WEST VIRGINIACHILDREN’S HEALTH INSURANCE PROGRAM

Sharon L. Carte, Executive Director

Presentation to the “KidStrong”School Health ConferenceJune 9, 2011

WVCHIP IN 2011

Expanding to 300% FPL starting in AugustAnnual Family Income Limits for WVCHIP

CHIP Premium is $35 per month per one child or $71 per month per two or more children

Full dental and vision now included in CHIP Premium group

Family Size CHIP CHIP Premium

2 $29,420 $44,130

3 $37,060 $55,590

4 $44,700 $67,050

5 $52,340 $78,510

HEALTH CARE REFORM AND THE FUTURE –WHAT HAPPENS TO CHIP?

Exchange and Exchange Board Developed in State Code

Streamlining of Medicaid and CHIP Eligibility

Partnering to: Develop provider outreach for Exchange Oversee building and operation of Exchange as a

member of Exchange Board

2011

2012

2013

HEALTH CARE REFORM AND THE FUTURE –WHAT HAPPENS TO CHIP? -CONTINUED-

Medicaid Expands Coverage to 133% FPL! About half CHIP’s enrollees now qualify for Medicaid, and so do

their parents! Parents of CHIP’s other half of enrollees may seek coverage

through the Exchange

Assess how children generally are accessing health coverage through the Exchange

Specifically, how well are CHIP children and their parents accessing health coverage?

Congress will re-evaluate the role of CHIP when it must re-appropriate additional funding

2014

2015

2016

CHIP AND BMS PARTNERING IN THE CMS PEDIATRIC QUALITY DEMONSTRATION GRANT

CMS awarded 10 grants nationally to study child health quality issues in 2010

The states of Oregon, Alaska, and West Virginia were awarded one of these grants for a five year period

In 2011, WVCHIP and BMS are beginning to report on a statewide set of quality measures drawn from the national set of 24 measures

CHIP AND BMS PARTNERING IN THE CMS PEDIATRIC QUALITY DEMONSTRATION GRANT -CONTINUED-

In West Virginia, eight pediatric practices have been recruited to examine and assess:

The impact of Person Centered Medical Home (PCMH) on child health quality

EHR/PHR usefulness to child health quality Full-time care coordination provided in these practices Examine the usefulness of the 24 measures of child health

data set at a practice level