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Healthy Maryland!
September 2010
The Challenge…
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Clinics
Health Plans
HospitalsER & Outpatient
Schools
Social Services
Access
Food Bank
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Clinics
Health Plans
HospitalsER & Outpatient
Schools
Social Services
Maze of Referrals
Food Bank
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Clinics
Health Plans
HospitalsER & Outpatient
SchoolsPaper Forms
Social Services
Food Bank
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Clinics
Health Plans
HospitalsER & Outpatient
SchoolsManual Data Entry
Social Services
Food Bank
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Delayed and missed support for families
Lost revenue for providers and local economy
More paper and manual data entry
Impact
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Social Interest Solutions
Independent, mission-driven non-profit organization
Software development, implementation, maintenance and enhancement
Policy analysis and advocacy
Leadership and staff with long history and experience in automation and systems reform
~ 60 staff maintaining systems for AZ, CA, IN, MD
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One-e-App Technology
Web-based system accessible from many locations
Assisted and unassisted (public access) pathways
Offers a secure single point of entry
Provides simultaneous preliminary and/or final eligibility determination across multiple programs
Submits applications, signatures and documentation electronically via Internet
Application and case management tools for all users (assisted and unassisted applications)
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Implementations
Arizona: Health-e-Arizona (assisted and unassisted)
Indiana: Ind-e-App
Maryland: Health-e-Link
California: (assisted and unassisted)
– One-e-App - 15 California counties
– Statewide Kaiser Permanente Child Health Plan and CalKIDS in California
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Who Uses
Community-based organizations
Hospitals and Clinics
Call Centers
County Agencies (Social Services, Health Services, Public Health)
Schools
Health Plans
Food Banks
Public Consumers
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One-e-App Stats
Screened over 3.5 million people for potential eligibility across 4 states
Roughly 6 million applications to programs
Speeds determination – in some cases by 50% or more
Reduces need for follow-up with applicants ~78% as compared with paper
90% of public user survey respondents in AZ found the application “easy to use.”
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Examples of Features
Interview style data collection
Error checking and validations
Storage of documents and signatures
Application tracking tools
Management report generation
English / Spanish real time toggle
Notification and client communication tools (e.g. text messaging)
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Health Programs
Medicaid
SCHIP
EPSDT
County Indigent Care Programs
County Sliding Fee Programs
Adult and Child County Expansion Programs
Kaiser Permanente Child Health Plan and Kaiser Bridge
Express Lane Eligibility (school lunch / MC linkage)
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Social Services and Support Programs
Food Stamps (SNAP)
Earned Income Tax Credit (EITC)
Child Tax Credit
Supplemental Nutrition for Women, Infants and Children (WIC)
TANF (Temporary Aid to Needy Families)
Voter Registration
Low Income Energy Subsidies
Low Income Auto Insurance
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Referrals to Other Programs
Family Planning
Cancer Detection and Treatment Programs
General Assistance
Medicare Cost Sharing
Drug and Alcohol Rehab Program
Homeless Assistance
Others
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Electronic “Interfaces” State eligibility systems in Arizona: Department of Economic Security
(DES) and Arizona Health Care Cost Containment System (AHCCCS)
State of CA for Children’s Medicaid, S-CHIP, EPSDT
State of Maryland (Spring 2010)
County Automated Welfare Systems
Health plans
Patient Management Systems and Electronic Health Records
Pacific Gas and Electric (PG&E)
US Postal Service for address verification
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Data & DocumentStorage
Case ManagementTools
HealthPlans
CountySystems
Process and Data Flow
Rules Engine Universal Interface DeterminePreliminaryEligibility
SubmitApplication
Home
CommunityBased Organization
StateSystems
- USPS- PMS- EHR- Others
applicant consent
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Snap Shot – San Francisco
Fully integrated with county and state systems
Developed and running 16 weeks
Persons Screened: 112,772 (since 9/2007)
Persons Currently Enrolled in Healthy San Francisco: over 50,000
User satisfaction with enrollment process: 86% found the process “easy” or “very easy”
Reduced Emergency Room use through enforcing use Medical Home (managed via One-e-App)
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Snap Shot - Arizona
Fully integrated with state systems
190,000 Public Applications Submitted in year one (12/28/09 – 12/31/10)
54,000 Assisted Applications Submitted
230,000 households applied for Food Stamps
95% of the FS households had a least one person eligibile for Medicaid
90% of survey respondents in Arizona found the public application “easy to use” and would use it for renewals
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One-e-App in Maryland
Launched October 1, 2008 in Howard County
Programs:
– MCHP
– MA for Families
– Healthy Howard
– PAC
– Kaiser Bridge
Interface in process with CARES to support MCHIP and MA for Families
Plan to begin UAT in November and hope to be live and in pilot in December.
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The Center and One-e-App: Unique
Unprecedented data integration (only non-state or county system to interface with state and county systems)
More than an electronic application
Verification document storage and management
Robust communication capabilities with notices, email, text messaging
Self-service and supported assistance
Reporting (data mart support for ad hoc reports)
Case and outreach management
Demo