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Robin Callahan Director of Member Policy & Program Development, Office of Medicaid

Health Care Reform Implementation January 22, 2010. Robin Callahan Director of Member Policy & Program Development, Office of Medicaid. Health Care Reform Implementation. Countless moving parts Strong centralized coordination needed to track progress and share information

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Robin Callahan Director of Member Policy & Program Development, Office of Medicaid

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  1. Health Care Reform Implementation January 22, 2010 Robin Callahan Director of Member Policy & Program Development, Office of Medicaid

  2. Health Care Reform Implementation • Countless moving parts • Strong centralized coordination needed to track progress and share information • Secretary of Health and Human Services convened weekly cross agency meetings • HCR project leaders from each agency reported progress and challenges

  3. Leveraging Existing Medicaid Infrastructure • One front door for subsidized health programs (MassHealth, Commonwealth Care, and the Health Safety Net) • Medicaid program has the staffing and systems required to determine income eligibility • Adding Commonwealth Care rules to the existing eligibility system ensures maximum benefits for applicants and notice of eligibility for all family members

  4. Virtual Gateway – The programs These programs can be applied for online using the Virtual Gateway: • MassHealth,including: • Children's Medical Security Plan • Healthy Start • Health Safety Net • Commonwealth Care • Child Care • Food Stamps • Women Infants Children (WIC) • Women’s Health Network • Department of Mental Retardation services • Mass. Rehabilitation Commission services • Elder services • Mass. Commission for the Blind Services • Mass. Commission for the Deaf / Hard of Hearing services • Veterans’ Services – Holyoke / Chelsea Soldiers’ Homes

  5. Virtual Gateway Award: 2008

  6. Massachusetts Health Care Training Forum Massachusetts Health Care Training Forum (MTF) - Program Goal MTF communicates accurate, timely information about operations and policies of Massachusetts State Health Care Programs to community health and human service partners.

  7. Massachusetts Health Care Training Forum • North (Tewksbury) • Central (Shrewsbury) • Boston • West (Holyoke) • Southeast (Taunton) 20 Meetings Annually in 5 locations Total Attendance annually ~ 2,000 - Email Updates - Website - Outreach (Formal and Informal)

  8. Massachusetts Health Care Training Forum • Formal presentations about issues related to: • Eligibility/Enrollment • Case Management • Billing/Claims • Advocacy • Information directly enhances attendees’ ability to assist current and potentially eligible individuals • Roundtable sessions with state experts, trainers and advocates • Network opportunity for state and community organizations to build collaborative relationship

  9. EOHHS Enrollment, Outreach & Access to Care GrantsGrant Recipients51 Community Based Organizations

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