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04 May 00
This information supplements handouts in members packets.
1. Welcome and Introductions Beth Giesting, Executive Director of the Hawaii State Primary Care Association, opened the meeting at 1:30 PM. The statewide videoconference attendees included 17 on Oahu, 5 on Kauai, 3 on Hawaii, and 2 on Maui.
2. Guest Speaker Peter Kay, President of CyberCom, Inc., demonstrated our really cool thang-the Hawai'i Covering Kids Web site and electronic application. Several key points: a. the overall cost was approximately $85,000 for programming and design, b. access to the electronic application is via any internet browser, so any number of outreach workers can access the site simultaneously, c. training begins the week of June 19 on the Big Island (see timeline in packets), d. eligibility determination cannot be done immediately, however we could eventually build this into our system; Colorado spent $30,000 replicating their HAWI-equivalent into their electronic application project, e. when the application is simplified later this year, the Web site will include a an application that community members can complete on a computer, print out, and mail to Med-QUEST, and f. if a required form is missing from the Library of Forms section, please let Barbara know and it will be posted.
3. Hawaii Covering Kids Project Information We agreed to amend our overview handout to reflect year two major objectives (see attached).
4. HOPE For Kids Outreach It was extremely successful! The original plan to canvass statewide was scaled down when Jim Santucci's daughter became very ill prior to the worldwide April 15 date. We look forward to a long-term partnership and will expand this outreach in 2001. A special thank you to the entire HOPE For Kids group that has tremendous positive, caring energy!
5. March 10, 2000 Enrollment Conference A statewide conference, co-sponsored with Med-QUEST and Boost4Kids, was recently held for persons working with potential State CHIP clients to assist with enrollment. There were 106 federal, state and community attendees (including 38 Neighbor Island participants) from 44 organizations. Follow-up plans will be discussed with the organizing committee and pilot project outreach workers.
6. Pilot Projects We requested additional funding to expand our project and received a grant from DHHS/HRSA/Bureau of Primary Care to launch one new pilot. Analyzing quantitative information, we subcontracted with the Community Clinic of Maui and they are searching for an outreach worker to help accomplish our magic on The Valley Isle. We hope to expand further-anyone have funding ideas?
We discussed interpreter possibilities to assist clients with the application process. Med-QUEST Form 9000 (available on the Hawaii Covering Kids Web site in Library of Forms) explains "we can provide a bilingual or sign language interpreter at no charge to you so that you know what we are saying." It is currently available in English, Korean, Chinese, Japanese, Laotian, Samoan, Tongan, Tagalog, Ilocano, and Vietnamese.
7. HB 540 This bill passed the state legislature therefore, once signed by the Governor, all legal immigrant children will be eligible for QUEST and Medicaid Fee-for-Service within the same income guidelines as State CHIP.
8. New Salvation Army Clinic The Kona Community Clinic opens June 1. They are currently recruiting a Marshallese outreach worker.
9. State CHIP Applications The earliest applications can arrive at Med-QUEST for State CHIP consideration is Monday, June 19. Interviewers should specify on the 1100A that it is for State CHIP.
10. Processing Applications Community members expressed serious concern about the Department of Human Services ability to process the anticipated huge volume of State CHIP applications because:
a. legal immigrant children who previously did not qualify will be applying,
b. the state hiring freeze is lifted, however the next eligibility worker's three-week training is not until July 10,
c. on Oahu only one BESSD unit will help with medical assistance applications. They will screen a maximum of 20 applications per day, do interviews, and send 10-day pending notices. They will not process applications: Med-QUEST will record the applications sent to BESSD daily and get them back to input into the HAWI system, and
d. on the Neighbor Islands, each BESSD unit (except Kona) will screen a maximum of 20 applications per week per geographic area. Kona will not screen Med-QUEST applications.
The community can help clients complete applications and explain qualifications, however an eligibility worker must touch every application. We decided to research an estimate of eligible children compared with the current number of available eligibility workers to process their applications.
11. Next Meeting Our next meeting is Friday, 11 August 2000 at 10:00 AM in a Honolulu location to be announced
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