Network Update

1. Network Update Prepared for: CountyCare Network Providers & App Assisters September 24, 2013 (revised 10/1/13)

2. Agenda • CountyCare Updates • The Future of CountyCare • CountyCare and ACA Roll-Out • Q&A

3. Applications & Enrollment • Over 100,000 Apps Initiated • Over 70,000 Apps Submitted for Adjudication • 85-90% Approval Rating • 65+ day Lag In Processing • Over 27,000 Apps Pending • Members Stay with PCPs When Enrolling • New Members 50/50 Split Between CCHHS & FQHCs

4. Demographics • Apps From All Corners Of The County • Adequate Provider Network in Place • Age: 49% 50+ years old • Gender: 53% Female • Race/Ethnicity:* • 26% African American • 12% White • 60% Other/Unknown • Assignment to PCMH: • 96% FQHC Apps Pick FQHC as PCMH • 70% of CCHHS Apps Pick CCHHS as PCMH • 50/50 Split of New/New Apps *Note: Race/Ethnicity is voluntarily reported.

5. CountyCare Areas of Focus • Permanent Staffing • Currently filling 20+ positions • Referrals Process (including BH/SA) • Updates to portal completed & training in process; Revisiting policies and general approach • Marketing & Outreach • New CCHHS Chief Strategy Officer; Hiring Director of Marketing and Director of Community Affairs • Processing Back-log • State DHS provided plan to be current by 12/31/13

6. Agenda • CountyCare Updates • The Future of CountyCare • CountyCare and ACA Roll-Out • Q&A

7. CountyCare Is Obamacare • CountyCare is the Managed Care Option for Low-Income Adults (<133% FPL) Living in Cook County Eligible for Medicaid Coverage under the Affordable Care Act (ACA) • Marketplace coverage available (up to 400% FPL) through GetCoveredIllinois.gov or by calling 866-311-1119 Persons with CountyCare, or any other Medicaid coverage, DO NOT need to reapply!

8. Dispelling the Myths • CountyCare Is Not Going Away 10/1/2013 When The Marketplace Goes Live… • Call Center (312.864.8200) continues • Use of current DHS on-line application systems continues • …Nor is it Going Away 1/1/2014 When ACA Coverage Goes Into Effect Statewide. • IL Medicaid Waiver ends 12/31/2013; CountyCare becomes a Managed Care Community Network (MCCN) • Expect seamless transition for members and network with no gaps in care.

9. The CountyCare Journey • Phase IA: Launch • Phase IB: Stabilization • Phase II: Transition to MCCN (1/2014) • Population Focus: Newly Eligible Medicaid Adults • Phase III: Population Expansion (4/2014) • Population Focus: Other Medicaid (7/2014), Marketplace (10/2014), Medicare (TBD)

10. Agenda • CountyCare Updates • The Future of CountyCare • CountyCare and ACA Roll-Out • Q&A

11. 10/1-12/31: The Door You Choose Determines When Coverage Begins • Benefits Begin 1/1/2014 • No prior period reimbursement • Offered Choice of CountyCare or IL Health Connect through Client Enrollment Broker • No guarantee of PCP selection • Benefits Begin 1st of Month Application is Submitted • Enrolled into CountyCare • Assigned to PCP using algorithm favorable to provider assisting where app Coverage today is possible ONLY through CountyCare and ONLY when application comes through an App Assister.

12. Coverage Delays Possible • Persons Eligible for CountyCare ARE NOTguaranteed CountyCare coverage unless they apply for benefits through a CountyCare App Assister • Newly eligible adults applying through ABE beginning October 1, WILL NOThave coverage until 1/1 – even if they qualify for CountyCare today! • Andthey will be required to go through the State’s Client Enrollment Broker process and choose between CountyCare or IHC • App Assisters DO NOT need to transition to new system (ABE) on 10/1/2013 • Existing systems will be available for CountyCare applications until at least mid-November

13. Key Takeaway Messages 1. CountyCare Updates • Launch Has Been Wildly Successful – Thank You! • There is Work To Be Done at CountyCare; We are Continually Improving 2. Future of CountyCare • CountyCare = Obamacare • Not Going Away 10/1/2013 or 1/1/2014 • New Populations in 2014 • Call Center Continues 3. CountyCare & ACA Roll-out • The Door You Choose Determines When Coverage Begins • Applying With an App Assister Guarantees PCP Assignment; Applying With “ABE” Does Not. • App Assisters Continue to Use Existing Systems until Mid-November(ish), then transition to IES

14. Agenda • CountyCare Updates • The Future of CountyCare • CountyCare and ACA Roll-Out • Q&A

15. Key Contacts Cook County Health and Hospitals System Department of Managed Care 1900 W Polk Street, Suite 220-C, Chicago, Illinois 60612 www.cookcountyhhs.orgwww.countycare.com Executive Director Steven Glass sglass@cookcountyhhs.org 312.864.1147 Director, Business Development Sidney Thomas (Interim) sthomas1@cookcountyhhs.org 312.864.0921 Director, Enrollment & Provider Training Jane Longo (Interim) jlongo@cookcountyhhs.org 312.864.6853 Director, Business Operations Bill Baker (Interim) wbaker@cookcountyhhs.org 312.864.0729 Director, Clinical Services Mary Sajdak, RN (Interim) msajdak@cookcountyhhs.org 312.864.0918 • Provider Relations: 312.864.8200, Option 3 • providerservices@countycare.com Medical Director Jen Smith, MD (Interim) jsmith@cookcountyhhs.org 312.864.0729 Director, Finance Scott Andrle (Interim) sandrle@cookcountyhhs.org 312.864.4649

16. Thank you!