Item
1. DURING THE PAST 12 MONTHS, was this child EVER covered by ANY kind of health insurance or health coverage plan?
text
C2029812 (UMLS CUI [1])
Code List
1. DURING THE PAST 12 MONTHS, was this child EVER covered by ANY kind of health insurance or health coverage plan?
CL Item
Yes, this child was covered all 12 months ➔ SKIP to question E4 (1)
CL Item
Yes, but this child had a gap in coverage (3)
Insurance coverage problem Employment status
Item
2a. Indicate whether any of the following is a reason this child was not covered by health insurance DURING THE PAST 12 MONTHS: Change in employer or employment status
boolean
C1555522 (UMLS CUI [1,1])
C0242271 (UMLS CUI [1,2])
Insurance coverage problem Insurance cancelled
Item
2b. Indicate whether any of the following is a reason this child was not covered by health insurance DURING THE PAST 12 MONTHS: Cancellation due to overdue premiums
boolean
C1555522 (UMLS CUI [1,1])
C0021672 (UMLS CUI [1,2])
C0205544 (UMLS CUI [1,3])
Insurance coverage problem Insurance cancelled
Item
2c. Indicate whether any of the following is a reason this child was not covered by health insurance DURING THE PAST 12 MONTHS: Dropped coverage because it was unaffordable
boolean
C1555522 (UMLS CUI [1,1])
C0021672 (UMLS CUI [1,2])
C0205544 (UMLS CUI [1,3])
Insurance coverage problem Insurance Benefits inadequate
Item
2d. Indicate whether any of the following is a reason this child was not covered by health insurance DURING THE PAST 12 MONTHS: Dropped coverage because benefits were inadequate
boolean
C1555522 (UMLS CUI [1,1])
C0021674 (UMLS CUI [1,2])
C0205412 (UMLS CUI [1,3])
Insurance coverage problem Health Personnel inadequate
Item
2e. Indicate whether any of the following is a reason this child was not covered by health insurance DURING THE PAST 12 MONTHS: Dropped coverage because choice of health care providers was inadequate
boolean
C1555522 (UMLS CUI [1,1])
C0018724 (UMLS CUI [1,2])
C0205412 (UMLS CUI [1,3])
Insurance coverage problem Application
Item
2f. Indicate whether any of the following is a reason this child was not covered by health insurance DURING THE PAST 12 MONTHS: Problems with application or renewal process
boolean
C1555522 (UMLS CUI [1,1])
C0185125 (UMLS CUI [1,2])
Insurance coverage problem other
Item
2g. Indicate whether any of the following is a reason this child was not covered by health insurance DURING THE PAST 12 MONTHS: Other, specify:
text
C1555522 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
3. Is this child currently covered by ANY kind of health insurance or health coverage plan?
text
C2029812 (UMLS CUI [1])
Code List
3. Is this child currently covered by ANY kind of health insurance or health coverage plan?
CL Item
No➔ SKIP to question F1 (2)
medical insurance coverage union
Item
4a. Is this child covered by any of the following types of health insurance or health coverage plans? Insurance through a current or former employer or union
boolean
C2136534 (UMLS CUI [1,1])
C2825217 (UMLS CUI [1,2])
medical insurance coverage insurance company
Item
4b. Is this child covered by any of the following types of health insurance or health coverage plans? Insurance purchased directly from an insurance company
boolean
C2136534 (UMLS CUI [1,1])
C1549448 (UMLS CUI [1,2])
medical insurance coverage Medical Assistance
Item
4c. Is this child covered by any of the following types of health insurance or health coverage plans? Medicaid, Medical Assistance, or any kind of government assistance plan for those with low incomes or a disability
boolean
C2136534 (UMLS CUI [1,1])
C0025070 (UMLS CUI [1,2])
medical insurance coverage TRICARE Beneficiary
Item
4d. Is this child covered by any of the following types of health insurance or health coverage plans? TRICARE or other military health care
boolean
C2136534 (UMLS CUI [1,1])
C3897379 (UMLS CUI [1,2])
medical insurance coverage Indian Health Service
Item
4e. Is this child covered by any of the following types of health insurance or health coverage plans? Indian Health Service
boolean
C2136534 (UMLS CUI [1,1])
C0085141 (UMLS CUI [1,2])
medical insurance coverage other
Item
4f. Is this child covered by any of the following types of health insurance or health coverage plans? Other, specify:
text
C2136534 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
5. How often does this child’s health insurance offer benefits or cover services that meet this child’s needs?
text
C0021674 (UMLS CUI [1])
Code List
5. How often does this child’s health insurance offer benefits or cover services that meet this child’s needs?
Item
6. How often does this child’s health insurance allow him or her to see the health care providers he or she needs?
text
C0021682 (UMLS CUI [1,1])
C0018724 (UMLS CUI [1,2])
C0545082 (UMLS CUI [1,3])
Code List
6. How often does this child’s health insurance allow him or her to see the health care providers he or she needs?
Item
7. Thinking specifically about this child’s mental or behavioral health needs, how often does this child’s health insurance offer benefits or cover services that meet these needs?
text
C0021674 (UMLS CUI [1,1])
C0018755 (UMLS CUI [1,2])
C0025353 (UMLS CUI [1,3])
Code List
7. Thinking specifically about this child’s mental or behavioral health needs, how often does this child’s health insurance offer benefits or cover services that meet these needs?
CL Item
This child does not use mental or behavioral health services (1)