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43 screening. • The State also modified its annual review process to include forwarding applications to counties known to have a CCHIP when a child was determined to have income above Healthy Families guidelines.

POPULATIONS 2, 3 & 4/UNBORN OPTION, MCAP, and MCAIP

Historically, DHCS utilized it’s Baby-Cal program which provided extensive outreach to pregnant women about the importance of obtaining prenatal care, and informed them that, if they had modest incomes, state programs were available to help them. The program targeted pregnant women who may have been eligible for participation in the MCAP program. MCAP also worked with three community-based outreach contractors in various regions of the state to distribute informational materials via mail and at public events. MCAP’s contractors previously conducted other innovative activities such as educating insurance agents about the program, conducting a telemarketing campaign, and producing public service announcements. MCAP also conducted outreach through an application assistance fee paid to individuals and entities that assisted families in filling out the MCAP application.

Current Practice

Currently the State utilizes a number of ways to identify and ensure uninsured eligible children are enrolled, such as: • Use of a Single Streamlined Application • Coordinated Open Enrollment Outreach • County grants • UCLA Center data • Stakeholder Engagement • State-Only Expansion • Healthcare Options for all children

Guidance: The State should describe below how its Title XXI program will closely coordinate the enrollment with Medicaid because under Title XXI, children identified as Medicaid-eligible are required to be enrolled in Medicaid. Specific information related to Medicaid screen and enroll procedures is requested in Section 4.4. (42CFR 457.80(c))

5.2. (formerly 2.3) Describe how CHIP coordinates with other public and private health insurance programs, other sources of health benefits coverage for children, other relevant child health programs, (such as title V), that provide health care services for low-income children to increase the number of children with creditable health coverage. (Section 2102(a)(3), 2102(b)(3)(E) and 2102(c)(2)) (42CFR 457.80(c)). This item requires a brief overview of how Title XXI efforts – particularly new enrollment outreach efforts – will