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Cutting Through the Maze. Stacey Moody Eligibility Modernization Forum June 2009. Health Coverage for Kids and Families. Welcome to the Maze. Outreach Barriers. Outreach hasn’t reached some families. Outreach. Printed form outdated Doesn’t match online form Confusing language.
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Cutting Through the Maze Stacey Moody Eligibility Modernization Forum June 2009
Outreach Barriers Outreach hasn’t reached some families Outreach Printed form outdated Doesn’t match online form Confusing language Application assistance unavailable Application assistance inconsistent
Eligibility Determination Barriers Data entry errors Lost application Processing delays Outreach CBMS makes incorrect determination Or sends conflicting notices Eligibility Determination Family must appeal to correct technician errors
Enrollment Barriers CBMS and MMIS disconnect Outreach CHP+ kids get “stuck” and are never enrolled in an MCO Eligibility Determination Enrollment
Renewal Barriers “Statement of Facts” confusing Outreach Coverage dropped for eligible kids Eligibility Determination Enrollment Renewal
We Can Start Right Now • The Top 5 • Leverage Community Partnerships • Simplify and Standardize Income Rules • Fix the Computers • Get the Data • Keep Eligible Kids Covered With Phone / Online Renewals • 20 Specific Action Steps • 5 Legislative • 5 Regulatory • 10 Administrative