OK Online Enrollment

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Why did we do it? (Why Not)?

•  Over 500,000 Uninsured Oklahomans

•  22% Of Uninsured Live In Rural Areas - Limited access to county human services centers

It’s Healthcare, Not Welfare

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Goals of Online Enrollment

Empower Members

Choose A Medical Home

Create Comprehensive Medical Application

Expand Access

Improve Effectiveness and Efficiency

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Paper Application

Home View

Agency View

Applying at Home Computer or Community Partner

Applying at Agency Partner

Completing Paper Form Mail to HP For Scanning

No Wrong Door!

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Real Time Eligibility

Policy Uniformly Applied

Medical Home - Enrollment

Streamline Business Process

Normalized data

Apply 24hrs/7days Available: M/F, 8am-5pm

20-30 Days For Results

Individual Policy Interpret

No Primary Care Provider

What Changed?

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Paper Form

Home View

Agency View

Real Time Reply

Letters Notices & ID Cards

Scan and Data Entry

MMIS

Denial Reason

Letter

Real-Time Information Flow

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Rolling Renewal

January 2012

Make Changes in case

Now renewed for 12 months from change

Apply January 2011

12 months eligibility

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SSN

Agency Partners (Health, Indian, etc) Pregnancy

Social Security Administration

Income

Citizenship OSDH, EVVE, SAVE, SSA

OK Employment Securities Commission (OESC)

Electronic Verifications

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Electronic Enrollment Applications by Source September – December 2010

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Lessons Learned and Next Steps

12 www.okhca.org