Advocates and funders seek effective ways to modify state policies and procedures. Findings from the Covering Kids & Families® (CKF) program, sponsored by the Robert Wood Johnson Foundation (RWJF), indicate that coalitions of community-based organizations, government agencies, health plans, providers and advocates can be developed by grantees to support and shape policy and procedural changes in state Medicaid programs and the State Children’s Health Insurance Program (SCHIP), even after grant funding ends.