Development and Implementation Grants Requirements

In Phase Two, communities are expected to implement a new, enrollment-based program or significantly expand an existing program for the uninsured in which enrollees have access to a full continuum of services including primary and preventive care.  To accomplish this objective, communities are expected to:

• Establish comprehensive delivery networks that emphasize primary care, early intervention and reduced inpatient and emergency room usage, paying special attention to traditional providers of care for the uninsured population
  

• Develop a detailed implementation plan for the operational infrastructure of the project, including utilization management, quality assurance, and management information services.
  

• Implement an outreach, marketing, and enrollment program that identifies and seeks out the uninsured.
  

• Initiate member enrollment and delivery of services
  

• Collect appropriate baseline and operational data to permit monitoring and evaluation of the impact and success of the delivery system and financing mechanism.