MPHCA CHIP Outreach Refresher Training COS Supervisor Session July 29th, 2010

Project Design and Goals Overall Goal: Enroll 24,000 children in MS CHIP/Medicaid coverage during15 months of active outreach. Outreach and enrollment activities conducted by Community Outreach Specialists (COS). COS staff stationed statewide in Mississippi’s Community Health Centers (CHCs).

Roles and Responsibilities of Participating Agencies Mississippi Primary Health Care Association (MPHCA) Lead agency Serve as liaison for CHCs and DOM Statewide project coordination 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 Administer 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

Memorandums of Agreement Each CHC was issued a MOA upon receipt of grant award. Each CHC executive director/CEO signed MOAs specific to their CHC. Key MOA items: Resource Allocation Disbursements/Payments Enrollment/Productivity Expectations No Supplantation COS Support/Supplies

Resource Allocation Federal grant funds are available to support 21.0 full-time equivalent (FTE) COSs statewide. FTE distribution was determined through development of an objective formula Population data available from the US Census The stated service area of each CHC The geographic location of CHC service delivery sites

Disbursements/Payments Each Mississippi CHC is eligible to receive a federal sub-grant award in the amount of $40,162 per 1.0 FTE These funds support salary, fringe benefit costs, and supplies for each COS for a 15-month period of active outreach Funds are reimbursed on a monthly basis, contingent on adherence to program reporting guidelines and satisfactory project progress

Disbursements/Payments cont’d. Although the formula used by MPHCA determined the amount awarded to each CHC, MPHCA does not determine the salary of each COS staff person. The given allotment should also cover COS supplies: Computer with necessary web browser (Internet Explorer 7 or higher; Mozilla Firefox) Printing capabilities Office space where patient confidentiality is ensured Outreach tools such as flyers, business cards, etc.

Disbursements/Payments cont’d. FTE Total Allotment MOnthly Allotment 2.00 $80,324.00 $5,354.93 1.50 $60,243.00 $4,016.20 1.25 $50,205.50 $3,346.83 1.00 $40,162.00 $2,677.47 0.75 $30,121.50 $2,008.10 0.50 $20,081.00 $1,338.73

Invoicing At the end of each month the CHC should invoice MPHCA for their monthly allotment. The invoice should include: CHC name, Month, Amount COS Staffing Profile COS Name Carley Jefcoat COS FTE Status .75 FTE COS Dates of Employment March 16, 2010 - present

Enrollment/Productivity Expectations As described in the CMS grant application, the goal of this Outreach Project is to successfully enroll 24,000 children into the Medicaid and/or CHIP health coverage during a 15-month period of active outreach. This further translates into a goal of approximately 1,142 successful enrollments per each 1.0 grant- funded COS FTE.

No Supplantation Federal funds awarded through this project may not be used to supplant the utilization or allocation of other funds or resources. Project funds and associated resources are intended to apply to CHIP outreach and enrollment efforts only In the event that existing personnel are hired to fulfill the duties of the COS, a clear delineation of responsibilities and re-assignment of duties must be clearly expressed within all program-related reports and documents.

COS Support/Supplies Each participating CHC must ensure that all full-time and part-time COS staff members are provided with supportive resources necessary for effective job performance, whether afforded directly by the CHC, or made available through project funds. Such support includes, but may not be limited to; laptop/notebook computer with necessary productivity software, office space, office supplies, and suitable space for confidential, one-on-one client interactions.

QUESTIONS?