Washington Low Income Housing Alliance Successful Outreach & Enrollment Strategies For Homeless People in the Affordable Care Act

Transcription

1 Washington Low Income Housing Alliance Successful Outreach & Enrollment Strategies For Homeless People in the Affordable Care Act Yakima Neighborhood Health Services Annette Rodriguez, Homeless / Housing Director

2 Navigators / In Person Assisters 2

3 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

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5 State and County Projections Yakima County Kittitas County TwoCounty Total Washington State Projected Population by 12/31/2013 Projected Population of 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 250,600 76,800 * 30,800 24,500 72% ** 42,100 8,400* 3,100 3,200 75%** 292,700 85,200* 33,900 27, million 1.1million 328, ,400 74% 5

6 Homeless Service Providers --Opportunities

7 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%

8 Roles for Community Partners o In-Person Assister (IPA) Training and having an IPA certified through the Health Benefit Exchange (requires 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.

9 Our Navigators Know Their Stuff -- ACA Jeopardy 9

10 Yakima / Kittitas County TrailBlazers 10

11 Multiple Ports of Entry by October Nearly 100 Trained Assisters 11

12 Education about Training Different Roles Type of Training Assisters / Navigators (different name for same roles) Length Format Features Offered by 30 hours In person training Certification Dashboard access Ongoingaccount access with consumer permission Medicaid and QHP enrollment YNHS (Lead Org) Certified Application Counselor 10 hours Recorded webinars Medicaid One day In person trainings Certification Dashboard access Short term account access Medicaid and QHP enrollments No certification Dashboard access Short term account access Medicaidenrollment authorization only Health Benefit Exchange (state) Health Care Authority (state Medicaid) 12

13 1 Neighborhood Connections Health Care for the Homeless 2 Homeless Respite Healthplanfinder Opportunities 3 Housing 4 Homeless Resource Center, HEN & Basic Needs Assistance

14 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

15 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) 15

16 Other Reasons Homeless 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) Deptof Commerce to Counties Clients already on Medicaid- but often attached to uninsured Low Income Energy Assistance Program (LIHEAP) 16

17 Inreach Patient Registration

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19 SSI Recipients SSI related clients Medicare Savings Program Nursing Home clients Alien Emergency Medical (AEM) 19

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. 20

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) jessica.cottom@hca.wa.gov FAX: (360)

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23 54% of our Homeless were Uninsured in 2013

24 Point in Time / Project Homeless Connect

25 Coming Prepared Not as Hard as it Used to Be

26 Preparing Clients for What They Should Know

27 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

28 Don t Forget -Medicaid Plan Choice 28

29 1,900 Medicaid Enrollments by YNHS staff since October

30 Experienced Outreach Only

31 Questions?