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Table of Contents
1. Executive Summary
1.1. Project Background
1.2. Summary of the Strategic Plan and Recommendations
1.3. The Future
2. Background
2.1. ESD Conceptual Framework
2.2. Identifying Benefits of ESD
2.3. TESD Project Scope
2.4. Technology and Social Acceptance: Identifying the Benefits and Limitations of ESD
2.5. Public Sector Applications of the ESD Concept Outside of Texas
2.5.1. Western Governors' Association Health Passport Project
2.5.2 New England Partners
2.5.3. Ohio Food Stamp and WIC Programs
2.5.4. New Jersey WIC Access Project
2.5.5. Michigan WIC Project
2.5.6. Texas and New Mexico WIC Programs
2.5.7. Oklahoma e-Childcare
2.5.8. Comprehensive Attendance Administration and Security System (CAASS)
2.5.9. Military Applications of ESD
2.5.10. Federal Government Initiatives
2.5.11. Campus Cards
2.5.12. Transit Projects
2.5.13. International Applications
2.6. Card Technology Options
2.6.1. Magnetic Stripe Cards
2.6.2. Smart Cards
2.6.3. Bar Coded Cards
2.6.4. Wireless Card-reader Technology
2.6.5. Biometrics
2.7. Matching Technology to the Application
2.8. Building an ESD System for Texas
2.8.1. Report Summaries
2.8.2. Report Finding
2.8.3. ESD Opportunities
3. Recommendations
3.1. LSG1: Enhancements to the Current State ESD Environment
3.1.1. Recommendation 1: Administrative and Operational Structure of LSG1
3.1.2. Recommendation 2: WIC
3.1.3. Recommendation 3: Med ID
3.1.4. Recommendation 4: Childcare Time and Attendance Tracking
3.1.5. Recommendation 5: Child Support Payments
3.1.6. Recommendation 6: TANF Access to ATMs
3.1.7. Recommendation 7: Foster Care
3.1.8. Recommendation 8: Campus Cards
3.1.9. Recommendation 9: Driver License
3.1.10. Recommendation 10: Inter/Intranet
3.1.11. Implementation Strategies for LSG1
3.2. LSG2: Expansion of ESD
3.2.1. Recommendation 11: Administrative and Operational Structure
3.2.2. Recommendation 12: Multiple Technology Cards
3.2.3. Recommendation 13: State Employee Card
3.2.4. Recommendation 14: Benefits Transfer Card
3.2.5. Recommendation 15: TWC/UI Direct Deposit
3.2.6. Implementation Strategy for LSG2
3.3. Looking to the Future
3.3.1. Recommendation 16: Explore Options and Develop New Plans
3.4. Implementation Timeline
4. Fiscal Analysis
4.1. LSG1
4.1.1. Med ID
4.1.2. Child Support Payments
4.1.3. LSG1 Summary
4.2. LSG2
4.2.1. LSG2 Administration/Operation
4.2.2. State Employee Card
4.2.3. Benefits Transfer Card
 
Appendix A
Appendix A Part 1
Appendix A Part 2
Appendix A Part 3
Appendix A Part 4
Appendix B
1. Executive Summary
2. Background
Part 1 (2. thru 2.7 below)
2.1. Role of Texas State Agencies in Medicaid
2.2. Medicaid Identification
2.3. Eligibility Verification Concerns
2.4. Current Med ID Eligibility Data Sources
2.5. Timing of Med ID Process
2.6. Advantages of the Current System
2.7. Disadvantages of the Current Med ID Process
Part 2 (2.8 thru 2.13 below)
2.8. An Electronic Card-Based Med ID System
2.9. Advantages of an Electronic Med ID System
2.10. Disadvantages of an Electronic Med ID System
2.11. Access to Information and Backup
2.12. Other States' Experiences
2.13. Lessons for Texas
Bibliography
Contributors
Acknowledgements