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

Effective Date:

Approval Date: 36

The Application Assistance Program is used for both CHIP and Medicaid enrollees. Only after an application is processed and the client is enrolled in OHP will DHS pay $50 to the CAAO. The method developed to account for this payment is that each CAAOs will have a date stamp that will include their own unique code. They will stamp each application or type it on for applications submitted electronically. Once the application is received at the OHP processing center that code will be entered into their case file along with the other client date. Our system has the ability to report the status (Approved, denied or pended) of applications by CAAO. We will run a monthly report and pay the organization for each application approved during the past month. The amount per application was determined by information provided by other states using this method and approved by DHS executive staff and the Governors Health Policy Advisor. The role of a CAAO is to assist families in applying for Healthy Kids. They are expected to find uninsured kids, educate them on the Oregon Health Plan, assist the family in completing an application, assist the family in obtaining necessary documents and ensure the application is submitted. CAAO staff will also assist the family on any necessary follow up, if needed.

Outreach and Enrollment Grants: The Targeted Outreach and Enrollment Grant Program is designed to provide culturally-specific and targeted outreach and direct application assistance to aid families in racial, ethnic and language minority communities, living in geographic isolation or with additional access barriers to enroll their children into the Healthy Kids program. The Outreach and Enrollment Grantee will target geographic areas with high rates of eligible but unenrolled children, including rural areas; racial, ethnic and language minority communities and populations with additional barriers to accessing health care, such as those with physical, cognitive, sensory or mental disabilities or chemical dependency and those experiencing homelessness. Grant funds are intended for staff time, local travel, and other expenses necessary to reach and provide assistance to targeted families with children. DHS will provide technical assistance and training, publications and other promotional materials

The targeted Outreach and Enrollment Grant program will provide funding opportunities to community organizations that apply and are selected for an award. The funds must be used for activities that will lead to enrollment of children into the Oregon Health Plan for both Medicaid and CHIP. Activities funded may include, but are not limited to, community education, application assistance, and participation in community events. Outreach grants will be awarded to community organizations specifically targeting enrollment of children in racial, ethnic and language minority communities; living in geographic isolation; and/or with additional barriers to accessing health care, such as those with physical, cognitive, sensory or mental