1. Online Enrollment (Easy as 1-2-3) www. my SoonerCare.org Oklahoma Health Care Authority

4. What Were the Goals? Empower and Equip the Members Expand Enrollment to Service Locations Develop Multiple Program Application Remove Barriers that Prevent Enrollment Increase Effectiveness/Efficiency of Process

5. How Does It Work? Apply or Renew Online Real-time Decision & Enrollment Data Verification

6. Was State Policy Affected? Date Specific Eligibility Rolling Redetermination Changing the Way We Do Business

7. Why No Wrong Door? Notification of DOS NODOS App Behavioral Health DMH App Newborn Registration e-NB-1 App Paper Application Home View Agency View Applying at Home Computer or Community Partner Applying at Agency Partner Completing Paper Form Mail to HP For Scanning

8. Real Time Reply Mail to HP Rules Engine Yes No Client Numbering Paper Form Home View Agency View Letters Notices & ID Cards Scan and Data Entry MMIS Eligibility Recipient Denial Reason / Member Denial Letter NODOS (hold date) Behavioral Health App (ID)

10. What Got Better? NEW WAY Real Time Eligibility Policy Uniformly Applied Medical Home - Enrollment Streamline Business Process Normalized data Apply 24hrs/7days Available: M/F, 8am-5pm 20-30 Days For Results Individual Policy Interpret No Primary Care Provider Process Differs By County Imprecise data OLD WAY

11. What About Verifications? SSN OK State Dept of Health (OSDH) Pregnancy Social Security Administration Income Citizenship OSDH, Electronic Verification of Vital Events, Systematic Alien Verification for Entitlements OK Employment Securities Commission (OESC)

13. Programs Affected What is Needed FAQ’s Income Guidelines SoonerCare SoonerPlan Behavioral Health Review Benefits Check Status Update Information At-Home & Community Partner Options Tell Me More Apply Now Manage Account

15. Screen shot of first page of home application

16. Pregnancy Citizenship Identity Certification Ending Domestic Violence Review Benefits Check Status Update Information Agency Partner Options SoonerCare SoonerPlan Behavioral Health View/Update Verifications Eligibility Alerts Manage Member Search & Submit

17. Partner Agency Log In

19. Agency Partner Verification Screen

20. Paper Application Mail In Paper Scan and Data Entry Rules Engine Letter-Notices-ID

22. Electronic Notification of DOS Jan 6 By Jan 21 ELIGIBILITY SUBSYSTEM (Holds Jan 1) RULES ENGINE Clerk Enters NODOS ( within 5 days of DOS ) Submitted Electronic or Received Paper Application Full Application “Submitted By” Range DOS Range 5 Days 15 Days JAN 1 Certification Date NODOS NODOS in Last 15 Days? Cert Date Received By Yes

23. Date Of Service Notification OK….Something like a timeline that shows a person comes in to emergency room and a couple of days later a hospital staff member fills out a NODOS application and then getting an application within 15 days and going back to 5 days prior to NODOS receipt.

24. Screen shot of NODOS screen

25. Mental Health Enrollment OK….Something like a timeline that shows a person comes in to emergency room and a couple of days later a hospital staff member fills out a NODOS application and then getting an application within 15 days and going back to 5 days prior to NODOS receipt.

26. Screen shot of DMH Application screen