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Model Application Template for the State Children’s Health Insurance Program

Effective Date:

Approval Date: September 19, 2002 46 Section 9. Strategic Objectives and Performance Goals and Plan Administration (Section 2107)

9.1. Describe strategic objectives for increasing the extent of creditable health coverage among targeted low-income children and other low-income children: (Section 2107(a)(2)) (42CFR 457.710(b))

Illinois has established five strategic objectives:

1. Improve the health status of Illinois’ children; 2. Extend health benefits coverage to optional targeted, low income children; 3. Improve access to quality health care for optional targeted low income children enrolled in the Title XXI program; 4. Assure appropriate health care utilization by optional targeted low income children enrolled in the Title XXI program; and 5. Implement a statewide outreach and public awareness campaign regarding the importance of preventive and primary care for well- children and the availability of health benefits coverage through XXI.

9.2. Specify one or more performance goals for each strategic objective identified: (Section 2107(a)(3)) (42CFR 457.710(c))

1. Improve the health status of Illinois’ children. 1.1 Reduce the infant mortality rate. 1.2 Reduce the prevalence of childhood lead poisoning exceeding 25mg/dL. 1.3 Reduce school absenteeism in grades K-8.

2. Extend health benefits coverage for optional targeted low income children. 2.1 By January 1, 2000, increase the percentage of children enrolled in the program who are eligible at the Medicaid standard in effect on March 31, 1997. Illinois will conduct a baseline survey. For this calculation, an unduplicated count of children enrolled at any time during calendar year 1999 will be compared to the number enrolled during the baseline year. The performance goal will be to enroll one-third of the number of children identified by the survey as eligible but not enrolled. 2.2 By January 1, 2000, enroll in Title XXI at least 50 percent of the estimated 40,400 optional targeted low income children with family income above the Medicaid standard in effect on March 31, 1997, but at or below 133 percent of the FPL.