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Performance goals: 7.1 Achieve increases in the number of children enrolled in the insurance pool who have access to a provider located within their zip code. 7.2 Achieve increases in the number of children who have access to traditional and safety net providers as defined by MRMIB. Proposed measures: MRMIB will require participating plans to report annually on the number of subscribers selecting traditional and safety net providers. Objective 8: Strengthen and encourage employer-sponsored coverage to the maximum extent possible. Performance goals: 8.1 Maintain the proportion of children under 200 percent of FPL who are covered under an employer-based plan, taking into account decreases in coverage due to increasing health care costs or a downturn in the economy. Proposed measures: California will use data from the Current Population Survey to assess changes in the insurance status of targeted low income children. In addition, when determining eligibility for the insurance program, MRMIB will ask questions relating to past employer-based insurance coverage, allowing California to track the number of children who have access to employment-based coverage and to ensure that children enrolling in Healthy Families are uninsured rather than dropping employment based coverage to participate in the program. Objective 9: Assure that enrolled children with significant health needs receive access to appropriate care. Effective Date: Approval Date: November 1, 2009 HFP Family Contribution Increase November 1, 2009 HFP Co-Payment Increase November 1, 2009 HFP Limited Dental Plan Choice for New Subscribers

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