Cities Expanding Health Access for Children and Families Initiatives (CEHACF)


With support from The Atlantic Philanthropies, NLC's Institute for Youth, Education, and Families worked closely with local leaders in eight cities to identify a role for cities in connecting their eligible but unenrolled families to coverage. Through the initiative -- Cities Expanding Health Access for Children and Families (CEHACF) -- cities completed over 23,000 applications resulting in over 20,000 new enrollments and over 5,300 renewals. Project cities received grant funding and technical assistance support to design and implement city-led outreach and enrollment campaigns to connect children and families to Medicaid and the Children's Health Insurance Program (CHIP)

The initiative launched in June 2013 with leadership academies providing participating cities in-depth trainings and peer learning opportunities on how to develop strategic, cross-sector, and data-based campaigns. Selected cities that participated in the leadership academies received $30,000 planning grants and technical assistance support as they developed business plans for city-led outreach and enrollment campaigns. Eight of those cities received an additional grant to support the implementation of their campaign plans.

The eight city campaigns demonstrated that cities can move the needle on health coverage, and can connect residents to the coverage available to them. There are multiple roles for city leaders and agencies to play, and a number of municipal assets to leverage to support outreach and enrollment efforts. Here are a number of resources sharing the CEHACF cities’ work:

Municipal Action Guide

NLC’s YEF Institute guide featuring some of the creative and successful strategies used by CEHACF cities to educate and generate awareness of Medicaid and CHIP program eligibility, as well as efforts to provide enrollment and renewal assistance.

+Read the Municipal Action Guide

CEHACF Evaluation
CEHACF Briefing Presentation

NLC, representatives from two CEHACF cities, and Mathematica Policy Research presented project findings at a national briefing/webinar. 

+Go to recording

Connecting Kids to Coverage Resources

NLC partnered with the Center for Medicare and Medicaid Services' Connecting Kids to Coverage national campaign to develop resources and promote strategies for working with city agencies on outreach and enrollment efforts. These resources, an outreach document and video, and a campaign webinar can also be found on the Connecting Kids to Coverage campaign website.

+Read more on City Outreach Strategies