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Summary

Kids’s participation within the federal Supplemental Safety Earnings (SSI) program has declined considerably over the previous decade.  Many youngsters with disabilities is likely to be eligible for SSI, but obstacles resembling a lack of know-how of this system or perceived challenges with making use of might restrict participation.  On this paper, we use machine studying fashions on Medicaid administrative knowledge to estimate the quantity and traits of youngsters who’re probably eligible for SSI however don’t at present obtain advantages.

The paper discovered that:

  • A considerable variety of youngsters are probably eligible for SSI.  Relying on the precise likelihood used to outline potential eligibility, the rise may possible vary from 10 % to 55 % enhance in enrollment (relative to the present variety of SSI recipients).
  • Kids probably eligible for SSI have intensive well being care utilization, typically extra intensive than present youngster SSI recipients.  That is significantly notable given the sample that SSI recipients have way more intensive utilization than non-SSI recipients, in keeping with the requirement that SSI recipients should have a incapacity.

The coverage implications of the findings are:

  • Native-level estimates offered on this paper, which establish counties and states the place many youngsters are probably eligible for SSI, may facilitate more practical outreach to households who’re probably eligible for SSI.  Particularly when supplemented with further knowledge on socioeconomic deprivation, extra narrowly focusing on outreach to areas the place many youngsters are more likely to be eligible may enable for an environment friendly use of restricted sources.
  • Making a direct hyperlink between Medicaid and the Social Safety Administration’s (SSA) knowledge may enhance the general administration of the SSI program.  For instance, SSA may use the information right here to establish youngsters who is likely to be eligible primarily based on their sample of claims and conduct outreach to them.  Alternatively, the information may facilitate extra streamlined incapacity determinations for brand new purposes by permitting SSA to overview current patterns of well being care claims.

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