EEs & CAAs
- Contact Information
- Reference Manual
This program is administered
by the Managed Risk Medical Insurance Board (MRMIB).
Invitation to Participate (ITP)
The Invitation to Participate (ITP) is the registration process for organizations interested in becoming an Enrollment Entity (EE) for the Healthy Families and Medi-Cal for Families Programs. Organizations must qualify under at least one of the categories listed on the ITP form in order to become an EE. Certified Application Assistants (CAAs) who are affiliated with an EE can assist families to complete the Healthy Families application. Most EEs are also eligible to receive reimbursement for those applications, which result in a child successfully enrolling in either the Medi-Cal or Healthy Families Program. In addition, additional incentives are paid to EEs who utilize the HeApp online application system. For more information on EE Incentives, please go to the HFP Website, http://www.healthyfamilies.ca.gov/.
Complete ITPs are processed within five business days of receipt. The EE/CAA Liaison Staff at the Healthy Families Program will notify your organization in writing when they have completed reviewing your ITP. You will receive a Welcome Letter, Missing Information Letter or a Denial Letter.
Please take the time to review the EE requirements and required documents (listed on the ITP instructions and on the ITP form) to ensure a complete ITP form is submitted. This will ensure your ITP is processed in the most expedient manner.
The authorized contact person for your organization may contact the Healthy Families Program's EE/CAA Liaisons for inquiries or assistance with the ITP at 1-800-279-5012 or email: ee-caaliaison@MAXIMUS.com, Monday through Friday, 8:30 a.m. to 5:00 p.m.
Mail ITPs to:
Healthy Families Program
625 Coolidge Drive, Suite 100
Folsom, CA 95630
or fax to:
Attn: EE Registration
Please download the following documents to begin the Registration process. Complete ITPs include the six page application form, a signed W-9 Tax Form and attached copy of your State License/Certificate or tax-exempt status (see page 2 of ITP for required documents).
Additional forms are available to update an EEs profile:
- Change of Information for EE (pdf 46 KB)
- Subsite Address Form (pdf 45 KB)
- Add/Remove CAA Form (pdf 37 KB)
- CAA Agreement (pdf 58 KB)
Every two years the Healthy Families Program will contact you to update your organizations profile information. A notice will be sent to your organization approximately 60 days prior to your organizations two-year anniversary month.
The Healthy Families Program provides many resources for EEs and CAAs:
- The HFP website at http://www.healthyfamilies.ca.gov/
- Web Based Training for CAA certification and refresher training
- CAA Reference Manual (available on HFP website)
- CAA Newsletters (bi monthly published issues available on HFP website)
- https://www.healtheapp.net/ Online Application
- Health-e-app HelpDesk 1-866-861-3443
EE CAA Help Line 1-800-279-5012 or email: ee-caaliaison@MAXIMUS.com, Monday through Friday, 8:30 a.m. to 5:00 p.m.
- General program information
- Information regarding CAA training
- Update registration information
- EE Reimbursement Payment Specialists are available upon request to research reimbursement payments or answer questions.
- Reimbursement Research Request Forms available on HFP website
Marketing Materials for the Healthy Families Program and Medi-Cal for Children
Bulk Applications and Handbooks
Community-based Organizations, Enrollment Entities, and Certified Application Assistants can also obtain bulk supplies of the Healthy Families Application and Handbook. Please download the Marketing Materials Order Form (pdf 636KB), read the instructions, and submit your order.
School-Based Outreach Materials
In efforts to assist families in applying for health, dental and vision coverage for their children, Schools and School Districts may order and distribute flyers that can be handed out to families who may be interested in applying for insurance. Organizations may order large quantities of Request For Information (RFI) flyers from Healthy Families through the RFI Order Form.
RFI flyers may be ordered in 11 languages: English, Spanish, Russian, Lao, Vietnamese, Korean, Cambodian, Hmong, Farsi, Chinese or Armenian. RFI flyers in English and Spanish can be ordered with custom information for the organization (such as name, address, phone number, etc.).
For step by step instructions click on the following link
Step-By-Step Instructions (pdf 135 KB)
For Parent Information flyer click on the following link
Parent Information Flyer (pdf 56 KB)
To request or download school-based outreach materials for use by schools and school districts click on the following links.
- Request for Information in English (pdf 471 KB)
- Request for Information in Spanish (pdf 384 KB)
- Request for Information in Russian (pdf 567 KB)
- Request for Information in Lao (pdf 537 KB)
- Request for Information in Vietnamese (pdf 523 KB)
- Request for Information in Korean (pdf 493 KB)
- Request for Information in Cambodian (pdf 526 KB)
- Request for Information in Hmong (pdf 638 KB)
- Request for Information in Farsi (pdf 1,750 KB)
- Request for Information in Chinese (pdf 1820 KB)
- Request for Information in Armenian (pdf 545 KB)
If you have questions about ordering a RFI flyer or regarding a previously placed order, you may email Healthy Families RFI or call Healthy Families at 1-888-747-1222, Monday through Friday, 9:00 a.m. to 6:00 p.m.
Marketing materials designed by the State of California for the Statewide Outreach Campaign are available to assist CAAs and EEs in their important work. They are in PDF or JPG file format and can be downloaded with the click of a mouse.
Tear-off Display Pad
Designed for 5"x 4". Available in the following languages:English / Spanish (pdf 63 KB)
Web resources for community-based organizationshttp://www.cms.hhs.gov/home/outreacheducation.asp
This page, Outreach Information Clearinghouse, provides valuable information and a forum for exchange of ideas among states, community-based organizations, children's groups, and other interested parties regarding outreach for the State Children's Health Insurance Program (SCHIP).http://uscis.gov/
A Quick Guide to "Public Charge" and Receipt of Public Benefits summarizes how receiving public benefits in the United States may or may not affect an immigrant under the "public charge" provisions of the immigration laws.http://www.100percentcampaign.org/
The 100% Campaign is a coordinated effort to ensure that all of California's children obtain health coverage they need. This site features information about the Healthy Families Program, Medi-Cal, and other programs.http://www.insurekidsnow.gov/
The Insure Kids Now Web site has a number of informative pages, messages, and presentations.http://www.coveringkidsandfamilies.org/
Covering Kids: A National Health Access Initiative for Low-Income, Uninsured Children was established to help states and local communities increase the number of eligible children who benefit from health insurance coverage programs. This site includes information about the initiative in California and around the country.http://www.cbpp.org/shsh/
The Start Healthy, Stay Healthy campaign is a national outreach effort conducted by the Center on Budget and Policy Priorities. This site provides information on the campaign, statistics on Medicaid and State Children's Health Insurance Programs around the country, and an opportunity to order a kit containing outreach materials.http://www.healthykidsproject.org/
The Healthy Kids, Healthy Schools project web site provides a clearinghouse of information about school-based outreach and enrollment programs in California and across the nation. The goal of these programs is to increase enrollment of children in low- and no-cost health insurance programs.http://www.champ-net.org/
CHAMP-Net provides information to those helping low-income families find free or low cost health coverage for children and pregnant women.
HFP Advisory Panel and Outreach Work Group
Role and Responsibilities:
The Advisory Panel was set up as part of the Healthy Families law to advise the Managed Risk Medical Insurance Board (MRMIB) on policies, regulations, operations, and implementation of the Healthy Families Program (HFP). The Advisory Panel is comprised of 15 members who serve three-year terms on a voluntary basis.
The Healthy Families Program is a state and federal subsidized children's health, dental, and vision insurance program for children in low to moderate income families. The program was implemented on July 1, 1998, and is currently insuring more than 800,000 children.
The Advisory Panel meets on a quarterly basis and the meetings are usually from 9:30 a.m. to 3:00 p.m. in Sacramento.
Meeting Agendas and Meeting Summaries:
For more information on meeting agendas and summaries, please visit MRMIB's website by clicking here.