I.

Obamacare
A. National expansion of Medicaid eligibility to take effect on January 1, 2014
1. Extends coverage to 16 million more Americans by 2019

B. Requires coordinated system for determining Medicaid eligibility and offering subsidies for coverage through new insurance exchanges
1. Heightens calls to automate Medicaid enrollment process

II.

SoonerCare
A. Added web-based system to automatically enroll eligibile newborns
1. Also implemented online application for children and families, pregnant women and other adults

B. OKHCA implemented enrollment system to accomplish three goals: (1) expedite newborns enrollment in SoonerCare, (2) promptly connect them with care, (3) enable hospitals and primary care providers to bill right away for care they provide to SoonerCare newborns C. Results: newborns almost immediately gain SoonerCare coverage and mothers select a primary care provider (PCP) even before they are discharged, ensuring they have a medical home when they leave the hospital D. Auto newborn enrollment is in effect in nearly all of OKs 80 hospitals covers 60 percent of all Oklahoma births

E.
F.
G.

Justify auto-enrollment
Paperform known as Newborn-1 (NB-1)
Involved hospital staff and two state agencies

H.

Was time consuming and error-prone

I. Relied on Department of Helath Services to determine eligibility OKHCA could nto assign SoonerCare ID or mail a card until the eligibility determination was transmitted from DHS to OKHCA could take 14-21 days J. Impaired continuity of care because mothers could not automatically establish PCPs K. Babies who needed follow-up care stayed in the hospital longer because of converns about discharging them without coverage or a PCP L. Hospitals incurred large costs to keep checking newborns eligibility status and could not bill SoonerCare until newborns were enrolled also suffered long payment delays M. Doctors were sometimes reluctant to see newborns whose coverage they couldnt confirm or who might be auto-assigned to a different PCP N. Inefficiency consumed significant state resources

O.

eNB-1

P. Piloted in four hospitals in April 2008 to address glitches before saling it up Q. By June 2010 Oklahoma had enrolled 50,000 newborns automatically (nearly 2000 per month) R. About 85 percent of newborns are automatically enrolled with the PCP and others are manually enrolled, with 99 percent ultimately getting the requested PCP S. Savings to hospitals in terms of billing staff and speedier payment from SoonerCare have not been quantified by are viewed by OK hospitals as a substantial gain T. Increased state-level administrative efficiency additional advantage. Freed up 22 state FTEs to conduct other activities