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

Effective Date:

Approval Date: 60 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)) The strategic objective for Oregon’s Children’s Health Insurance Program (CHIP) is to expand coverage of the Oregon Health Plan (OHP) to include eligible low income children. The current OHP delivery system assures quality medical care to the Medicaid and CHIP population by removing financial barriers and providing access to inpatient, outpatient, primary and preventive health care services. Specific strategic objectives include:

Objective 1 Expand OHP eligibility rules to include uninsured children: • Birth through age 5. Living in households with gross income between 133% and 200% of the federal poverty level (FPL) . Age 6 through 18. Living in households with two months average gross income between 100% and 200% of the FPL.

Objective 2 Identify CHIP eligibles through coordinated and ongoing outreach activities.

Objective 3 Enroll CHIP eligibles in the OHP Plus, FHIAP ESI, Healthy Kids ESI or Healthy KidsConnect health care delivery system to assure a usual source of health care coverage.

Objective 4 Monitor access and utilization patterns among DHS CHIP OHP Plus and Healthy KidsConnect enrollees.

Objective 5 Improve the health status of CHIP enrollees through provider and client programs specific to the needs of this population.

9.2. Specify one or more performance goals for each strategic objective identified: (Section 2107(a)(3)) (42CFR 457.710(c)) The following performance goals and measures will be utilized to measure the effectiveness of Oregon’s identified strategic objectives for CHIP:

Performance Goals for Objective 1 Since July 1, 1998, the Division of Medical Assistance Programs (DMAP)