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19 Effective Date: July 1, 2009
Approval Date: • Simplified Application – MPA has developed a one-page application for “Apple Health for Kids,” which is the State’s name for the program that combines all children’s medical programs. • Joint Application - Applications for medical assistance are automatically considered for Medicaid, CHIP, and state-funded programs. In addition, applicants for cash and food assistance benefits may request medical assistance on the same application used for cash and food assistance. • Extended Medical benefits – Children coming off TANF automatically receive Medicaid for one year after the end of their TANF assistance. • Application Agents – As funds are available the department contracts with local health jurisdictions and community based organizations to serve as application agents, directly assisting families with completion of a simplified one page Apple Health for Kids application. Application agents are paid a fee for successful enrollments. • Premium Payment Program – Parents may be reimbursed for the cost of employer- sponsored insurance to cover their Medicaid eligible child. • Renewal contacts – The department provides the renewal dates to three managed care organizations (MCO) who have volunteered to assist their enrollees with the renewal process. MCO staff contact the families by phone and assist them with completing the annual renewal form electronically.
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: To assist in making health coverage affordable to low-income persons, the Health Care Authority’s (HCA) Basic Health Plan (BHP) has adopted a sponsorship program with public and private entities. These entities, including health care providers, but not health care plans, are allowed to pay all or a portion of the sponsored enrollee’s premium obligations, but not co-pays. About 27,000 BHP adults and children are receiving coverage through these sponsorship arrangements. Employers can also purchase group coverage for themselves and their employees through BHP. Employers must enroll at least 75% of all eligible employees within the classification