Network Update Prepared for: CountyCare Network Providers & App Assisters September 24, 2013 (revised 10/1/13)

Agenda 1. CountyCare Updates 2. The Future of CountyCare 3. CountyCare and ACA Roll-Out 4. Q&A 2

Applications & Enrollment Over 100,000 Apps Initiated Over 70,000 Apps Submitted for Adjudication 85-90% Approval Rating 65+ day Lag In Processing – Over 27,000 Apps Pending Members Stay with PCPs When Enrolling – New Members 50/50 Split Between CCHHS & FQHCs 3

Demographics Apps From All Corners Of The County Adequate Provider Network in Place Age: 49% 50+ years old Gender: 53% Female Race/Ethnicity:* – 26% African American – 12% White – 60% Other/Unknown Assignment to PCMH: – 96% FQHC Apps Pick FQHC as PCMH – 70% of CCHHS Apps Pick CCHHS as PCMH – 50/50 Split of New/New Apps *Note: Race/Ethnicity is voluntarily reported.

CountyCare Areas of Focus Permanent Staffing – Currently filling 20+ positions Referrals Process (including BH/SA) – Updates to portal completed & training in process; Revisiting policies and general approach Marketing & Outreach – New CCHHS Chief Strategy Officer; Hiring Director of Marketing and Director of Community Affairs Processing Back-log – State DHS provided plan to be current by 12/31/13 5

Agenda 1. CountyCare Updates 2. The Future of CountyCare 3. CountyCare and ACA Roll-Out 4. Q&A 6

CountyCare Is Obamacare CountyCare is the Managed Care Option for Low-Income Adults (<133% FPL) Living in Cook County Eligible for Medicaid Coverage under the Affordable Care Act (ACA) Marketplace coverage available (up to 400% FPL) through GetCoveredIllinois.gov or by calling Persons with CountyCare, or any other Medicaid coverage, DO NOT need to reapply! 7

Dispelling the Myths CountyCare Is Not Going Away 10/1/2013 When The Marketplace Goes Live… – Call Center ( ) continues – Use of current DHS on-line application systems continues …Nor is it Going Away 1/1/2014 When ACA Coverage Goes Into Effect Statewide. – IL Medicaid Waiver ends 12/31/2013; CountyCare becomes a Managed Care Community Network (MCCN) – Expect seamless transition for members and network with no gaps in care. 8

The CountyCare Journey Phase IA: Launch Phase IB: Stabilization Phase II: Transition to MCCN (1/2014) – Population Focus: Newly Eligible Medicaid Adults Phase III: Population Expansion (4/2014) – Population Focus: Other Medicaid (7/2014), Marketplace (10/2014), Medicare (TBD) 9

Agenda 1. CountyCare Updates 2. The Future of CountyCare 3. CountyCare and ACA Roll-Out 4. Q&A 10

10/1-12/31: The Door You Choose Determines When Coverage Begins Benefits Begin 1/1/2014 – No prior period reimbursement Offered Choice of CountyCare or IL Health Connect through Client Enrollment Broker No guarantee of PCP selection Benefits Begin 1 st of Month Application is Submitted Enrolled into CountyCare Assigned to PCP using algorithm favorable to provider assisting where app 11 Coverage today is possible ONLY through CountyCare and ONLY when application comes through an App Assister.

Coverage Delays Possible Persons Eligible for CountyCare ARE NOT guaranteed CountyCare coverage unless they apply for benefits through a CountyCare App Assister Newly eligible adults applying through ABE beginning October 1, WILL NOT have coverage until 1/1 – even if they qualify for CountyCare today! – And they will be required to go through the State’s Client Enrollment Broker process and choose between CountyCare or IHC App Assisters DO NOT need to transition to new system (ABE) on 10/1/2013 – Existing systems will be available for CountyCare applications until at least mid-November 12

Key Takeaway Messages 1. CountyCare Updates Launch Has Been Wildly Successful – Thank You! There is Work To Be Done at CountyCare; We are Continually Improving 2. Future of CountyCare CountyCare = Obamacare Not Going Away 10/1/2013 or 1/1/2014 New Populations in 2014 Call Center Continues 3. CountyCare & ACA Roll- out The Door You Choose Determines When Coverage Begins Applying With an App Assister Guarantees PCP Assignment; Applying With “ABE” Does Not. App Assisters Continue to Use Existing Systems until Mid-November(ish), then transition to IES 13

Agenda 1. CountyCare Updates 2. The Future of CountyCare 3. CountyCare and ACA Roll-Out 4. Q&A 14

Key Contacts Executive Director Steven Glass Director, Business Development Sidney Thomas (Interim) Director, Enrollment & Provider Training Jane Longo (Interim) Director, Business Operations Bill Baker (Interim) Director, Clinical Services Mary Sajdak, RN (Interim) Cook County Health and Hospitals System Department of Managed Care 1900 W Polk Street, Suite 220-C, Chicago, Illinois Medical Director Jen Smith, MD (Interim) Director, Finance Scott Andrle (Interim) Provider Relations: , Option 3

Thank you! 16