Oregon Covering Kids & Families & State of Oregon Department of Human Services Oregon Health Plan Oregon Health Plan (OHP) Central & the Rogue Valley Covering.

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Presentation transcript:

Oregon Covering Kids & Families & State of Oregon Department of Human Services Oregon Health Plan Oregon Health Plan (OHP) Central & the Rogue Valley Covering Kids & Families Collaborative

Aim Statement To reduce the “pend” rate for Oregon Health Plan applications by 15%.

Changes Tested Oregon Health Plan Application Checklist Eligibility staff all received training on appropriate reasons to pend applications. OHP has dedicated 2 staff to determine eligibility and track data from randomly assigned applications from the CKF project site. Outstation CKF Outreach Workers Date Stamp Applications at CKF sites OHP Application Assistance Signage Income Tracking Sheet

Changes Tested Cont.. Outreach staff developed checklist and now using Internal Resource Referral Form CKF Project Identifier Sign Here Stickers for mailings Insurance Application Flow Sheet Weekly Encounter Tally Sheet Client Progress Data Form to ensure and follow-up with completing application process for applicants

Results Oregon Health Plan Application Checklist for CKF implemented by outreach staff to help applicants provide all information. 2 dedicated staff to determine eligibility and track data from randomly assigned applications to continue the analysis of impact from changes at the outreach center.

Summary and Next Steps Eligibility staff case reviews for pending reasons to analyze trends and continue reduction. Test Site – Date stamp for applications. More advertisement application assistance is available. Need to develop materials to track client activity.

Summary and Next Steps Cont.. Continue to use and evaluate: Outstation CKF Outreach Workers Date Stamp Applications at Outreach sites OHP Application Assistance Signage Internal Resource Referral Form CKF Project Identifier Sign Here Stickers for applicant mailing Income Tracking Sheet Insurance Application Flow Sheet Client Progress Data Form Weekly Encounter Tally Sheet Track & Evaluate the use of Post Cards. Analyze data from CKF project application and continue to refine support for outreach staff. Continue to Learn From CKF Grantees.

Internal Resource Referral Form Date:_________________Intake Staff Name:_____________________________ Client Name:_______________________________ DOB:______________________ Contact Phone Number:__________ Best Time To Reach Client By Phone:___________ Client Mailing Address:__________________________________________________________________ __________________________________________________________________________ Client Needing Information On: ٱ OHP ٱ FHIAP ٱ Food Stamps ٱ Other: _____ Comments:________________________________________________________________ PLEASE SEND FORM TO: MAYRA MELANIEBRENDA _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ For Internal Purposes Only: Date of Contact:___________ Household size: _____Children: No ٱ Yes Apt. Date______________ Notes:__________________________________________________________________ ________________________________________________________________________

Community Health Center Weekly Encounter Tally Sheet Name:_________________________ Week of: _____thru_____ Face to Face TelephoneReferral Outside of CHC Referral Internal to CHC Follow-Ups * Totals Monday Tuesday Wednesday Thursday Friday Totals

Oregon Covering Kids & Families & State of Oregon Department of Human Services Oregon Health Plan Thank You!