New Orleans November 13-15, 2002 Supporting Families: Improving Health Care Eligibility Processes...
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Transcript of New Orleans November 13-15, 2002 Supporting Families: Improving Health Care Eligibility Processes...
New OrleansNovember 13-15, 2002
Supporting Families: Improving Health Care Eligibility Processes
Minnesota Department of Human Services
11/5/02 2
Collaborative Work Groups
• Coordination of Medicaid and MinnesotaCare
• Alternative applications
• Notices and forms
• Simplifying requirements
• Passive review
• Focus groups
11/5/02 3
Cycles tested: #1
Aim: Identify needed improvements in Medicaid closure notice
Action: Surveyed workers at two counties
Interviewed clients at same two county locations
Results: General observations that notice is confusing, contains too much information, is badly
laid out.
Specific suggestions for improvement.
Next Step: Complete development of reworked form and test at two locations.
11/5/02 4
Cycles tested: #2
Aim: Increase the number of MinnesotaCare applications while decrease the processing time
Action: Piloted phone-in applications
Results: 16 of 36 callers completed app over the phone
6 of the 16 apps that were mailed out came back
4 of the 6 were denied, 2 were approved
Next Step: Tweak the process to increase the percentage of approved applications by doing more
screening while completing the application. Pilot changes.
11/5/02 5
Cycles tested: #3
Aim: Further define enrollment barriers.
Action: Survey of outreach workers.
Results: Top five answers are:
- Culture and language issues
- Problems with worker
- Difficulty providing verifications
- Embarrassment
- Trouble with forms
Next Step: Continue to get information from identified focus groups
11/5/02 6
Cycles tested: #4 - In progress
Aim: To improve coordination between programs.
Action: New Procedures for transferring applications back and forth between MinnesotaCare
and Ramsey County
Expected
Results: Fewer lost applications, shorter processing time, better communication between workers
Next Step: To be determined
11/5/02 7
Continuing DHS pilot - Credit card payments
Aim: To decrease the number of MinnesotaCare enrollees closed for non-payment of
premium
Action: Begin accepting credit card payments, concentrating on households in danger of being
closed.
Results: Mixed. Lots of enrollees are using this option, but numbers of closures are going up.
Next Step: Analysis of what other things are affecting this number. (Continued on next slide)
11/5/02 8
Credit card payments - continued
Hypotheses:
• Enrollees who know that they are over the limit for the asset test implemented 7/1/02 may be disenrolling by not paying the premium
• Children formerly enrolled in MinnesotaCare may have moved to Medical Assistance because they meet the new income limit of 170% FPG which went into effect 7/1/02
• Elimination of grace month in July may still be affecting some households
11/5/02 9
MinnesotaCare Closures by Reason Code
Total # Case Closures
Other Coverage % Nonpayment %
Failure to comply with procedures % Requested %
Other Categorical Reasons %
Apr-98 3,169 1087 34% 917 29% 642 20% 154 5% 369 12%Apr-98 3,131 989 32% 970 31% 612 20% 173 6% 387 12%May-98 3,716 972 26% 1,172 32% 928 25% 284 8% 360 10%
**See NotesJ un-98 4,902 975 20% 2,863 58% 343 7% 249 5% 472 10%J ul-98 4,100 861 21% 2,235 55% 334 8% 206 5% 464 11%
Aug-98 5,974 770 13% 4,041 68% 423 7% 237 4% 503 8%
# Case Closures by Reason