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88 In order to provide adequate prior public notice of the family contribution increase, co-payment benefit increase and changes to the applicant’s choice of participating dental plans, the Program took a multi-layered approach. Each existing family received advanced notification through an initial 30-day notification letter of the upcoming program change.
The Program included this 30-day notification letter with the September monthly billing invoice regarding the program changes. This notice was sent to all existing subscribers. If any family experienced a change in circumstances and would be impacted by the premium and co-payment increase, they were allowed to request a premium re-evaluation. Premium Re-Evaluation Forms were also posted on the program website or families could call the toll free line to receive a pre-filled out form. In addition, the website was updated to reflect all program changes and newsletter articles were provided to community partners and stakeholders.
The program also took additional steps to ensure adequate public notice of the increase in family contributions and co-payments for higher income families and changes in new applicants’ choice of participating dental plans. For example, enrollment Entities and Certified Application Assistants in the local communities were notified through the monthly newsletter and users of the electronic application were also notified through an electronic online message when logging onto the system.
Public Service Announcements were provided on the dedicated toll-free line.
9.9.3. Describe the State’s interaction, consultation, and coordination with any Indian tribes and organizations in the State regarding implementation of the Express Lane eligibility option.
9.10. Provide a 1-year projected budget. A suggested financial form for the budget is below. The budget must describe: (Section 2107(d)) (42CFR 457.140)
• Planned use of funds, including: • Projected amount to be spent on health services; • Projected amount to be spent on administrative costs, such as outreach, child health initiatives, and evaluation; and • Assumptions on which the budget is based, including cost per child and expected enrollment. • Projected expenditures for the separate child health plan, including but not limited to expenditures for targeted low income children, the optional coverage of the unborn, lawfully residing eligibles, dental services, etc. • All cost sharing, benefit, payment, eligibility need to be reflected in the budget.