Transcript Document
LOCAL OUTREACH & ENROLLMENT EFFORTS TARGETING HOMELESS INDIVIDUALS Yakima Neighborhood Health Services Rhonda Hauff, Chief Operating Officer The Affordable Care Act Requires Most People to Have Insurance by January 2014 You are insured for through a combination of any of the following sources: ▪Medicare ▪TRICARE or veteran’s health program ▪An employer-provided plan No Penalty ▪Medicaid/Apple Health ▪Insurance you buy that is at least at the Bronze level ▪A grandfathered health plan in existence before the health reform law was enacted 2 3 *Urban Institute 4 www.wahealthplanfinder.org 5 ▪ SSI Recipients ▪ SSI related clients ▪ Medicare Savings Program ▪ Nursing Home clients ▪ Alien Emergency Medical (AEM) 6 Eligibility Key Point ▪ Real-time eligibility decision ▪ Federal-state interfaces for verification ▪ Internal Revenue Service ▪ Immigration and Naturalization Service ▪ Employment Security ▪ Automated verification ▪ Provisional Eligibility (90 days) 7 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. 8 How to Apply - Consumer Entry Points 4 Agent Broker 5 3 Navigator In-Person Assister Call Center Website 2 Partner SelfDirected 1 (website) 9 10 1 Neighborhood Connections Health Care for the Homeless 2 Homeless Respite Healthplanfinder Opportunities 3 Housing 4 Homeless Resource Center, HEN & Basic Needs Assistance Homeless Service Providers -- Opportunities Inreach – Patient Registration 54% of our Homeless are Uninsured Post Visit Inreach – Mining the Data Outreach Likely & Unlikely Outreach Venues ▪ Project Homeless Connect ▪ Latino Expos/Business Fairs ▪ County Government – Employee Benefits Fairs ▪ Cinco de Mayo Celebrations ▪ National Night Out ▪ Treaty Days / Yakama Nation events ▪ Veterans Stand Down ▪ Central Washington Rodeo ▪ Back to School Events ▪ Employment Fairs ▪ Food Banks ▪ Sunday Farmers’ Markets ▪ “Hoop Fest” 3 on 3 Basketball Tourneys Point in Time / Project Homeless Connect DSHS CHIPRA II Grants ▪ Provided PCs, laptops, printers, and scanners ▪ Used at satellite locations, mobile sites ▪ Plan for HCH team to take “to the streets” 18 Coming Prepared Not as Hard as it Used to Be Once They Have Coverage… ▪ Picking a health plan and a primary care provider (PCP) ▪ Understanding how to use the local health care system ▪ Annual Recertification ▪ Verifying information ▪ Email address updates 20 In the End, it’s all about THEM ! 21 Medicaid Outreach Planning for People Living Homeless in King County John Gilvar Public Health- Seattle and King County July 29, 2013 Safe Harbors and DSHS Data Adults in King County HMIS below 135% federal poverty level, FY 2011 23 Adjusted Estimate of Target Population Size 24 Potential Barriers to Successful Enrollment for Eligible Homeless Adults ▪ Lack of computer, internet, email, phone ▪ Cognitive impairments ▪ No mailing address ▪ Difficulties navigating application processes while coping with housing and other crises King County Homeless Enrollment Strategies ▪ Education and brainstorming meetings with housing and homeless services providers ▪ Strategically stationing grant-funded in-person assisters ▪ Locations visited frequently by unsheltered and other high risk groups ▪ Street outreach ▪ Collaborating to build in-person assister capacity within housing and homeless services agencies