MPHCA CHIP OUTREACH and ENROLLMENT GRANT

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Transcript MPHCA CHIP OUTREACH and ENROLLMENT GRANT

MPHCA CHIP OUTREACH and
ENROLLMENT GRANT
Background and Overview
May 24th, 2010
Carley Jefcoat and Mitch Morris
Project Design and Goals
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Overall goal: Enroll 24,000 children in MS
CHIP/Medicaid health coverage during the 15-months
of active outreach efforts.
Outreach and enrollment activities will be conducted
by Community Outreach Specialists (COS).
COS staff will be stationed statewide in Mississippi’s
21 Community Health Centers (CHCs).
Collect project data and document impact
Roles and Responsibilities of Participating
Agencies
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Mississippi Primary Health Care Association (MPHCA)
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Division of Medicaid (DOM)
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Lead agency of project
Serve as liaison for MPHCA and DOM
Conduct eligibility training for COS staff
Facilitate project involvement with regional DOM staff
Provide statewide and regional project data
Community Health Centers
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Employ and provide support for COS staff
Provide supervision of COS staff
MPHCA Outreach Coordinator
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Monitor project from statewide perspective
Collate and analyze data
Support data collection software
Conduct site visits
Additional training as needed
State/Federal project reporting
COS Roles and Responsibilities
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Provide enrollment assistance to potentially eligible
families
Conduct community-based outreach and collaborate
with other community-based organizations to
promote enrollment assistance
Collect and report project related information
Provide Enrollment Assistance
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Source of potential clients
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Referrals from CHC
Referrals from external agencies
One-on-one assistance
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Eligibility
Application completion
Supporting documentation
Facilitate Medicaid interview
Annual redetermination
Provide Enrollment Assistance
Information/Data Collection
 Collaboration with local Medicaid
Office/OEWs
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Select best-fit interview site
Resolve application status
Productivity Targets
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1000/FTE/Year
Approximately 4 completed applications per day
Outreach and Collaboration
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Examples of outreach activities
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Identifying potential partners and community
contacts
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Health fairs
School functions
Group presentations
Distribute flyers/brochures
Head Start Centers
Churches
Other health and social service agencies
Complete and submit monthly reporting form
Project Reporting
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Enrollment data will be automatically
captured through use of project software
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Monthly outreach reports will be submitted
to MPHCA
Time/Calendar Management
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Overall goal: Enroll 24,000 children in MS CHIP/Medicaid
health coverage during the 15-months of active outreach
efforts.
Outreach activity is intended to support successful
achievement of the project goal.
Outreach activity should not be conducted at the
expense of enrollment.
Each COS should work with their supervisor to
determine the best approach for managing these
responsibilities.
Managing/Scheduling Referrals
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Unscheduled referrals
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Scheduled appointments
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Attempt to assist immediately
First time appointments: 30 minutes
Follow-up appointments: 15 minutes
Each COS should work with their supervisor
to determine the best calendar management
tool.
Questions