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45 • Various Stakeholders and Advocates have outreach efforts relating to DHCS programs • MCAP Welcome Packet • Single Streamlined Application process simplifies the entire process by determining eligibility for all Insurance Affordability Programs (IAPs) • Covered California’s website mentions MCAP and its benefits • Enrollment information is shared with insurance brokers • Certified Enrollment Counselors from Covered California assist in the enrollment process • County funds for outreach efforts • County Eligibility Workers assist in the enrollment process
Coordination with Medicaid (Medi-Cal):
OPTIONAL TARGETED LOW INCOME CHILDRENS PROGRAM (OTLICP)
OTLICP, a CHIP Medicaid Expansion, serves children whose family income falls above the applicable Medi-Cal FPL income standard and who are not eligible for no-cost Medi-Cal. OTLICP has been designed to have a smooth interface with Title XIX Medi-Cal and includes a number of provisions to ensure that the program enrolls only targeted low-income children. DHCS compares its participant list against Medi-Cal’s enrollment files to ensure that children do not already have creditable coverage through Medi-Cal.
5.2-EL The State should include a description of its election of the Express Lane eligibility option to provide a simplified eligibility determination process and expedited enrollment of eligible children into Medicaid or CHIP.
Guidance: Outreach strategies may include, but are not limited to, community outreach workers, outstationed eligibility workers, translation and transportation services, assistance with enrollment forms, case management and other targeting activities to inform families of low-income children of the availability of the health insurance program under the plan or other private or public health coverage.
The description should include information on how the State will inform the target of the availability of the programs, including American Indians and Alaska Natives, and assist them in enrolling in the appropriate program.
5.3. Strategies 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)