REPORTS May - West Virginia Legislature

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tIIIIIIIItIIIIIItIIWVCHIPRepoft For Ma! 2009Page 3IV. Other HighlightsAct of 200!l (CHIPRA)0 Financial: At present. intormation and ouidance from the Centers for Medicare and MedicaidServices (CMS) concerning changes td law under the reauthorized Act (CHIPRA) is slowlybeing released on a section by section basis. At this point the Agency is still awaiting officialconfirmation of its 2009 allotment - still expected to be in the $40 to $43 million range infederalfunds. At the same time the Agency is reviewing new mandates underthe law in orderlo assure comoliance.O New Mandates: These involve assuring mental health parity, assuring a benchmarked levolof dental benefits, and preparing to change to a prospective payment system for CommunityHealth Cenlers. One other mandate is thal CHIP applicants are now subject to the sam€citizonship documentation requirements as Medicaid applicants. CHIP is hopefulthat OHHRwill be able to implement social security data matches to prevent this from being a barrier toenroliment.0 New Coverage Options: New latitude exisls for states lo exercise coverage options forsupplemental dental services coverage, provide premium assistance for Employer SponsoredPlans, coverage lor pregnant r,vomen, and coverage of legal immigrants.O Performance Bonus: Since the re-based formula is structured to en@urage furtherenrollment growth, there is a performance bonus that states may qualify for if they targetfurthergrowth. lf <strong>West</strong> <strong>Virginia</strong> qualified to be eligible, the performance bonus would go totheMedicaid agency since they otten see a larger increase in enrollment wh€n states sxpandcoverage to children. The bonus is also meant lo encourage states to streamline theirenrollment and renewal processes. The Agency hopes to explorewith DHHRthe possibilityolwhether or not we can undertake anv initiative in these areas.CHIP Enrollment TrendsDuring the past year the Agency has been asked about its slight decline in enrollment. Acomparison of CHIP and Medicaid enrollment trends overthe oast 18 months seems to cleadvreflect lhe economic climate that as employment and income have dropped lower, Medicaidbears the brunt with an increased enrollment lrend, and working families in CHIP have alsohad decreases in income or employmenl may now qualify under Medicaid instead of CHIP(please reisr to attached graphs lor the period of June 2007 to March 2009).Despite this trend WVCHIP is running some paid advertisements to continue to raiseawareness of expanded income guidelines now permining families of 4 with a householdincome up to $55,1251o enroll when they pay a premium share.
CHIP Decrease:CHIP and Medicaid Child Enrollmeht Changes between lune 2007 and March 2009Mediaaid Quarterlv Enrollment611012@1 slalzaD1 !213V2@7 3/3l/1m 6/1a11@3 e/3or@3 !21!r/2ao6 3MlaeWV CHIP O!arteilv Ehrollment- Since September 2007 CHIP enrollment has experienced an overall enrollment decline of 1,027,a 4% decrease over a 15 month period.Medicaid Increase:- Since September 2007 Medicaid enrollment has shown an overall enrollment growth ot 8,096,a 5% increase over the same 15 month period.tItIIIIIIIIIIItItII
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REPORTS May - West Virginia Legislature

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