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Oregon Covering Kids Families State of Oregon Department of Human Services Oregon Health Plan

Aim Statement. To reduce the ?pend" rate for Oregon Health Plan applications by 15%.. Changes Tested. Oregon Health Plan Application ChecklistEligibility staff all received training on appropriate reasons to pend applications. OHP has dedicated 2 staff to determine eligibility and track data from

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Oregon Covering Kids Families State of Oregon Department of Human Services Oregon Health Plan

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    1. Oregon Covering Kids & Families & State of Oregon Department of Human Services Oregon Health Plan Oregon Health Plan (OHP) Central & the Rogue Valley Covering Kids & Families Collaborative

    2. Aim Statement To reduce the “pend” rate for Oregon Health Plan applications by 15%. Pended Applications Nov 02 – 8,308 Dec 02 – 9,495 Jan 03 – 8,515 Feb 03 – 9,233 Mar 03 – 11,305 Apr 03 – 12,381 May 03 – 11,374 Jun 03 – 10,152 Jul 03 – 8,125 Aug 03 – 7,924 Sep 03 – 8,278 Oct 03 – 8,101 Average = 9,433 apps monthly Or 47% of the applications approved or deniedPended Applications Nov 02 – 8,308 Dec 02 – 9,495 Jan 03 – 8,515 Feb 03 – 9,233 Mar 03 – 11,305 Apr 03 – 12,381 May 03 – 11,374 Jun 03 – 10,152 Jul 03 – 8,125 Aug 03 – 7,924 Sep 03 – 8,278 Oct 03 – 8,101 Average = 9,433 apps monthly Or 47% of the applications approved or denied

    3. Changes Tested Oregon Health Plan Application Checklist Eligibility staff all received training on appropriate reasons to pend applications. OHP has dedicated 2 staff to determine eligibility and track data from randomly assigned applications from the CKF project site. Outstation CKF Outreach Workers Date Stamp Applications at CKF sites OHP Application Assistance Signage Income Tracking Sheet

    4. Changes Tested Cont.. Outreach staff developed checklist and now using Internal Resource Referral Form CKF Project Identifier Sign Here Stickers for mailings Insurance Application Flow Sheet Weekly Encounter Tally Sheet Client Progress Data Form to ensure and follow-up with completing application process for applicants

    5. Results

    6. Summary and Next Steps Eligibility staff case reviews for pending reasons to analyze trends and continue reduction. Test Site – Date stamp for applications. More advertisement application assistance is available. Need to develop materials to track client activity.

    7. Summary and Next Steps Cont.. Continue to use and evaluate: Outstation CKF Outreach Workers Date Stamp Applications at Outreach sites OHP Application Assistance Signage Internal Resource Referral Form CKF Project Identifier Sign Here Stickers for applicant mailing Income Tracking Sheet Insurance Application Flow Sheet Client Progress Data Form Weekly Encounter Tally Sheet Track & Evaluate the use of Post Cards. Analyze data from CKF project application and continue to refine support for outreach staff. Continue to Learn From CKF Grantees.

    10. Oregon Covering Kids & Families & State of Oregon Department of Human Services Oregon Health Plan Thank You!

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