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An innovative outreach tactic to identify and enroll eligible students. In the beginning………………. We were looking down the road trying to figure out where we could find uninsured kids. Program Goal. Streamline process Eliminate reports, reports, reports
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An innovative outreach tactic to identify and enroll eligible students
In the beginning……………… We were looking down the road trying to figure out where we could find uninsured kids.
Program Goal • Streamline process • Eliminate reports, reports, reports • Eliminate manual surveys of enrollment information • Increase parental appointments • Increase enrollment • Increase ability for parents to access DRA (citizenship/identity) documents. • Connect families to CHP+ navigator and EPSDT (Children’s Medicaid Coordinators)
Data, data, data…… • 2006: Colorado Children's Campaign reports that 165,000 children are uninsured in Colorado. • 2005-2007:Colorado Health Institute data shows that Pueblo County had 20.8% Eligible but not enrolled children. • 2002 Pueblo Census was 101,000
In 2007, Pueblo StepUp partners with Pueblo City Schools • HB1270 allowed school districts to apply to become a Medical Assistance Site. Their goal was to streamline the free and reduced lunch program with Medicaid and CHP+. • Pueblo City Schools (PCS) was one of three grantees awarded. Teamed up with Pueblo StepUp.
Pueblo City Schools2008-2009 Data • Student Population 08-09 school yr:18,458 • 37 schools • 66% minority • 65.5% qualify for free and reduced lunch programs • 2,157 reported as being uninsured
Brainstorming • Developed a team (school district/Pueblo StepUp). • Developed a process to identify EBNE students. • Developed the “parts in the big machine.” • Developed a method to market the process to students and parents.
Worked with what was already available…… • Utilized student information forms and revised to capture insurance information. • Utilized free and reduced lunch information • Utilized student software to develop fields to capture insurance information • Utilized school messaging system to market pilot • Utilized school based wellness centers to schedule parents/students • Utilize data sharing agreements and revise to include Pueblo StepUp
Results Reports were generated and compared Eligible but not enrolled students were easily identified and parents were contacted to schedule appointments to complete application process Eligibility was determined via the Colorado Benefits Management System (CBMS) Families were informed immediately of eligibility outcome.
Year #1: 2007-08 20,000 free/reduced lunch program applications mailed 11,481 free/reduced lunch applications approved 95 applications processed 126 children & 2 parents enrolled Year #2: 2008-09 22,000 free/reduced lunch program applications mailed 12,629 free/reduced lunch applications approved 198 applications processed 328 children and 38 parents enrolled Results cont’
Outreach and Enrollment • Implemented process @ Pueblo School Dist 70 • CHIPRA grant: Partnered with the Colorado Association for School Based Health Care and expanded to 5 other school districts in the state. Future plans to expand to 5 more additional sites. • Waiting for MA site contract • Partner with St. Mary-Corwin • Partner with Pueblo Community Health Center • Partner with Daycare centers • Partner with Headstart • School Medicaid Services partner
Lessons Learned……… • What looks good on paper may not be as easy to implement. It may also take longer to implement then originally thought. • Contracts, contracts, contracts. • A strong team needs to be established from the beginning. • Need enough staff to implement program • Trainings may not address your issues or may not be as readily available • Deficit Reduction Act (DRA) requirements may be difficult to meet. • Some families submit duplicate applications • A strong relationship needs to be developed with local county department of social services • Communication, communication, communication • Relationships with referring agencies need to be strengthened
In the news……………….. • Featured in the Colorado Health Foundation (TCHF) quarterly reports (2) and interviewed for their annual report. • Invited by the CHF to participate in Healthy Schools panel in Rifle and Montrose. • “White Paper” written by Covering Kids and Families (CKF) and CHF. • Presentation made to CHF @ staff meeting. • Presentation made to PCS administrators’ back to school meetings, PCS board meetings, and D70 board meetings • CHP+/Medicaid presentations in Spanish @ two PCS classes. • Will be presenting @ CASBHC conference in May 10 • Submitted presenter’s proposal to the NPN conference held in Denver in late August
Contact information • Brenda LaCombe PH #: 719-557-3883 Fax #: 719-557-3880 brendalacombe@centura.org Cindy Lau PH #: 719-557-3886 cindylau@centura.org