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Pupukahi i Holomua Unite and Move Forward As One

Pupukahi i Holomua Unite and Move Forward As One. Problems. The number of cases with children that are closed due to “Failure to Provide Information” is high.

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Pupukahi i Holomua Unite and Move Forward As One

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  1. Pupukahii Holomua Unite and Move Forward As One

  2. Problems The number of cases with children that are closed due to “Failure to Provide Information” is high. Conflicting data are provided by those who perceive a churning problem (outreach workers, QUEST health plans, and Med-QUEST Ongoing Units) and those who don’t (Med-QUEST Policy and Program Development Office).

  3. Some Conflicting Data Number of Cases Closed With ChildrenDue to Failure to Provide Information Med-QUEST PPDO* Monthly Average (05/01-02/02) 469 Med-QUEST PPDO Monthly Average (10/02-07/03) 9 Med-QUEST Ongoing Unit III(September 2003) 109 * Policy and Program Development Office

  4. Goal All eligible children and youth in Hawai‘i will keep theirpublic health insurance benefits without interruption. Objectives Decrease the number of MQD cases with children that closed during the renewal process due to failure to provide information in Honolulu Ongoing Unit III to zero within six months. 2. MQD’s ongoing case workers will work more efficientlyand spend more quality time on IEVS reports. Method Implement passive renewals through a computerized systemfor Med-QUEST cases with children.

  5. Changes to Date Support from Lillian Koller, Hawai‘i State Department of Human Services (DHS) Director. Three Application and Renewal Simplification Workgroup meetings with DHS director since26 August 2003. Workgroup agreed the renewal form will not be returned to Med-QUEST with a signature if there are no changes in family circumstances.

  6. Core Measures Table 1: Applications Received Honolulu (Average/Month) 2,667 Statewide (Average/Month) 4,503

  7. Core Measures Table 2: Honolulu Office Approvals and Denials # Application Decisions (Average/Month) 4,086 # Applications Approved (Average/Month) 2,607 (64%) # Applications Denied (Average/Month) 1,479 (36%)

  8. Core Measures Table 3: Statewide Denials by Reason Excess Income (Average/Month) 239 Excess Resources (Average/Month) 106 Other Coverage (Average/Month) 35 Failure to Comply with Procedures (Average/Month) 370 Voluntary Withdrawal (Average/Month) 52

  9. Core Measures Table 4: Honolulu Ongoing Unit III Closures by Reason Total Closures (Average/Month) 353 Excess Income or Resources (Average/Month) 23 Other Coverage (Average/Month) 8 Failure to Comply with Procedures (Average/Month) 202 Customer Request (Average/Month) 39

  10. Core Measures Table 5: Honolulu Ongoing Unit III Closed at Renewal Cases Due for Renewal (Average/Month) 627 Cases Closed (Average/Month) 224 % Cases Closed at Renewal (Average/Month) 36%

  11. Core Measures Tables 6 and 8: Honolulu Office Caseload and Closures # Cases 1st of Month (Average/Month) 24,789 # Applications Approved (Average/Month) 2,607 # Cases Closed (Average/Month) 1,897 % Cases Closed (Average/Month) 6.9%

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