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Gayle Lees Sandlin, Director Bureau of Children’s Health Insurance Alabama Department of

The State Children's Health Insurance Program: Accomplishments and opportunities for Improvement at Renewal. Gayle Lees Sandlin, Director Bureau of Children’s Health Insurance Alabama Department of Public Health Bipartisan Congressional Health Policy Conference January 13, 2007.

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Gayle Lees Sandlin, Director Bureau of Children’s Health Insurance Alabama Department of

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  1. The State Children's Health Insurance Program: Accomplishments and opportunities for Improvement at Renewal Gayle Lees Sandlin, Director Bureau of Children’s Health Insurance Alabama Department of Public Health Bipartisan Congressional Health Policy Conference January 13, 2007

  2. “Devolution” – give states the ability to design a program that best meets the needs of the children while fitting with each state’s environment for: • Political climate • Insurance market • Health care provider system • Appropriate agency to administer • Eligibility criteria that “fits” the demographics of the State

  3. Insuring Alabama’s Children Since CHIP Phase 1 began in February 1998, the three programs providing health coverage to children in Alabama have seen a net increase of approximately 176,100 enrollees.

  4. States were encouraged to “outreach” and find uninsured children and facilitate enrollment in appropriate program • Joint application • Find all uninsured children • “Seamless” and “family friendly” enrollment and referral processes • “Destigmatize” publicly funded insurance • Creative use of media and print advertising • Use of enrollment brokers • Woodwork effect • Procedures to keep children insured • 12 months continuous coverage • Helpful renewal process

  5. ALL Kids – “Administratively Simple”(Program Issues) • Self declaration of eligibility criteria • 3 program application • Yearly premiums with 12 months to pay • Co-pays collected by providers • Centralized processing • Mail-in application • Web-based application • Outreach designed to “Teach the People Who Reach the People”

  6. Provide Systems Coordinationto assist decentralized Medicaid workers in identifying problems, gaps, miscommunications, etc., that result in barriers to enrollment of childrenProvide Staff Trainingsto offer contact hours fornurses and social workersAttend Meetings and Community Eventsto educate and distribute information about ALL Kids

  7. Fiscal Issues • State funds • Capped federal allotment • Administrative spending capped at 10% • PERM • Enhanced match rate • Inability for stand alone programs to flip to Medicaid funding • Enrollee cost sharing Premiums Co-pays Max 5% of family income

  8. Payments are manageable and affordable for families • 2-4 installments are available • Decreases chance of loss or lapse of coverage due to unpaid premiums

  9. Contact InformationGayle Lees Sandlin, DirectorBureau of Children’s Health InsuranceAlabama Department of Public Health201 Monroe Street, Suite 250Montgomery, AL 36104 Phone: 334 – 206-5568FAX: 334 – 206-6433Email: gsandlin@adph.state.al.us Leave no child behind

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