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West Virginia Medicaid and CHIP Retention Improvement Project

The West Virginia Process Improvement Collaborative supports families in retaining children under WVCHIP and Medicaid. The goal is to maintain continuous enrollment, reduce temporary and permanent case closures, and track reasons for coverage loss. Team members focus on reducing closures due to lack of renewal forms, income documentation, or age-out situations. By identifying interventions, the project aims to decrease total case closure rates and ensure families have clear renewal dates for all children.

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West Virginia Medicaid and CHIP Retention Improvement Project

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  1. West Virginia Process Improvement Collaborative Supporting Families December 10, 2003

  2. 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

  3. 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%

  4. 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.

  5. 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

  6. 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

  7. Reduce total case closure from 38% to 10% • Issue • 38% of all cases are closed • Identify • Reasons for closure • Identify Intervention

  8. Families with children in CHIP and Medicaid • Issue • Children in same family may have different renewal dates creating confusion

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