance Program (for children 0-18)[[br]] 1-888-222-2542 or visit the CHIP website at [http://health.utah.gov/chip/]
Relevant Population CharacteristicsEligibility for Medicaid and CHIP is based largely on family income, as a percentage of the federal poverty level. However, other factors are involved in determination of program eligibility, such as disability (Medicaid), or recent private plan coverage (CHIP). Children born outside the U.S. who have not lived in the U.S. for at least five years are not eligible for Medicaid or CHIP, regardless of their family's income.
Related Relevant Population Characteristics Indicators:
Health Care System FactorsOnly children with no other health plan coverage are eligible to receive CHIP services.
Related Health Care System Factors Indicators:
Risk FactorsIncome is used as a primary factor in eligibility requirements for both Medicaid and CHIP.
Related Risk Factors Indicators:
Graphical Data Views
Uninsured Children Aged 0-18 by Federal Poverty Levels, Utah, 2019
An estimated 4.8% of Utah children aged 0-18 lacked health insurance coverage in 2019. The percentages in this figure represent the estimated percentage of all uninsured Utah children aged 0-18 in each category. 138% and 200% of the federal poverty level are the maximums for Medicaid and CHIP.
|Income Eligibility||Percentage of Children||Note|
Record Count: 3
|0-138% FPL||37.5%||Income Eligible for Medicaid|
|138-200% FPL||9.4%||Income Eligible for CHIP|
|Over 200% FPL||53.1%||Household Over 200% FPL|
Data NotesFor more historical estimates of the uninsured in Utah, please see: [https://ibis.health.utah.gov/pdf/opha/publication/ins/2017_InsuranceAnalysis.pdf].
Data SourceUtah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health
More Resources and LinksEvidence-based community health improvement ideas and interventions may be found at the following sites:
Additional indicator data by state and county may be found on these Websites:
- CDC Prevention Status Reports for all 50 states
- County Health Rankings
- Kaiser Family Foundation's StateHealthFacts.org
- CDC WONDER DATA2010, the Healthy People 2010 Database.
Medical literature can be queried at the PubMed website.
Page Content Updated On 10/27/2020, Published on 01/04/2021