West Virginia

Process Improvement Collaborative

Supporting Families

December 10, 2003

WV Team Members

• Sharon Carte - State CHIP Director

• Marla Short - CKF Pilot Project Director

• Renate Pore - CKF State Project Director

• Patty Martin - Economic Service Supervisor, Nicholas

County

• Mary Ann Dean – Community Service Manager, Nicholas County

Goal

Improve the Retention of Children in WVCHIP and Medicaid

Maintain continuous 12 month enrollment Reduce temporary case closure from

12% to 5% Reduce permanent case closure from

26% to 10% Reduce total case closure from 38% to

10%

Maintain Continuous Enrollment for 12 Months

• Issue– Medicaid and CHIP children are losing

coverage or moving to other programs before end of 12 months of continuous enrollment based on Charles Walter study

• Track all children in target county– Track case numbers– Track closures by case number– Identify reasons for losing coverage or moving

to other program.

Reduce temporary case closure from 12 % to 5%

• Issue– 12% of all cases in target county are closed at

end of 12 months and later re-opened

• Identify reasons for closure– Lack of renewal form– Lack of income documentation– Identify intervention

Reduce permanent case closure from 26% to 10%

• Issue– 26% of cases are closed and never heard

from again

• Identify reasons for closure– No renewal– Age- out of program– Income change

• Identify intervention

Reduce total case closure from 38% to 10%

• Issue– 38% of all cases are closed

• Identify– Reasons for closure

• Identify Intervention

Families with children in CHIP and Medicaid

• Issue– Children in same family may have different

renewal dates creating confusion