CO-CHAMP Goals
Goals of CO-CHAMP
The goal of CO-CHAMP is to improve access to cost-effective, quality health care services for Coloradans. The process measures selected assess the annual progress of each of the seven projects towards meeting the 2010 Healthy People goals on which the five-year CO-CHAMP evaluation is based. Process measures permit the State to adapt and improve the individual program components over the five-year grant period. Additionally, when process measures are effective, HRSA will have the ability to share the model with other states to promote its replication.
The following represent the project process measures of CO-CHAMP:
1. To implement a comprehensive outreach and marketing plan to increase community awareness of health care coverage programs for expansion populations. This will lead to an 85% penetration rate in children, pregnant women and low-income parents or guardians by year five and a 50% penetration rate in low-income childless adults by year five for the expansion populations.
2. To increase capacity of the Department’s Healthy Communities Outreach Program to educate expansion populations on program benefits and the importance of preventive care and regular medical visits as evidenced by 85% of enrollees receiving at least one primary care visit per year by year five.
3. To implement bi-annual “Enrollment Fair Mini-Grant Program” opportunities for community-based organizations (CBOs) to provide applicants face-to-face application assistance and on-site Presumptive Eligibility determination for children in the expansion population. This will lead to an 85% penetration rate in children in expansion populations by year five.
4. To create interfaces between Colorado’s eligibility system and other State and Federal databases to increase automated exchange of information to reduce administrative burdens for clients in the population expansions applying for public health insurance programs. This will lead to an increase in the satisfaction with the Medicaid and CHP+ enrollment process in at least 50% of clients (up from 10%) and an 85% penetration rate in children, pregnant women, and low-income parents or guardians and a 50% penetration in low-income childless adults in the expansion populations by year five.
5. To implement eligibility system changes that will allow for administrative or paperless verification at renewal through the use of pre-populated forms or ex parte determinations for expansion populations. This will lead to an increase in the satisfaction with the Medicaid and CHP+ enrollment process in at least 50% of clients (up from 10%) and an 85% penetration rate in children, pregnant women, and low-income parents and a 50% penetration in low-income childless adults in the expansion populations by year five.
6. To expand availability of a web-based online application to serve as a one-stop-shop that allows the expansion populations to screen and apply for benefits as well as check benefits, report changes and renew benefits. This will lead to an increase in the satisfaction with the Medicaid and CHP+ enrollment process in at least 50% of clients (up from 10%) and an 85% penetration rate in children, pregnant women, and low income parents or guardians and a 50% penetration in low-income childless adults in the expansion populations by year five.
7. To implement changes in the computerized eligibility system to accommodate automatic enrollment of expansion populations into health care programs using the Free and Reduced Lunch Program information. This will lead to an 85% penetration rate in children in the expansion populations by year five.
8. To retain services of a contractor to design, develop and assist in implementation of benefit design, based on stakeholder input, for targeted expansion populations (childless adults and individuals with disabilities). This will lead to a benefit package developed for this population which can be tested and eventually replicated in other states.
9. To implement changes in the State’s eligibility and claims processing systems to accommodate statewide expansion of the CHP+ at Work program, including the identification of employers to participate in the premium assistance program. This will lead to an additional 200 CHP+ eligible children receiving health care through employersponsored insurance as a result of premium assistance.
10. To develop and implement a marketing and outreach plan to businesses in Pueblo County to expand coverage of uninsured workers through the multi-share community Health Access Program which will lead to 1,000 new Health Access Program members previously uninsured by 2012.
11. To create the San Luis Valley Access Program, a three-share community program, to provide high quality health care coverage with a benefit package that can be offered to low-income uninsured with a cost to workers of about $60 per month.
12. To create an innovative benefit design tool which will lead to an affordable and highquality insurance product that one or more health plans will offer to previously uninsured populations by 2011.