1. Welcome to Home State Health
Quality Healthcare is at the Heart of What We Do

2. & Overview 18,000 100+ 90+ employees 100,000 members Providers
WHO WE ARE
in our provider networks
18,000
Providers
100+
Hospitals
&
OUR PURPOSE
Operations in 54 counties serving over
100,000 members
90+ employees
Transforming the Health of the community, one individual at a time.
OUR MISSION
Better health outcomes at lower costs
Focus on Individuals │ Active Local Involvement │ Whole Health
OUR BRAND PILLARS
Our local approach provides accessible, high quality and culturally sensitive healthcare services to our members. Our integrated care coordination model can only be delivered effectively by a local staff, resulting in meaningful job creation in Missouri.
offices in St. Louis & Jefferson City
in Missouri
119 of 127 RHCs
20 of 23 CMCHs
14 FQHCs

3. Home State Results
Improved Member Health Outcomes (2015 Coming Soon)
18% NICU rate decrease
34% very low birth weight rate decrease
14% Emergency Room utilization decrease
Improved Access for Members
170% membership growth since 2012
52% network growth since 2012
Approximately 25,000 outreach connections with members to date 2015
Prompt and Accurate Payment for Providers
Claims paid in less than 7 days from receipt
97% claims paid within 15 days
92% of claims paid without manual intervention
Local call center answers 90% of calls within 30 seconds, with less than a 1% abandonment rate

4. Innovative Programs
Mobile App Technology: Members have access to mobile applications
Member Portal: Interactive member tools to stay up-to-date on health needs
Member Concierge: Real-time assistance with PCP appointment setting
Primary Care Coordinators: Share high-risk member conditions & care gaps with PCPs
Health Coaches: Health screenings, 24/7 hotline, active case management
CentAccount: Expanded financial awards for healthy behavior
StartSmart for Your Baby: Care management techniques designed to extend the gestational period and reduce the risks of pregnancy

5. Innovative Programs – Cont.
Member Connections: Designed to provide education to our members on how to access healthcare and develop healthy lifestyles in a setting where the feel most comfortable
MTM Transportation: Members have access to transportation for their non-
emergency medical care. This includes same day transportation for PCP and OB
visits.

6. Anticipated Managed Medicaid Expansion Timeline
4/29/16- RFP and Data Book prepared by the MO HealthNet Division will be made available by the OA Division of Purchasing for competitive solicitation.
7/1/16- Bid/proposal period closes. Materials due to the Office of Administration, Division of Purchasing.
7/1/16 through 9/30/16- Bids will be scored by an evaluation committee made up of representatives from applicable state agencies.
10/1/16- Contracts will be awarded by the Office of Administration.
10/1/16 through 4/30/17- The companies awarded the managed care contracts will develop their provider networks and begin pre-enrolling Medicaid participants.
5/1/17- Medicaid services through the statewide managed care system begin.

7. May 1, 2017 Regions

8. Web-Based Tools Through Home State website, providers can access:
Provider Reference Manual
Provider Billing Manual
Prior Authorization List
Authorization Search by Code
Operational Forms
HSHP Plan News
Clinical Guidelines
Provider newsletter
Logon to and become a registered provider

9. Provider Secure Portal
Through our secure portal, providers can:
Verify eligibility and benefits
View eligibility list
View Care Plans
View and submit authorizations
Submit and check status of claims
Review payment history
Submit Provider Demographic Updates
Secure Contact Us
Benefits of the Secure Portal:
No waiting
No on-hold music
No time limits
Registration is free and easy

10. Questions?