Interactive Conference Call SeriesPresumptive Eligibility for Pregnant Women

Co –Presenters: Glenna Asmus, Manager of Quality and Outcomes Office of Medicaid Policy and PlanningMarci Toler: Director of Enrollment Assistance, Covering Kids & Families of Indiana

Moderator: Brian Tabor, Vice President Government Affairs for the Indiana Hospital Association

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Indiana Hospital Association/Covering Kids & Families of Indiana Partnership Hospital Partnerships of Critical Importance to an

Effective Outreach and Enrollment Effort A Mutually Beneficial Union Create a way for hospitals to receive additional support

to build an effective enrollment and outreach effort Health Coverage Handbook: Hospital Edition and

Hospital Service Product Line in Development

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PE Benefits for Hospitals

Better Birth Outcomes Fewer C-Sections Reduced ER visits (Pregnant women receiving early

prenatal care will be less likely to use your ER as a doctor’s office)

Reduced Length of Stay Reduced Bad Debt Reduce days in AR (Pregnant women will have coverage

when they are ready to deliver at your hospital, won’t have to sit on AR until they become eligible)

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PE Benefits for Hospitals, cont.

Become a Better Steward of Financial Resources

Hospitals will expend less staff time and financial resources connecting women to coverage during pre-admission, admission and after discharge

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Tips to Effectively Incorporate the PE Process at your Hospital Become a Qualified Provider Encourage OB’s and partner clinics to become a

Qualified Provider Offer Hoosier Healthwise follow up assistance (QP’s and

enrollment centers may offer enrollment assistance to get supporting HHW verification documentation to DFR)

Track PE enrollment effort to measure effectiveness of your process

Re-train PE enrollment staff as needed (Contact EDS or CKF-IN to help coordinate trainings)

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Who is Covering Kids & Families of Indiana? CKF-IN is a statewide healthcare

advocacy organization committed to reducing the number of uninsured Hoosiers through advocacy, partnerships and education around the issues of enrollment, outreach and retention

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How can CKF-IN Help You?

Local Coalition Model

Other CKF-IN Initiatives• Health Coverage Handbook:

Hospital Edition• Service Product Line for

Hospitals currently in development

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Health Coverage Handbook: Hospital Edition A document compiled by CKF-IN and its

partners outlining promising practices around the issues of outreach, enrollment and retention

Tried and true practices designed to help hospitals streamline enrollment process while generating revenue and decreasing otherwise uncompensated care

Handbook will be available to hospitals for a nominal fee and include free updates

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Hospital Service Product Line

A line of services currently in development at the request of IHA offering consulting services to hospitals

Services include analysis of patient management process, recommendations for improvement and evaluation of success

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Contact CKF-IN

For more information about the Health Coverage Handbook: Hospital Edition or the Hospital Service Product Line, please contact:

Covering Kids & Families of Indiana Marci Toler, Director of Enrollment Assistance574-968-1645mtoler@ckfindiana.org

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