Arkansas Medical Support Services Consortium

1
Arkansas Medical Support Services Consortium

• National TPL/COB Conference
• October 1, 2008

2
Medical Support Services Consortium

• Host State Arkansas
• Created 2005
• Consortiums not new to Child Support due to the
  interstate nature of the caseload
• CSLN
• EPLN
• MSFIDM
• Benefit to Host State Arkansas
• Provide a national initiative that will assist
  other IV-D programs
• More states signed on to consortium result in
  more effective national carrier match outcomes
• Improved interstate case processing outcomes
• Member will be better prepared for the new
  Federal Medical Support Performance Measurements,
  enabling them to maximize potential incentives
  and decrease the risk of a negative data
  reliability audit finding.
• Benefit to Other Child Support Programs Joining
  as Member Agencies
• Eliminate lengthy procurement process
• Flexible service package offered
• Enhanced effectiveness of national carrier match
  process
• Member will be better prepared for the new
  Federal Medical Support Performance Measurements,
  enabling them to maximize potential incentives
  and decrease the risk of a negative data
  reliability audit finding.

3
MSSC Services

• Health Insurance Identification/Verification
• National Carrier Match
• DEERS
• Employer Matches Wage, New Hire
• Terminations
• Minor Policies
• Medical Support Enforcement
• NMSN Generation
• Employer Response Processing
• Customer Service Call Center
• Employer Web Site
• Child Support Insurance Solution
• United Healthcare partnership
• Child only insurance policy
• Administrative support no cost to agency
• Additional Services - Included as Part of Base
  Consortium Services
• Web based access to MSE Tracer for state inquiry
• Employer web site

4
Member Results
5
Health Insurance Identification - Highlights

• National carrier data match 600m records
• Match dependents, CP, NCP to carrier records
• Identify kids with coverage unknown to agency
• Decrease number of NMSN sent
• right size orders
• Coverage by policy holders other than the NCP
• Employer carrier changes/policy renewals
• Minor policy coverage
• Identify CP or NCP coverage where kids are not
  enrolled
• Maximize NMSN response rate
• Identify terminated policies
• Individually verified match results directly with
  carrier
• In Louisiana 7 months of carrier verifications
  increased the number of cases with coverage by
  9.4

6
Enforcing Medical Support Orders-Highlights

• NMSN generation and response processing
• Over 185,000 NMSN generated and mailed for
  members
• Average a 60 employer response rate
• Employer Web Site
• AR,RI,LA,
• 90 employer response rate
• www.mscompliance.com
• On line web access by agency for case worker
  support and audit purposes
• Employer data base to track insurance offerings
• 35,000 customer services calls taken on behalf of
  member agencies

7
Child Support Insurance Solution

• The Challenge
• 22.4 of IVD cases where medical support is
  ordered and provided
• 7.2m cases with medical support orders
• 2.1m cases have medical support provided
• Obtaining and maintaining health care coverage
  for children has become increasingly more complex
  and labor intensive for CS agencies.
• Employer sponsored insurance (ESI) to provide an
  insurance offering has met with limited success
• Premium costs rising
• Employers not offering
• Interstate cases ESI not available or appropriate
• Cash medical support will not meet the health
  care needs of children

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Child Support Insurance Solution
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The Solution

• Child Support Insurance Solution
• - Child only private insurance alternative
• HMS and UnitedHealthcare partnered to provide and
  insurance and administrative solution to MSSC
  members
• UHCs insurance and risk management experience
  and national network of providers ensures that
  kids have high quality dependable coverage
• HMSs expertise in child support and leading-edge
  technologies helps state to efficiently implement
  and administer the program

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Child Support Insurance Solution-Highlights

• Child Only-Group Insurance offering for IVD
  children
• Affordable
• Child focused
• Easy access
• Built in flexibility to member agencies
• Administrative Support
• Enrollment support
• Lapse support
• Stakeholder outreach/training
• Call center
• Interdependent Solution
• UnitedHealthcare Insurance Offering
• HMS Administrative Support

11
Contacts

• Dan McDonald, Arkansas Office of Child Support
• IVD Director
• [phone]
• dan.mcdonald_at_ocse.state.ar.us
• Mary E Smith, Arkansas, Office of Child Support
• Arkansas MSSC contract over-site
• [phone]
• mary.e.smith_at_ocse.state.ar.us
• Barbara Saunders, HMS
• MSSC Contract Manager
• [phone]
• bsaunders_at_hms.com
• http//mssc.hmsy.com/