Skip to Main Content

Children's Health Insurance Program

In 2009, the Children’s Health Insurance Reauthorization Act (CHIPRA) was signed into law, extending and reauthorizing the Children Health Insurance Program (CHIP) legislation and setting forth additional funding and options to expand health care and improve health coverage for eligible children through Medicaid and CHIP.

CHIPRA allocated federal funding specifically to outreach and enrollment efforts for American Indian/Alaska Native (AI/AN) populations. In 2010, CMS awarded $10 million in CHIPRA grants to 41 health providers to increase AI/AN enrollment in Medicaid and CHIP. Grantees included Indian Health Service organizations, tribal health providers, and urban Indian health providers across 19 states.

In this section, you can learn about grantee programs, find programs' contact info, and view materials they have created to support their outreach and enrollment efforts.



Best Practices in Serving AI/AN Populations

To identify the best ways to conduct outreach and enrollment for Medicaid and CHIPRA among AI/AN children and families, CMS created a report on best practices in serving AI/AN populations. The study asked IHS, tribal, and urban CHIPRA grantees, state agencies, and Indian health programs who are not CHIPRA grantees about what practices had been successful for them. Findings in the report discuss barriers to access, enrollment strategies, tribal-state collaborations, and overall best practices.