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

Effective Date:

Approval Date: 35 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) Outreach for CHIP will be incorporated into existing OHP Medicaid outreach activities, including: ♦ VISTA Health Links; ♦ DSHs Hospitals, FQHCs and tribal health clinics local health departments. ♦ Hospital hold; ♦ SAFENET; ♦ Outreach through Healthy Start.

These programs are described in more detail in Section 2.2.1 Application Assistance:

An additional program starting in October 2009 to maximize enrollment of children is the Application Assistance Program (AAP). Certified Application Assistance Organizations (CAAO) will provide application assistance to potential CHIP eligibes. In order to become a CAAO an organization must be registered with the Secretary of State and be free from a conflict of interest. The CAAO must complete an application with DHS and sign an agreement to use trained application assisters and conduct criminal background checks on application assisters the entity is certified as a CAAO. Oregon will not limit the number of organizations that are certified as a CAAO. Organizations, existing or new may not participate in both the AAP and Outreach and Enrollment grant programs. The types of organizations that can be CAAO are health advocacy groups, Boys and Girls Clubs, Faith based groups and insurance agents. Application Assistance Program contracts will be renewed within state contract schedules. There will be no competitive bid process as the program is available to any organizations that qualify to participate.

Organizations that provide medical services are not eligible to be CAAO certified, these include clinics, hospitals, FQHCs, MCO, schools, individuals, Public health departments or anyone that may have a conflict of interest. These non-certified CAAO organizations are currently in a program which allows them to use a “date stamp” in order to establish a date of request for client’s presenting themselves for medical care. We do not provide compensation to these providers.