1. Alabama’s Children’s Health Insurance Program Cathy Caldwell, Director Alabama Department of Public Health Cathy.caldwell@adph.state.al.us

2. Alabama’s Uninsured Children Percent Pre-CHIP: 15%* Currently: 6.8%** *Southern Institute on Children and Families, Uninsured Children in the South, 2 nd Report, November 1996 ** U.S. Census Bureau, Current Population Survey, 3-year average (2008-2010)

3. Enrollment

4. Accomplishments Joint Application Aligned Rules Web application with E-sign Active CAKF coalition Kiosks at FQHC’s MyAlabama.gov Express Lane Eligibility, Medicaid and SNAP

5. Outreach

6. New Outreach Strategies Collegiate Sports High School Football Movie Theatre advertising Increased use of print media Increased web presence ◦Increased presence on ADPH home page ◦New family friendly ALL Kids website ◦AL.com

7. Alabama Successes Greatly reduced number of uninsured children 2009 & 2010 CHIPRA Performance Bonus ($80M) Added Express Lane Eligibility

8. Alabama Successes Improvements for ALL Kids Enrollees partnered with University of Alabama School of Public Health Access to care analysis of utilization trends across cost-sharing changes

9. Alabama Successes Improvements for ALL Kids Enrollees partnered with University of Alabama School of Public Health Asthma study documented improvement in asthma- related outcomes

10. Moving Forward – Quality of Care Core Set of Quality Measures participated in development (SNAC) voluntarily reporting via CARTS implemented CAHPS in 2011

11. Planning for 2014 Dept of Insurance DPH Medicaid Governor’s Policy Staff Mental Health State IT/Finance LMI MaxEnroll RWJF - State Network

12. Challenges Authority Systems Time Resources Relationships Past Successes Outside Guidance

13. Good Health is Our Goal