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Elements of Eligibility Modernization Promising Practices from Across the Country

Elements of Eligibility Modernization Promising Practices from Across the Country. June 25, 2009 Donna Cohen Ross Center on Budget and Policy Priorities cohenross@cbpp.org ; 202-408-1080. It’s Not About the “Frigidaire”. It’s a whole different approach to getting the job done Culture

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Elements of Eligibility Modernization Promising Practices from Across the Country

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  1. Elements of Eligibility ModernizationPromising Practices from Across the Country June 25, 2009 Donna Cohen Ross Center on Budget and Policy Priorities cohenross@cbpp.org; 202-408-1080

  2. It’s Not About the “Frigidaire” • It’s a whole different approach to getting the job done • Culture • Use of Technology • Organization and Use of Resources

  3. Think “Simple” • Focus on the customer/family • Minimize documentation requirements • Remove “stair-step” eligibility • Use the telephone; data matching • Allow off-cycle renewals • Protect investments • 12-month continuous eligibility

  4. Washington State Low-income Children in Public Health Coverage* Number of Children April 2003: Increased verification requirements July 2003: 12-mo. continuous eligibility eliminated; 6-mo. renewal instituted Caseload declined by 39,085 between April 2003 and September 2004 *Children under 200% of the Federal Poverty Line (FPL) who are not eligible for TANF or SSI. SOURCE: Data from Washington’s Caseload Forecast Council website

  5. Washington State Low-Income Children in Public Health Coverage, April 2002-October 2005 April 2003: State begins income verification July 2003:12-month continuous eligibility ends; 6-month renewal cycle replaces 12-month cycle January 2005: Administrative order to return to 12-month renewal cycle and establishes continuous eligibility policy Source: Washington State Department of Social and Health Services, 2005, updated 2006.

  6. Data Matching

  7. Ways States Use Data Matching • Conduct targeted outreach • Maryland’s parent expansion • Chicago Public Schools • Verify income and other eligibility factors • Utah’s e-find system

  8. More Ways States Use Data Matching • Meet citizenship documentation requirements • Iowa’s cit doc batch match • Facilitate renewal • Virginia’s ex parte renewal

  9. What’s Next? • Express Lane Eligibility • Allows use of eligibility information from other public benefit programs to determine eligibility, regardless of methodology • Early Adopters: • New Jersey – Using information from state tax agency • Louisiana —Using information from Food Stamp agency for enrollment and renewal

  10. Telephony

  11. Ways States Use Telephony • Respond to outreach and initiate enrollment • Cuyahoga Co (Ohio) “Nurse on Call” • “Close the deal” on enrollment and renewal • New York’s Call Center • To address workforce issues • Utah’s call center staff includes 155 telecommuters

  12. On-line Applications

  13. Ways States Use On-Line Applications • Link applicants to multiple programs — and give them some “control” in the process • Wisconsin’s ACCESS program • To enhance and interconnect community-based application assistance • Pennsylvania’s COMPASS program

  14. Moving Into Uncharted Territory Go forward with enthusiasm Be ready for challenges

  15. For More Information Donna Cohen Ross Director of Outreach Center on Budget and Policy Priorities cohenross@cbpp.org 202-408-1080

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