Oregon Childhood Program Participation and Early Educational Outcomes: Part 3 -Associations Between Program Participation and Outcomes

Part 3 – Dual-Program Participation and Early Educational Outcomes is intended to identify relationships between program participation and early educational outcomes to help guide policymaking aimed at improving educational outcomes.

This analysis focused on early educational outcomes associated with dual receipt of Medicaid/CHIP (Children’s Health Insurance Program) and 3 additional service categories, over receipt of Medicaid/CHIP alone. Then the analysis looked at whether the associations of dual-program participation were stronger or weaker among groups of students with certain characteristics.

Highlighted Key Findings

  • After statistical adjustment, children who participated in Medicaid/CHIP and attended public preschool had increased readiness for kindergarten and reduced absenteeism in grades K-3, compared to those who only participated in Medicaid/CHIP.
    • The potential benefits of improved attendance were even stronger for children in low income families, as measured by consistent enrollment in TANF.
  • Across the other characteristics examined, including gender, race and ethnicity, disability status, geography, and select characteristics at birth, there were only minor and inconsistent variations in the relationships between dual program participation and educational outcomes.
  • Subsequent OCID analyses will seek to further understand the nuances of program participation and select outcomes for children with different characteristics, including race and ethnicity, gender, disability, and geography.

Although advanced statistical methods are used, OCID analyses rely on observational data and therefore do not show causal relationships or pathways; nor do these indicate how to intervene or whether existing interventions are effective. Some findings may warrant further analysis or nuanced discussion to assist with interpretation and policy considerations.

Featured Data Visualization

Program Participation by Program Pairs


  • Fewer than half of eligible children received the additional early-childhood services in each program pair, supported by state agency estimates, suggesting a potential excess demand for program services.
  • Among children enrolled in Medicaid/CHIP in the 2008 to 2010 birth cohorts, 32% received preschool and disability services, and 19% received home visiting services.

Related OCID Resources

Medicaid Well-child Visits Dashboard

Explore our Medicaid Well-Child Visit indicator to investigate potential trends or disparities among groups of children.

Early Program Participation: Part 2 – Risk and Protective Factors

Screen shot of brief

Read the policy brief to learn about child and family characteristics that are potential risk and protective factors associated with early educational outcomes.

Interactive Displays of Early-childhood Program Participation

Screen shot of Interactive Displays of Early-childhood Program Participation

Use the interactive display to examine relationships between participation in select public childhood programs and subsequent early educational outcomes for children born in Oregon.