Alabama’s Children’s Health Insurance Program

Cathy Caldwell, Director

Alabama Department of Public Health

Cathy.caldwell@adph.state.al.us

Alabama’s Uninsured Children

Percent

Pre-CHIP: 15%* Currently: 6.8%**

*Southern Institute on Children and Families, Uninsured Children in the South, 2nd Report, November 1996

** U.S. Census Bureau, Current Population Survey, 3-year average (2008-2010)

Enrollment

0

100,000

200,000

300,000

400,000

500,000

FY 9

9-Q

1

FY 9

9-Q

3

FY 0

0-Q

1

FY 0

0-Q

3

FY 0

1-Q

1

FY 0

1-Q

3

FY 0

2-Q

1

FY 0

2-Q

3

FY 0

3-Q

1

FY 0

3-Q

3

FY 0

4-Q

1

FY 0

4-Q

3

FY 0

5-Q

1

FY 0

5-Q

3

FY 0

6-Q

1

FY 0

6-Q

3

FY 0

7-Q

1

FY 0

7-Q

3

FY 0

8-Q

1

FY 0

8-Q

3

FY 0

9-Q

1

FY 0

9-Q

3

FY 1

0-Q

1

FY 1

0-Q

3

FY 1

1-Q

1

FY 1

1-Q

3

SOBRA MEDICAID KIDS CHIP PHASE I ALL KIDS ACCF

Accomplishments

• Joint Application• Aligned Rules• Web application with E-sign• Active CAKF coalition• Kiosks at FQHC’s• MyAlabama.gov• Express Lane Eligibility,

Medicaid and SNAP

Outreach

New Outreach Strategies

• Collegiate Sports• High School Football• Movie Theatre advertising• Increased use of print media• Increased web presence

◦ Increased presence on ADPH home page

◦ New family friendly ALL Kids website

◦ AL.com

Alabama Successes

Greatly reduced number of uninsured children

•2009 & 2010 CHIPRA Performance Bonus ($80M)

• Added Express Lane Eligibility

Alabama Successes

Improvements for ALL Kids Enrollees• partnered with University of Alabama School of Public Health

Access to care• analysis of utilization trends across cost-sharing changes

Alabama Successes

Moving Forward – Quality of Care

Core Set of Quality Measures• participated in development (SNAC) •voluntarily reporting via CARTS•implemented CAHPS in 2011

Planning for 2014• Dept of Insurance• DPH• Medicaid• Governor’s Policy Staff• Mental Health• State IT/Finance• LMI• MaxEnroll• RWJF - State Network

Challenges

AuthoritySystems

Time

Resources

RelationshipsPast Successes

Outside Guidance

Good Health is Our Goal