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High-Tech Solutions for Underserved Populations Alabama’s Medicaid Application En Español/Hablamos Juntos Alabama.

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Presentation on theme: "High-Tech Solutions for Underserved Populations Alabama’s Medicaid Application En Español/Hablamos Juntos Alabama."— Presentation transcript:

1 High-Tech Solutions for Underserved Populations Alabama’s Medicaid Application En Español/Hablamos Juntos Alabama

2 In the Unites States, more than 21 million people cannot speak English effectively.

3 That equates to about one in every thirteen people.

4 In Alabama, the number of individuals with limited English proficiency (LEP) is rapidly increasing. Alabama’s LEP Population

5 Year 2000 census figures indicate that:   Hispanics are the fastest growing minority group in Alabama   Their numbers have more than tripled between 1990 and 2000

6 Increasing Use of Technology at LEP Access Points 1. 1.A self-guided program loaded on a computer kiosk, which helps clients complete the application process A desktop phrase communication tool for Medicaid Specialists to assist clients with the application. In order to increase the use of technology at LEP access points, En Español collaborated with a medical informatics specialist to develop two software solutions to facilitate the Medicaid application process.

7 Rationale   The Medicaid, All Kids and Alabama Child Caring Foundation (ACCF) programs all use the same application process and form.   Many LEP Latinos have children who are eligible for state-sponsored services although the parents may not be.

8 Product Description The Self-Guided Kiosk Module   Clients interact with touch screen technology using a self-guided process directed by the computer   Digitally recorded instructions in the client’s selected language of preference are played along with a narrative of the application requirements   Clients interact with the screen and input basic information that pre-determines whether or not they qualify, before being directed to the full application

9 Product Description The Self-Guided Kiosk Module (cont’d)   The software matrix then guides clients through a series of questions to gain more pertinent information (name, address, marital status, income level, etc)   The computer then generates a preliminary application that can later be processed by a Medicaid Specialist who makes the final eligibility determination   The system also produces a list of all documents required to verify the application, in the client’s language of preference

10 Product Description The Desktop Phrase Communicator   This product is used to facilitate dialogue between Medicaid Specialists (MS) and clients   It includes a series of indexed topics and corresponding questions and phrases displayed in English on the Specialist’s computer screen   When the Specialist selects a phrase with the mouse, the computer will play a digital recording of the phrase in the patient’s language of preference

11 Product Benefits The combination of these products would: Reduce the current work load on Medicaid Specialist Create a larger number of entry points for LEP individuals into Medicaid services Make it more convenient for individuals to apply Help to increase overall comprehension of the process by applicants  The kiosk module also has the potential to benefit English-speaking clients as well.

12 References   U.S. Census Bureau, “Language Use and English- Speaking Ability: 2000.”   Cindy Brach, Irene Fraser, and Kathy Paez Crossing The Language Chasm Health Affairs, March/April 2005; 24(2):   Leighton Ku and Glenn Flores Pay Now Or Pay Later: Providing Interpreter Services In Health Care Health Affairs, March/April 2005; 24(2):


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