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Title of Nomination: Health-e-Arizona - page 2 / 7





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NASCIO AwardsHealth-e-Arizona

Executive Summary:  Health-e-Arizona

Through a unique public/private partnership between Arizona's Health Care Cost Containment System (AHCCCS), the Arizona Department of Economic Security (DES), the Community Health Centers Collaborative Ventures, Inc. (CHCCV), and Deloitte Consulting, a new web-based enrollment application for Arizonans called "Health-e-Arizona" was launched in June 2002 in Pima County, Arizona. The Health-e-Arizona pilot project kicked off at the Tucson-based El Rio Health Center, a large, multi-service federally qualified health center.  El Rio is a member of the Pima County Access Program (PCAP), a group of health centers and hospitals offering health services to uninsured and underinsured residents of Pima County.  PCAP entities also conduct outreach and referral services for AHCCCS to reach people who may be eligible for Medicaid or the State Children’s Health Insurance Program (KidsCare).

Powering Arizona's online application is Health-e-AppSM, software developed on behalf of the California HealthCare Foundation (CHCF), a non-profit philanthropy, based in Oakland, California. Health-e-App was originally developed for use in California, where it was successfully pilot tested and implemented statewide under a license provided by CHCF to the State of California, at no cost. The California Department of Health Services is currently maintaining Health-e-AppSM for the State of California.  

Health-e-AppSM was selected by the El Rio and PCAP stakeholders because of its functional richness and simplicity of use. The Health-e-App system, originally developed by Deloitte Consulting for California under contract with the California HealthCare Foundation, was the first fully integrated web-based application in the nation for enrolling children and pregnant women in publicly funded health insurance. The CHCCV believed that by creating a partnership with the State agencies responsible for determining eligibility and providing access to State administered health programs they could reduce the number of uninsured and underinsured persons in Arizona.  In addition, by adding the local programs to the possible health coverage that it would lead to improved coordination of care, less duplication and improved service to the public.  

The Health-e-Arizona project began as a transfer California’s Health-e-AppSM web-based registration system to Arizona to accept applications for Arizona’s public health care programs. After meeting with key stakeholders from AHCCCS and DES, the project’s initiators (El Rio, Community Health Centers Collaborative Ventures, and PCAP) focused their vision to the possibility of accepting the State’s new Universal Application that included most of the AHCCCS and Department of Economic Security (DES) administered programs, including AHCCCS (Medicaid Managed Care), KidsCare, Proposition 204, Premium Sharing, and others.  Deloitte Consulting has worked with all of these Arizona organizations responsible for state and locally administered health care programs and CHCCV member organizations, including private business representatives, to modify Health-e-App to meet Arizona's unique requirements.

The Health-e-Arizona system improves the application process between the clinics, AHCCCS and DES by providing an effective and efficient way for clinic staff to conduct client interviews, to collect and share necessary information across organizations, and to inform consumers of their potential eligibility for health care coverage.  This is accomplished in a manner that respects the privacy of the consumer in accordance with the program rules and policies.  Health-e-Arizona takes full advantage of the enabling technology by offering the following features:

Preliminary eligibility screening in just seconds

Instantaneous error checking to improve data quality

Automated computing of income and other prerequisite calculations, for improved screening accuracy

Electronic transmission of application data

Electronic signatures

Automatic association and transmission of faxed documents

Disposition tracking for each applicant

Given the success of the Pima County pilot since June 17, 2002, a statewide roll-out to all Arizona Federally Qualified Health Centers (FQHCs) is currently underway, and will be completed by the 4th quarter of 2003.

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