Enhancing Online Enrollment for Public Health Programs in Oklahoma
The Oklahoma State Department of Health faces challenges such as budget cuts and decreased staffing levels affecting client eligibility for healthcare programs. To address this, an Eligibility Analyst Pilot program was introduced across eight counties. The pilot aimed to increase enrollment in SoonerCare/SoonerPlan by assessing eligible clients efficiently through a new online enrollment application.
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Online Enrollment through the Eyes of Public Health OHCA Retreat August 26, 2010
Oklahoma State Department of Health 68 Counties with Health Departments under the direction of the Commissioner of Health 88 locations Annual Caseload of 800,000 clients 1 million visits per year 5 million services provided per year
Oklahoma State Department of Health PHOCIS (OSDH Client Information System) has over 2 million records OSIIS (OSDH Immunization Registry) has over 2 million records Tulsa and Oklahoma City-County Health Departments are autonomous
Challenges Budget Cuts Staffing levels are down SoonerCare and SoonerPlan clients losing eligibility due to failure to respond to renewal notices or provide required documentation.
Eligibility Analyst Pilot Goal: Assess all clients coming to the health department for potential SoonerCare/SoonerPlan eligibility Measure: Increased SoonerPlan Enrollment Approximately 60,000 of the 79,000 family planning clients served through CHD clinics are potentially eligible for SoonerPlan Enrollment for the state was less than 25,000 in March 2010 Identify 8 county health departments for the pilot Hire a position (eligibility analyst) dedicated to assisting clients with applications for each location
Eligibility Analyst Pilot 8 Counties Selected: Canadian (Yukon) Carter (Ardmore) Cleveland (Norman) Comanche (Lawton) Okmulgee (Okmulgee) Payne (Stillwater) Pottawatomie (Shawnee) Rogers (Claremore)
Eligibility Analyst Pilot Time Frame: March June Piloted New Online Enrollment Application (11 page) and mailed to Central Eligibility Unit Allowed the entire household to be assessed for most robust eligibility by household member on one application
Eligibility Analyst Pilot Screened over 27,000 clients 50% of clients screened were 18 years of age and younger 85% of the 19 and older clients were female 94% under 185% FPL
Eligibility Analyst Pilot SoonerPlan Enrollment in Pilot Sites increased 9.19% vs 7.6% for non pilot sites Increases by pilot site ranged from 1.5% - 10% Increased SoonerCare enrollment of the children of family planning clients 1 application vs. 2 applications
SoonerPlan Enrollment 70000 Potential Eligibles - 19yo+ at or below 185% FPL as of Nov 2009 FP Caseload 60000 12 month enrollment target 50000 40000 30000 20000 10000 0 July Aug Sept Oct Nov Dec Jan Feb Mar Apr May Jun SFY 08 SP Enrollment 20499 20783 21036 21117 21350 20299 19315 18625 17753 17467 16617 16541 SFY 09 SP Enrollment 16676 16675 16727 16826 16755 16979 17013 17290 17600 18156 18743 19359 SFY 10 SP Enrollment 20093 20937 21724 22498 22788 23073 23,420 23,607 24379 25257 25635 25652 Target - 1-31-11 39,568 39,568 39,568 39,568 39,568 39,568 39,568 39,568 39,568 39,568 39,568 39,568 Potential Eligibles-11-09 59,870 59,870 59,870 59,870 59,870 59,870 59,870 59,870 59,870 59,870 59,870 59,870
Okmulgee County SoonerPlan Enrollment 700 Potential Eligibles - 19yo+ at or below 185% FPL as of Nov 2009 FP Caseload 600 12 month enrollment target 500 5 month enrollment target 400 300 200 100 0 July Aug Sept Oct Nov Dec Jan Feb Mar Apr May Jun SFY 08 SP Enrollment 374 394 410 424 434 430 391 357 357 356 341 343 SFY 09 SP Enrollment 339 358 367 382 387 380 392 409 399 404 409 407 SFY 10 SP Enrollment 408 415 418 420 421 421 432 434 461 473 492 500 Target - 6-30-10 465 465 465 465 465 Target - 1-31-11 527 527 527 527 527 527 527 527 527 527 527 527 Potential Eligibles-11-09 655 655 655 655 655 655 655 655 655 655 655 655
OSDH Next Steps Expand pilot to 16 additional county health department sites Eligibility Analyst sites will be expected to maximize opportunities for online enrollment. August 9, 2010 all county health departments began using the new paper application for Online Enrollment
Challenges County Health Departments are down over 200 employees New application for client not known to the system will require approximately 20 minutes to enroll online. Most sites will use the paper application in this scenario Confusion locally regarding county health department sites as an Agency Partner
Big Opportunities Universal application of eligibility policy through Online Enrollment Rules Engine Conversion history from OKDHS Search clients w/previous eligibility Realtime Eligibility Client can walk out the door with SoonerCare ID Potential to Improve Early Entry into Prenatal Care Expanded access to health care coverage for families
Big Opportunities Rolling Eligibility Eligibility can be extended at each visit Reduces fall-off due to failure to respond to renewal notices Ability to perform verifications through Agency View Proof of Pregnancy Citizenship OSDH Citizenship Verifications Vital Records Integrated into Online Application Process Promote the Individual/Home Application when Clients call for appointments.
Contact Information Yvonne Myers Chief, Office of Federal Funds Development Oklahoma State Department of Health 1000 NE 10thSt., Room 310 Oklahoma City, OK 73117-1299 Office Phone Cell Phone Fax E-mail yvonnem@health.ok.gov (405) 271-9663 (405) 850-4503 (405) 271-1728
