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San Mateo County Health Coverage Unit/Children’s Health Initiative Overview

San Mateo County Health Coverage Unit/Children’s Health Initiative Overview. Claudia Lopez April 4, 2014. What is the Health Coverage Unit/Children Health Initiative?.

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San Mateo County Health Coverage Unit/Children’s Health Initiative Overview

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  1. San Mateo County Health Coverage Unit/Children’s Health Initiative Overview Claudia Lopez April 4, 2014

  2. What is the Health Coverage Unit/Children Health Initiative? • The San Mateo County Health Cover Unit (HCU) or also known as the Children’s Health Initiative (CHI) was established to address community-wide concern for the 17,000 county children who lacked access to comprehensive health insurance coverage. • We now serve both children and indigent adults who do not qualify for Medi-Cal we have change our unit name to Health Coverage Unit.

  3. How is CHI/HCU helping? • We provide application assistance for both the adult indigents and families. • ACE • Healthy Kids • Medi-Cal • Cover California • We conduct outreach, enrollment and education on the process or eligibility and enrollment.

  4. Who is eligible? • HCU/CHI is available to assist all San Mateo County residence regardless of immigration status. • For children: Potentially eligible for Medi-cal/ Healthy Families/Healthy Kid, who are: • Under Age 19, except for Medi-cal (21); • Residents of San Mateo County; • Not Insured through employer sponsored insurance coverage; • Incomes below 400% of the FPL. • For Adults: Potentially Medi-Cal, ACE, DHC, and Self pay Medically Indigent Adult who are: • Age 19-64; • Residents of San Mateo County; • Not Insured through employer sponsored insurance coverage; • Income below 400% of FPL

  5. [1] DHC charges will not exceed the highest amount that SMMC receives for medical services from Medicare, Medi-Cal, Healthy Families or other government-sponsored programs 2 Deposit required before receiving non-emergency services. 50% discount if bill is paid within 30 days; must pay 100% after 30 days. 3 The County Charity Care program is available only for emergency room visits, and inpatient and surgery visits transferred from SMMC’s emergency room. 4 Repayment plan interest-free based on ability to pay

  6. One-e-App • For our local program we use the One-e-App web base application system. • All Healthy and ACE application are processed through One-e-App

  7. How does One-e-App Work? • Information is collected and entered in One-e-App by the Application Assistor. • A preliminary eligibility is established based on the information provided by client. • Depending on the program that client is found eligible for, the information is routed to that entity.

  8. Question Claudia Lopez Trainer/Supervisor San Mateo County Health Coverage Unit 650 616-2045 Cllopez@smcgov.org www.smchcu.org 650 616-2002

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