Washington Coalition of Medicaid Outreach Yakima IPA Network Strategies for Successful Outreach & Enrollment Yakima Neighborhood Health Services Annette Rodriguez, Homeless / Housing Director Jorge Rodriguez, HPF Project Coordinator Yakima/Kittitas Counties Navigators / In Person Assisters 2 Lead Organization Responsibilities Build local network of community-based organizations Lead outreach and education activities for service area Train Navigators within the service area Financial agent for network partners Performance monitoring Reporting 3 Projections Projected Projected Population Population by of 12/31/2013 Uninsured under age 65 Uninsured Estimated who would qualify for Medicaid Expansion Uninsured who would qualify for subsidies Percent of Population who would benefit from the ACA Yakima County 250,600 76,800 * 30,800 24,500 72% ** Kittitas County 42,100 8,400* 3,100 3,200 75%** Two County Total 292,700 85,200* 33,900 27,700 Washington State 6.9 million 1.1million 328,000 447,400 74% 5 Need for In-reach in Yakima/Kittitas Counties Community Health Centers # of Patients at 3 CHCs Medicaid % of County Medicaid Uninsured % of County Uninsured Children 34,150 59% 3,632 39% Adults 11,000 45% 21,683 44% Community Partners Collaboration Non-Contracted Partners: People for People Children’s Village Maher Insurance ESD 105 La Casa Hogar Triumph Services Health MSDR Homeless Resource Center Yakima Yakima Valley Memorial Hospital Yakima Regional Medical & Cardiac Housing Authority of Kittitas Yakima Housing Authority Sanelli Insurance Prosser Memorial Medical Center Central WA Disabilities SE WA Aging & Long Term Care Homeless Resource Center Sunnyside Lower Valley Crisis & Support Services Central WA Comprehensive Mental Department of Social & Health Services Hearing and Speech Roles for Community Partners o In-Person Assister (IPA) Training and having an IPA certified through the Health Benefit Exchange (requires 25-30 hours of training & successfully passing the state certification exam.) o Hosting a location for a certified IPA to assist clients on a regularly scheduled basis. o Hosting a special event for a presentation / Q&A session and assistance. o Willingness to distribute Outreach & Assistance information. Education about Training Different Roles Type of Training Length Format Features Offered by Assisters / Navigators 30 hours In person training • Certification • Dashboard access • Ongoing account access with consumer permission • Medicaid and QHP enrollment YNHS (Lead Org) Certified Application Counselor 10 hours Recorded webinars • • • • Certification Dashboard access Short term account access Medicaid and QHP enrollments Health Benefit Exchange (state) Medicaid One day In person trainings • • • • No certification Dashboard access Short term account access Medicaid enrollment authorization only Health Care Authority (state Medicaid) 9 (different name for same roles) Yakima / Kittitas County “TrailBlazers” 10 Multiple Ports of Entry by October Nearly 100 Trained Assisters 11 Our Navigators Know Their Stuff -ACA Jeopardy 12 Outreach Efforts Outreach Handouts Offering various points of contacts for clients seeking IPA/Navigator Assistance 1 Neighborhood Connections Health Care for the Homeless 2 Homeless Respite Healthplanfinder Opportunities 3 Housing 4 Community Outreach Resource Center, HEN & Basic Needs Assistance Integration of YNHS Staff Expertise Health Care for the Homeless In 2013, served 2,231 homeless Permanent Supportive Housing In 2013, served 67 people in 28 households Transitional Housing 107 people in 35 households Emergency Housing / Medical Respite Care – 38 individuals Homeless Services (non-health care) 2,037 clients in 1,553 families Cross Training Staff to Enroll in WA Healthplanfinder Dedicated Patient Navigators (3) Health Care for the Homeless Outreach staff (3) Housing Specialists (5) WIC Certifiers (3) Maternity Support Case Managers (2) Reception / Billing staff (6) Dental Reception (1) Behavioral Health Specialist (1) 17 Other Reasons People Come to Us Consolidated Homeless Grants (CHG) State support to Counties / CACs Emergency Solutions Grants (ESG) State support to Counties / CACs Housing & Essential Needs (HEN) Dept of Commerce to Counties Clients already on Medicaid- but often attached to uninsured Low Income Energy Assistance Program (LIHEAP) 18 Inreach – Patient Registration SSI Recipients SSI related clients Medicare Savings Program Nursing Home clients Alien Emergency Medical (AEM) 20 PEOPLE WHO DON’T WORK / DON’T FILE TAXES Self Attestation of Income accepted MEDS unit looks at ACES (SNAP, cash, Medicaid eligibility system). Random sample will be reviewed According to Health Care Authority , the focus will be on: Data matches showing income over Medicaid standard. 21 Homeless Youth The Issue of “Legal Contracts” HCA will now offer a contact person to assist in the processing of homeless teen applications: ▪ HCA CONTACT: Jessica Cottom (only available during regular HCA office hours of Monday – Friday from 8:00am – 5:00pm) ▪ PHONE: (360) 725-2050 ▪ EMAIL: [email protected] ▪ FAX: (360) 664-2186 54% of our Homeless were Uninsured in 2013 Point in Time / Project Homeless Connect Coming Prepared Not as Hard as it Used to Be Preparing Clients for What They Should Know Once They Have Coverage… Picking a health plan and a primary care provider (PCP) Understanding how to use the local health care system Reducing Churn – recertification Partnering on the application and accepting receiving copies of information is important 27 Don’t Forget - Medicaid Plan Choice 28 Experienced Outreach Only Questions ?