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Medicaid Outreach Program

Medicaid Outreach Program

Program Overview

Local health departments in the state of Michigan have the opportunity to participate with Medicaid outreach and receive reimbursement for completing activities that support the Michigan Medicaid program.  Activities that are part of a direct service (e.g. – Immunizations, Blood lead screening, Pregnancy test, etc.) cannot be claimed through this program.  Medicaid outreach includes seven categories approved by the Centers for Medicare and Medicaid Services (CMS).

Objective: Inform Medicaid eligible and potentially eligible individuals and families about the benefits and availability of services provided by Medicaid.

Outcome: Improve access and utilization of Medicaid covered services.

ALL outreach activities MUST be specific to the Medicaid Program.

 

Person signing to another person on a computer

  • Qualifying Categories

    1. Medicaid Outreach and Public Awareness

      Activities that inform eligible or potentially eligible individuals about Medicaid and how to access Medicaid programs.
      Example: Distributing information about Medicaid through media sources, health fairs, and other community forums.

    2. Facilitating Medicaid Eligibility Determination

      Assisting an individual or family become eligible for Medicaid.
      Example: Providing Medicaid application forms or facilitating the completion of the enrollment process.

    3. Program Planning, Policy Development, and Interagency Coordination Related to Medical Services

      Activities that local health department staff perform in collaboration with agencies/organizations outside the local health department to ensure the delivery of Medicaid-covered services.
      Example: Representing the local health department on a committee or program that is intended to improve access to Medicaid programs and services.

    4. Referral, Coordination, and Monitoring of Medicaid Services

      Developing appropriate referral sources for program-specific services and monitoring the delivery of Medicaid services within the local health department.
      Example: Developing a list of community resources or health care providers that accept Medicaid.

    5. Medicaid-Specific Training on Outreach Eligibility and Services

      Coordinating, conducting, or participating in training events/seminars for staff who provide outreach services regarding the benefits of the Medicaid program.
      Example: Local health department staff attending or participating in a Medicaid outreach webinar.

    6. Arranging for Medicaid-Related Transportation

      Arranging and/or scheduling transportation to and from a Medicaid covered service for a Medicaid-enrolled individual.
      Example: Arranging transportation for the parent/guardian of a Medicaid-enrolled individual in support of referral and evaluation activities.

    7. Arranging for or Providing Medicaid-Related Translation Services
      Arranging and/or providing translation services that assist an individual to understand necessary care and treatment.
      Example: Arranging for translation services (oral or signing services) to assist an individual with completing a Medicaid application.

  • Reporting Requirements

    The Medicaid Outreach program follows a fiscal year that begins October 1st and ends September 30th.  Quarterly reports provide a summary of Medicaid outreach activities conducted over the last three months and are due no later than one month after the end of each quarter.  Reports must include the following elements:

    • Name of local health department.
    • Name and contact information of the individual completing the report.
    • Time period the report covers (e.g. – Fiscal Year XX: 2nd quarter, or January – March).
    • Types of services provided during the quarter.

                    (Note: Include examples of the types of services, instead of every single activity)

    • Number of clients served.
    • Amount of funds expended during the quarter and total expenditures.
    • Number of full-time equivalents (FTEs) who provided these activities.

    Successes/Challenges are not a reporting requirement but can be included to facilitate program improvement or highlight ideas that are working well.

    Local health departments must maintain a system to identify the activities and associated costs in accordance with federal requirements.  Costs must be supported by an allocation plan that identifies Medicaid outreach activities as a specific element.  Allowable costs include staff time, supplies, travel, communication, and indirect costs.

    Appropriately claimed outreach activities are eligible for a 50/50 match of local dollars contributed.

    Quarterly reports must be attached in EGrAMS – Source of Funds to the Federal Medicaid Outreach line.

  • Medicaid Policy

    Medicaid Provider Manual

    Medicaid Outreach Policy (MSA 18-41)

    Local Health Department – Billing and Reimbursement

  • Contact Information

    Questions about the Medicaid Outreach Program?

    Need to request training for your team?

    Contact:

    Kyle Norman

    Medicaid Outreach Specialist

    MDHHS-Medicaid-Outreach@michigan.gov