Creating Seamless Coverage: Medicaid hawk-i

1. Creating Seamless Coverage:Medicaid hawk-i State of Iowa

2. Introduction • Recent Developments • Increase in resources and commitment focused on the coordination of Medicaid and hawk-i • Creation of full-time hawk-i Policy Specialist position (October 2003) • Addressing this issue was elevated to high priority by top level management (September 2003)

3. Goals • Ensure ALL children who lose Medicaid, due to excess income, are referred to hawk-i. • Ensure ALL children losing hawk-i and eligible for Medicaid are referred to Medicaid.

4. Changes Implemented to Date • 1. Awareness & Education Campaign • Began in April 2003 • Efforts include field visits to all areas in the state

5. Changes Implemented to Date(continued) • 2. System Changes • Automated electronic referral system • Informal and formal service requests for changes to computer system to meet goal • Results to include: automatic electronic referral, automatic reminder email message for referral, creation of management reports, and additional wording will be added to certain Medicaid notices of decision. • A referral history will be maintained on the eligibility file.

6. Program Baselines hawk-i Data Notes: Approximately 40% of all hawk-i applications are referred to Medicaid. Applications denied data includes applications who did not become eligible for hawk-i because they were referred to Medicaid. This data represents individuals.

7. Program Baselines(continued) Medicaid Data

8. hawk-i Grassroots Outreach Survey Results • Survey to Outreach Coordinators (November, 2003) • Out of 26 Outreach Coordinators surveyed, 24 responded as follows: • Question 1: How often do you believe the referral process is occurring between Medicaid and hawk-i in your area? • Responses: • Never – 2 • Sometimes – 16 • Almost Always – 5 • Always – 1 • Question 2: How efficient do you believe this process is? • Responses: • Not Efficient – 7 • Somewhat Efficient – 11 • Efficient – 5 • Very Efficient – 1 * Note: This survey reflects the outreach coordinators perceptions of the referral process, which may not be consistent with referral data.

9. Conclusions • Streamlining the system will help ensure continuity of health care coverage for consumers. • Streamlining the system will reduce field staff workload. • Awareness & Education Campaign will continue until all county offices receive training.

10. Conclusions(continued) • Services will be monitored and measured for results. • Implementation of the automated referral process will be completed within 6 months.