PET and MEQC Minnesota Financial Worker and Case Aide Association Conference September 30, 2009

Agenda Program Evaluation Team MEQC 2007/2008 findings Areas targeted for corrective action Discussion of ideas for worker supports Questions

Program Evaluation Team Health Care Eligibility and Access Division Established December 2008 Shelly Engle Lorrie Herling Denise Gray Jessica Pageant

PET Mission Statement Maintain the highest level of health care program integrity through continuous improvements in quality, delivery and service.

Role and Core Activities Minnesota Department of Human Services’ Health Care Eligibility and Access assists the public in applying and accessing affordable health care, while collaborating with counties and state operations so they may better serve their population. The Program Evaluation Team seeks to improve this process through compliance reviews and corrective actions.

Goals Ensure that those who are eligible receive health care through the most beneficial program Make sure health care program eligibility is processed appropriately and according to state and federal laws Determine where improvements may be made in policy or procedures to help workers accurately determine eligibility and ease the application and renewal process for applicants and enrollees

PET Activities Corrective action for PERM Corrective action for MEQC Case reviews Special projects with focus on integrity of MHCP Review and make recommendations for training and the health care manual

2007/2008 MEQC Findings Four Common Errors Earned Income Disregards Citizenship & Identity Verification Residency Household Composition

Earned Income Disregards MA Method A Four Month Disregard –HCPM Dependent Care Deduction –HCPM

Citizenship & Identity Documentation Citizenship and identity not verified before enrollment –HCPM –Bulletin # , Changes to Citizenship Documentation Requirements for MA and MCRE for Families with Children

Residency Overlapping State Coverage –HCPM MA Begin Date for New MN Residents –HCPM 13.05

Household Composition Effective date of coverage for members new to the household –HCPM 17.20

Discussion Your ideas for worker supports

Questions? Thank you for attending!

Program Evaluation Team Follow up questions, please contact us: Denise Gray – Program Evaluation Team Lorrie Herling – Program Evaluation Team