MPHCA CHIP OUTREACH and ENROLLMENT GRANT Background and Overview May 24 th, 2010 Carley Jefcoat and Mitch Morris
Project Design and Goals Overall goal: Enroll 24,000 children in MS CHIP/Medicaid health coverage during the 15-months of active outreach efforts. Outreach and enrollment activities will be conducted by Community Outreach Specialists (COS). COS staff will be stationed statewide in Mississippi’s 21 Community Health Centers (CHCs). Collect project data and document impact
Roles and Responsibilities of Participating Agencies Mississippi Primary Health Care Association (MPHCA) Lead agency of project Serve as liaison for MPHCA and DOM Division of Medicaid (DOM) Conduct eligibility training for COS staff Facilitate project involvement with regional DOM staff Provide statewide and regional project data Community Health Centers Employ and provide support for COS staff Provide supervision of COS staff
MPHCA Outreach Coordinator Monitor project from statewide perspective Collate and analyze data Support data collection software Conduct site visits Additional training as needed State/Federal project reporting
COS Roles and Responsibilities Provide enrollment assistance to potentially eligible families Conduct community-based outreach and collaborate with other community-based organizations to promote enrollment assistance Collect and report project related information
Provide Enrollment Assistance Source of potential clients Referrals from CHC Referrals from external agencies One-on-one assistance Eligibility Application completion Supporting documentation Facilitate Medicaid interview Annual redetermination
Provide Enrollment Assistance Information/Data Collection Collaboration with local Medicaid Office/OEWs Select best-fit interview site Resolve application status Productivity Targets 1000/FTE/Year Approximately 4 completed applications per day
Outreach and Collaboration Examples of outreach activities Health fairs School functions Group presentations Distribute flyers/brochures Identifying potential partners and community contacts Head Start Centers Churches Other health and social service agencies Complete and submit monthly reporting form
Project Reporting 1. Enrollment data will be automatically captured through use of project software 2. Monthly outreach reports will be submitted to MPHCA
Time/Calendar Management Overall goal: Enroll 24,000 children in MS CHIP/Medicaid health coverage during the 15-months of active outreach efforts. Outreach activity is intended to support successful achievement of the project goal. Outreach activity should not be conducted at the expense of enrollment. Each COS should work with their supervisor to determine the best approach for managing these responsibilities.
Managing/Scheduling Referrals Unscheduled referrals Attempt to assist immediately Scheduled appointments First time appointments: 30 minutes Follow-up appointments: 15 minutes Each COS should work with their supervisor to determine the best calendar management tool.
Questions