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Model Application Template for the State Children’s Health Insurance Program
Effective Date:
Approval Date: 50 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))
• To reduce the number of uninsured children living in families with incomes below 200% of the federal poverty guidelines. • To encourage utilization of preventive health care services. • To increase child health screenings among enrolled children
9.2. Specify one or more performance goals for each strategic objective identified: (Section 2107(a)(3)) (42CFR 457.710(c))
• Maintain the enrollment in the program within fundable limits • Measured customer satisfaction and reported program utilization will remain at the 90% or better rate. • Analysis of paid claims data at least twice annually to assure well child checkups at appropriate levels
9.3. Describe how performance under the plan will be measured through objective, independently verifiable means and compared against performance goals in order to determine the state’s performance, taking into account suggested performance indicators as specified below or other indicators the state develops: (Section 2107(a)(4)(A),(B)) (42CFR 457.710(d))
Check the applicable suggested performance measurements listed below that the state plans to use: (Section 2107(a)(4)) 9.3.1.
The increase in the percentage of Medicaid-eligible children enrolled in Medicaid.
Using Title XIX’s Medically Indigent Children program measure the increases of children enrolled by parents seeking health insurance only since the inception of the SCHIP program.
9.3.2.
The reduction in the percentage of uninsured children.
Using CPS estimates divide the total numbers of children covered under NC Health Choice and Medicaid by the numbers of uninsured to establish the rate of decrease per year.