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Missouri Application for the State Children’s Health Insurance Program Effective Date: 05/01/2009 Approval Date:

Prior Approval Date: 09/28/2007 - 38 - 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)) (42 CFR 457.710(b)) Response: The State’s objectives are: 1. Reduce the number of children in Missouri without health insurance coverage. 2. Increase access to care. 3. Increase the number of children in Missouri who have access to a regular source of healthcare coverage. 4. Improve the health of Missouri’s medically uninsured children through the use of preventive care. 9.2 Specify one or more performance goals for each strategic objective identified: (Section 2107(a)(3)) (42 CFR 457.710(c)) Response: Objective 1: Reduce the number of children in Missouri without health insurance coverage. Performance goal: Increase enrollment in SCHIP 1 and SCHIP 2 of uninsured children. Baseline: The State will use the current enrollment data for SCHIP 1 and SCHIP 2 population as reported to CMS on the CMS-64EC, CMS-64.21E and entered into the Statistical Enrollment Data System as the baseline measurement. These reports show end of quarter actual and unduplicated ever enrolled figures. Please see Attachment 7. Target Improvement Level: Enroll more uninsured children. Objective 2: Increase access to care. Performance goal: Increase enrollment of physicians. Baseline: As of May 21, 2007, there were 15,605 physicians enrolled in MO HealthNet. Target Improvement Level: Enroll more physicians in MO HealthNet. Objective 3: Increase the number of children in Missouri who have access to a regular source of healthcare coverage. Performance goal: Decrease the percent of children matched to a PCP through auto- assignment. Baseline: As of May 5, 2007, 88% of recipients self-selected a PCP. Target Improvement Level: Increase the number of recipients who self-select a PCP.