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Fulfilling the Promise of Coverage

October 8, 2010. Fulfilling the Promise of Coverage. Focus on Systems Improvements/State Expansions. What is real opportunity to fulfill the promise of coverage through systems improvements and state expansions? Where do we have momentum that needs to be maintained or built upon?

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Fulfilling the Promise of Coverage

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  1. October 8, 2010 Fulfilling the Promise of Coverage

  2. Focus on Systems Improvements/State Expansions • What is real opportunity to fulfill the promise of coverage through systems improvements and state expansions? • Where do we have momentum that needs to be maintained or built upon? • What is going to be hard or require concerted effort to ensure our success in Colorado? • What is the most important thing advocates and community partners can do to ensure we fulfill the promise of coverage?

  3. Health Care Affordability Act (09-1293): Expansion of Coverage • May 2010: Implemented Medicaid eligibility for parents up to 100% of the FPL (24,193 Aug 2010) • May 2010: Implemented CHP+ eligibility for children and pregnant women up to 250% of the FPL (2,018 children and 71 pregnant women Aug 2010) • Summer 2011: Implement Medicaid Buy-In program for people with disabilities up to 450% of FPL • Early 2012: Provide health care benefits for adults without dependent children up to 100% of FPL • Spring 2012: Implement twelve-month continuous

  4. Colorado Health Insurance StatusPre and Post Health Care Reform • 778,000 Currently Uninsured • 300,000 Obtain Insurance Exchange (Estimated) • 200,000 – 250,000 Medicaid (Estimated) • 250,000 Uninsured (Estimated)

  5. The Maze

  6. Eligibility Modernization Project • Initiated in 2008 • Implement strategies that will make the application process easier for individuals and families • Three focus areas • Systems/Technology • Policy Changes • Business Processes

  7. Adult laptop and cell phone internet (mobile Web) use 2009 51% 2010 59% African-Americans active use of mobile web 2009 57% 2010 64% African-Americans & English speaking Latinos ownership of cell phones v. whites (2010) 87% - 80% States’ efforts lagging behind ½ states have online enrollment for CHIP Less than that for Medicaid On average, 30% of new enrollments generated online Mobile Web Survey Source: Pew Internet and American Life Project, July 2010 http://pewinternet.org

  8. Accomplishments • Implemented online self-screening tool (Am I Eligible? and Check My Benefits) PEAK: October 2009 • Application Overflow Process (April 2009) • Leveraged our Community-Based Organization infrastructure (PE Sites, Medical Assistance Sites, Certified Application Assistance Sites) • Legislation permitting telephonic renewal, ex-parte redeterminations • Received HRSA State Health Access Program grant to fund outreach and eligibility modernization efforts • New health application • Eligibility and Enrollment for Medical Assistance Programs (EEMAP) RFP completed and contract signed with Maximus • MORE grants ($628,790) made available to 14 community organizations • Regional outreach and training conferences held • Colorado Eligibility Process Improvement Collaborative (CEPIC)

  9. Coming Attractions/Momentum • November 2010: Begin Vital Statistics Pilot • January 2011: Phase II of PEAK (Am I Eligible? And Report My Changes) • 2011 – PEAK Outreach Toolkit Available • Interfaces – DRA Citizenship and Identity Requirements • Vital Statistics • Income and Eligibility Verification System (IEVS) • Department of Revenue, Department of Motor Vehicles • Social Security Administration • Express Lane Eligibility • Free and Reduce Lunch • Income Tax Records

  10. Challenges/Opportunities • Budget • Transition to a new administration • CBMS: competing priorities/capacity to implement new changes • Health care reform implementation: 2014 is closer than we think • Transition to a new eligibility and enrollment vendor • Securing Year 3 funding for the HRSA SHAP grant • State/county partnership

  11. Fulfilling the Promise • Urge continuation of existing policies in the next administration • Continued participation as Certified Application sites, Presumptive Eligibility and Medical Assistance sites • Secure year three funding for the HRSA SHAP grant • Continue to be passionate as we work together to ensure coverage for all Colorodans

  12. Sue Williamson Executive Deputy Director Colorado Department of Health Care Policy and Financing Susan.Williamson@state.co.us 303.866.2618

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