Colorado Department of Health Care Policy and Financing Fulfilling the Promise of Coverage October 8, 2010

Colorado Department of Health Care Policy and Financing Focus on Systems Improvements/State Expansions 1.What is real opportunity to fulfill the promise of coverage through systems improvements and state expansions? 2.Where do we have momentum that needs to be maintained or built upon? 3.What is going to be hard or require concerted effort to ensure our success in Colorado? 4.What is the most important thing advocates and community partners can do to ensure we fulfill the promise of coverage?

Colorado Department of Health Care Policy and Financing Health Care Affordability Act ( ): Expansion of Coverage May 2010: Implemented Medicaid eligibility for parents up to 100% of the FPL (24,193 Aug 2010) May 2010: Implemented CHP+ eligibility for children and pregnant women up to 250% of the FPL (2,018 children and 71 pregnant women Aug 2010) Summer 2011: Implement Medicaid Buy-In program for people with disabilities up to 450% of FPL Early 2012: Provide health care benefits for adults without dependent children up to 100% of FPL Spring 2012: Implement twelve-month continuous

Colorado Department of Health Care Policy and Financing Colorado Health Insurance Status Pre and Post Health Care Reform 778,000 Currently Uninsured 300,000 Obtain Insurance Exchange (Estimated) 200,000 – 250,000 Medicaid (Estimated) 250,000 Uninsured (Estimated)

Colorado Department of Health Care Policy and Financing The Maze

Colorado Department of Health Care Policy and Financing Eligibility Modernization Project Initiated in 2008 Implement strategies that will make the application process easier for individuals and families Three focus areas –Systems/Technology –Policy Changes –Business Processes

Colorado Department of Health Care Policy and Financing Mobile Web Survey Adult laptop and cell phone internet (mobile Web) use – % – % African-Americans active use of mobile web – % – % African-Americans & English speaking Latinos ownership of cell phones v. whites (2010) –87% - 80% States’ efforts lagging behind –½ states have online enrollment for CHIP –Less than that for Medicaid –On average, 30% of new enrollments generated online Source: Pew Internet and American Life Project, July

Colorado Department of Health Care Policy and Financing Accomplishments Implemented online self-screening tool (Am I Eligible? and Check My Benefits) PEAK: October 2009 Application Overflow Process (April 2009) Leveraged our Community-Based Organization infrastructure (PE Sites, Medical Assistance Sites, Certified Application Assistance Sites) Legislation permitting telephonic renewal, ex-parte redeterminations Received HRSA State Health Access Program grant to fund outreach and eligibility modernization efforts New health application Eligibility and Enrollment for Medical Assistance Programs (EEMAP) RFP completed and contract signed with Maximus MORE grants ($628,790) made available to 14 community organizations Regional outreach and training conferences held Colorado Eligibility Process Improvement Collaborative (CEPIC)

Colorado Department of Health Care Policy and Financing Coming Attractions/Momentum November 2010: Begin Vital Statistics Pilot January 2011: Phase II of PEAK (Am I Eligible? And Report My Changes) 2011 – PEAK Outreach Toolkit Available Interfaces – DRA Citizenship and Identity Requirements –Vital Statistics –Income and Eligibility Verification System (IEVS) –Department of Revenue, Department of Motor Vehicles –Social Security Administration Express Lane Eligibility Free and Reduce Lunch Income Tax Records

Colorado Department of Health Care Policy and Financing Challenges/Opportunities Budget Transition to a new administration CBMS: competing priorities/capacity to implement new changes Health care reform implementation: 2014 is closer than we think Transition to a new eligibility and enrollment vendor Securing Year 3 funding for the HRSA SHAP grant State/county partnership

Colorado Department of Health Care Policy and Financing Fulfilling the Promise Urge continuation of existing policies in the next administration Continued participation as Certified Application sites, Presumptive Eligibility and Medical Assistance sites Secure year three funding for the HRSA SHAP grant Continue to be passionate as we work together to ensure coverage for all Colorodans

Colorado Department of Health Care Policy and Financing Sue Williamson Executive Deputy Director Colorado Department of Health Care Policy and Financing