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80 5. Encourage the inclusion of traditional and safety net providers in health plan networks.

6. Assure that enrolled children with significant health needs receive access to appropriate care.

Guidance: Goals should be measurable, quantifiable and convey a target the State is working towards.

9.2. Specify one or more performance goals for each strategic objective identified: (Section 2107(a)(3)) (42CFR 457.710(c))

CA RESPONSE:

Objective 1: Increase the awareness of low-income families about the availability of comprehensive low or no cost health coverage for children as well as the importance of timely and ongoing care for children. Motivate such families to obtain coverage for their children.

Performance goals: 1.1 Using Current Population Survey (CPS) longitudinal data, increase the percentage of Medi-Cal and CHIP eligible children who are enrolled in the programs.

1.2 Reduce the percentage of uninsured children in target income families that have family incomes above no cost Medi-Cal levels.

1.3 Based on DHCS’ External Accountability Set Measures for Emergency Department visits (AMB-ED), reduce the percentage of children using the emergency room as their usual source of primary care.

Proposed measures: California will use Current Population Survey (CPS) longitudinal data to identify children who eligible but not enrolled in the programs, as well as Medi-Cal and emergency room data as obtained by the AMB-ED DHCS External Accountability Set measures for Emergency Department visits.

Objective 2: Continue to provide an application and enrollment process that is easy for targeted low-income families to understand and use, and measure monitoring efforts to ensure compliance with ACA requirements.

Performance goals: 2.1 Assure that Medi-Cal and CHIP program services provide written and telephone