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Effective Outreach and Enrollment Strategies to Maximize Reimbursement

Effective Outreach and Enrollment Strategies to Maximize Reimbursement. Presenter : Marci Toler , Director of Enrollment Assistance, Covering Kids & Families of Indiana. Who Is Covering Kids & Families of Indiana?.

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Effective Outreach and Enrollment Strategies to Maximize Reimbursement

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  1. Effective Outreach and Enrollment Strategies to Maximize Reimbursement Presenter: Marci Toler, Director of Enrollment Assistance, Covering Kids & Families of Indiana

  2. Who Is Covering Kids & Families of Indiana? Covering Kids & Families of Indiana is a partnership of more than five hundred organizations and individuals “Advocating Health Coverage for All.” Covering Kids & Families of Indiana helps establish and operate community-based enrollment centers at hospitals, health centers, schools, child care and other social service providers through the formation of CKF-IN local coalitions.

  3. Advocating ‘Coverage for All’: Strength in Partnerships and Healthcare Expertise • CKF-IN local coalitions and affiliates currently operate in twenty-one counties that serve over 51% of families and children enrolled in Medicaid, CHIP & HIP.

  4. Educational Opportunities & Other CKF-IN Initiatives • Interactive Conference Call Series • Presumptive Eligibility for Pregnant Women • Effective Outreach and Enrollment Strategies to Capture HIP Caretakers • Indiana Collaborative for Healthier Rural Communities • Effective Outreach and Enrollment Strategies to Capture HIP Caretakers • Indiana School Health Network • School-Based/School-Linked Health Services • Coordinated School Health

  5. Expanding Partnerships: CKF-IN Hospital Initiative • Health Coverage Handbook: Hospital Edition • Compilation of best practices collected from our partners and affiliates to help hospitals build a successful outreach and enrollment effort • Tried and true practices to help hospitals improve their bottom line, enhance community benefit and minimize otherwise uncompensated care • CKF-IN Hospital Service Line in development to offer hospitals technical assistance to implement effective outreach and enrollment strategies • Health Coverage Handbook: Health Center Edition • 2010 Work Plan Goal for the Hospital & Health Center Committee

  6. Handbook Highlights • Handbook subscribers will learn how to • Implement a combination of inreach and outreach strategies • Inreach – Identifying and enrolling eligible families wherever they encounter your organization by cross-training existing staff to maximize enrollment effort • Maximize existing resources • Track enrollment effort to measure effectiveness of your process • Mobilize partners to maximize outreach strategies • Create a referral network

  7. Critical steps to build a successful enrollment effort • Step 1: Obtain administrative buy-in. Administrators aligned behind a project will help to ensure cooperation among departments and helps to set the stage for the project leader to be successful. • Step 2: Identify a lead within your organization to head up the enrollment effort. • Step 3: Identify Touch Points • Step 4: Cross train existing staff • Step 5: Monitor and track enrollment activity

  8. CKF-IN Performance Comparison 2006 - October 2009

  9. “I think it’s critical that hospitals work together in a collaborative way with Covering Kids & Families of Indiana to connect uninsured and under-insured individuals to health coverage programs. It is not only an opportunity for hospitals but an obligation to work in a collaborative fashion to ensure families who are eligible for these programs do not fall through the cracks. • Doug Leonard, President, Indiana Hospital Association

  10. Contact Covering Kids & Families of Indiana To obtain a copy of the Health Coverage Handbook: Hospital Edition or for more information on the Hospital Service Product Line, please contact: Marci Toler, Director of Enrollment Assistance at 574-968-1654 or by e mail at mtoler@ckfindiana.org For more information on the Indiana School Health Network, please contact: Sondra Gardetto, Deputy Director at 574-968-1645 or by e mail at sgardetto@ckfindiana.orgor visit www.inschoolhealth.org To obtain a copy of this presentation, please visit www.ckfindiana.org

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