Presentation on theme: "AR HIPP Objective: Partner with employers to:"— Presentation transcript:
0 Information for Employers and Benefits Coordinators The Arkansas Health Insurance Premium Payment ProgramSponsored by the Arkansas Department of Human Services, Division of Medical ServicesInformation for Employers and Benefits Coordinators
1 AR HIPP Objective: Partner with employers to: Increase the number of Medicaid families that take advantage of their employee benefitsGrow HIPP by increasing knowledge of program incentives*Some employers may choose to opt out of the program. Please visit the ArHIPP website at: or call us at: (855) MyARHIPP*Information for Employers and Benefits Coordinators
2 HIPP Can Increase Employee Enrollment HIPP increases the number of Medicaid families that take advantage of their employee benefits by:Making employer-sponsored insurance (ESI) affordableProviding coverage for the entire family – even those not on MedicaidInformation for Employers and Benefits CoordinatorsProperty of the AL HIPP program. Unauthorized editing of this document is prohibited.
3 HIPP Benefits Your Employees HIPP can give your employees:Wider provider network through group insurance coverage AND MedicaidCoverage of medical expenses by group insurance AND Medicaid, including benefits Medicaid may not coverHealth insurance coverage for the entire family, if found cost-effectiveA healthier lifestyle that increases quality of life and work attendanceInformation for Employers and Benefits Coordinators
4 Affordable Coverage for Employees Monthly premium reimbursement for ESI for qualified Medicaid recipients and their families.When a Medicaid recipient applies to HIPP, the applicant’s family has three possibilities for coverage depending on the cost and availability of the employer’s policies:(3) Entire family including non-Medicaid member(s)(2) Policyholder (Parent) and Medicaid recipient(s)(1) Medicaid recipient (s)Information for Employers and Benefits Coordinators
5 Qualifications for HIPP To qualify for HIPP the member must meet the following criteria:Be Medicaid-eligibleHave access to employer-sponsored insurance that covers at least one Medicaid recipientHave a case that is cost-effectiveInformation for Employers and Benefits CoordinatorsProperty of the AL HIPP program. Unauthorized editing of this document is prohibited.
6 Cost Effective Determination HIPP eligibility advisors approve an applicant if they meet all qualifications including cost-effectiveness.A case is determined cost-effective if: Insurance premiums are less than medical costs + out of pocket costs + administrative costsInsurance premiums tend to be less than medical costs if:There are two or more Medicaid-eligible recipientsExpensive medical conditions are involved such as: asthma, cancer, pregnancy, diabetes or allergiesInformation for Employers and Benefits Coordinators
7 When Applying for HIPP Complete an application Mail or fax a copy of: Submit online, by mail, or faxMail or fax a copy of:Insurance card—front and backEmployer health insurance rate sheetProof of the cost for employer-sponsored insuranceSummary of benefits for your current or desired planPaystub that shows premium deductionInformation for Employers and Benefits CoordinatorsProperty of the AL HIPP program. Unauthorized editing of this document is prohibited.
8 After HIPP Enrollment The member will: Provide proof of monthly premium deductionNotify HIPP of changes to insurance policy or planNotify HIPP of changes in employmentReceive monthly premium reimbursements (via check or direct deposit)Information for Employers and Benefits CoordinatorsProperty of the AL HIPP program. Unauthorized editing of this document is prohibited.
9 Frequently Asked Questions Do I need to be enrolled in a health insurance policy before applying to HIPP ?No. An applicant must have access to a health insurance policy provided by an employer. You may enroll in a policy after your eligibility is determined.Once enrolled in HIPP, do I lose my Medicaid benefits?No. Once enrolled, all Medicaid benefits will continue to be given to the individual for as long as the Arkansas Medicaid Agency determines them eligible for Medicaid.Does my Medicaid dependent need to have a catastrophic illness to be eligible for HIPP?No. Any individual with a medically expensive condition will be considered for the HIPP program, whether they have a catastrophic illness or an expensive condition such as asthma.How will I find out if I have been accepted onto the HIPP program?You will receive an acceptance or a denial letter in the mail once an eligibility determination is made.How can employers opt out of the program?Visit the website listed below or call (855) MyARHIPPFor more FAQs, visit Click on FAQs.Information for Employers and Benefits Coordinators
10 Program Contact InformationHours: Monday – Friday 8 a.m. – 5p.m.Phone: (855) MyARHIPP or (855)Address: 1818 N. Taylor Street, #360, Little Rock, Arkansas 72207Fax: (855)Website:Information for Health-related Support Groups
11 Request a packet of brochures by contacting ARHIPPoutreach@hms.com AR HIPP ResourcesUse the following resources for program andreferral information:(855) MyARHIPPwhich provides:Program informationOnline applicationPrintable materials including:Brochure, handouts, presentations and fact sheetsRequest a packet of brochures by contactingInformation for Employers and Benefits Coordinators
12 Next Steps Refer likely candidates to HIPP Inform Medicaid recipients about resources available on our websiteDistribute HIPP brochures that include an application and contact informationOffer suggestions to the HIPP programYou may contact us at any time with thoughts and suggestionsInformation for Employers and Benefits Coordinators