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

Effective Date:

16 Approval Date: Section 5. Outreach (Section 2102(c))

Describe the procedures used by the state to accomplish:

Outreach to families of children likely to be eligible for child health assistance or other public or private health coverage to inform them of the availability of the programs, and to assist them in enrolling their children in such a program: (Section 2102(c)(1)) (42CFR 457.90)

On an ongoing basis, the Bureau of Medical Services works collaboratively with the Robert Wood Johnson initiative, Covering Kids and Families Campaign to conduct outreach to families. The Campaign’s outreach efforts and goals include:

1. Technical training with staff of community based agencies and health care providers on benefits, eligibility criteria, the application process and program changes to ensure information is disseminated and individuals are enrolled. Each participant is provided with a guide containing the training information. Participants are asked to make a commitment to provide long- term outreach and application assistance to the clients they serve. This model, of reaching potentially eligible individuals through trained personnel with whom they have established relationships, has proven an effective outreach method.

2. Mass media interventions through annual statewide/local media events. Three events are held each year to highlight availability of health care coverage. Events often coincide with national campaigns, such as Cover the Uninsured Week.

3. Targeted outreach to specific constituencies including: Education; Businesses and unions; Social service agencies and municipalities; Faith- based and service organizations; Health care providers and insurers.

4. Distribution of electronic newsletter to interested parties. The newsletter contains information on MaineCare and other health care coverage programs (e.g. DirigoChoice) as well as the overall efforts of the campaign.

5. General training for community organizations such as the Kiwanis, Elks, Lions Clubs, etc. General trainings also provided to statewide organizations such as the Association of Health Care Administrators – Maine, General Assistance Administrators, WIC Directors.

6. Information booths at health fairs, professional conferences, e.g., Maine Pediatric Association meetings.