Page 12

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

Effective Date:

Approval Date: 12 date of request. The original date of request is honored if the application is received within 45 days from the date of request.

SAFENET SAFENET is a community partnership program that provides a statewide toll free information/referral phone line for Oregonians. It is the state’s Maternal and Child Health (MCH) hotline, designed to link low-income Oregon residents with health care services within their communities, including information on the Oregon Health Plan.

OFFICE OF PRIVATE HEALTH PARTNERSHIPS (OPHP) – INFORMATION, EDUCATION AND OUTREACH (IEO) OPHP’s statutory mission is to increase access to health insurance and health care by providing, in part, a central source for information about resources for health care and health insurance. The program trains insurance agents, consumers, and agency partners on state and federal regulatory changes and reforms, as well as in-depth information on the programs of the Oregon Health Plan. Training also includes information about non-traditional and non-insurance based health care resources, such as rural or safety net clinics and public health departments. Applicants to the Family Health Insurance Assistance Program also receive informational materials about the Oregon Health Plan Medicaid and CHIP programs.

2.2.2. The steps the state is currently taking to identify and enroll all uncovered children who are eligible to participate in health insurance programs that involve a public-private partnership: • Family Health Insurance Assistance Program (FHIAP) for Families Enrolled in ESI or Individual Market: The Office of Private Health Partnerships (OPHP), Oregon Health Authority (OHA) administers FHIAP. The premium assistance program provides subsidies to help families and individuals pay for health insurance offered either through employer-sponsored insurance (ESI) or private health insurance carriers. Coverage provided by the insurance plans must meet or exceed the FHIAP benchmark criteria, which is approved at a level actuarially equivalent to federally mandated Medicaid benefits.

• FHIAP and Healthy Kids ESI Premium Assistance for children and families with incomes from zero up to and including 200 percent of FPL: Subsidies are available to children in this income category through FHIAP or Healthy Kids ESI. Children who are determined eligible for HK ESI by DHS are referred to OPHP for enrollment and subsidy payment. These families with children can also go directly to OPHP to apply for