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

Yakima Neighborhood Health Services Annette Rodriguez, Homeless / Housing Director 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

State and County Projections

Projected Projected Uninsured Uninsured Percent of Population Population Estimated who would Population by of who would qualify for who would 12/31/2013 Uninsured qualify for subsidies benefit under age from the 65 Expansion ACA Yakima 250,600 76,800 * 30,800 24,500 72% ** County Kittitas 42,100 8,400* 3,100 3,200 75%** County Two County 292,700 85,200* 33,900 27,700 Total 6.9 million 1.1million 328,000 447,400 74% State

5 Homeless Service Providers -- Opportunities Need for In -reach in Yakima/Kittitas Counties Community Health Centers # of Patients at 3 Medicaid % of Uninsured % of County CHCs County Uninsured Medicaid

Children 34,150 59% 3,632 39%

Adults 11,000 45% 21,683 44% 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 . Our Navigators Know Their Stuff -- ACA Jeopardy

9 Yakima / Kittitas County “TrailBlazers”

10 Multiple Ports of Entry by October Nearly 100 Trained Assisters

11 Education about Training Different Roles Type of Length Format Features Offered Training by Assisters / 30 hours In person • Certification YNHS Navigators training • Dashboard access (Lead Org) • Ongoing account access with (different consumer permission name for • Medicaid and QHP same roles) enrollment

Certified 10 hours Recorded • Certification Health Application webinars • Dashboard access Benefit Counselor • Short term account access Exchange • Medicaid and QHP (state) enrollments Medicaid One day In person • No certification Health trainings • Dashboard access Care • Short term account access Authority • Medicaid enrollment (state

authorization only Medicaid) 12 1 Neighborhood Connections 2 Health Care for the Homeless Homeless Respite

Healthplanfinder Opportunities

3 Housing

4 Homeless 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)

15 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)  Dept of Commerce to Counties  Clients already on Medicaid- but often attached to uninsured  Low Income Energy Assistance Program (LIHEAP)

16 Inreach – Patient Registration www.wahealthplanfinder.org

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

19 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 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 22 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 1,900 Medicaid Enrollments by YNHS staff since October 2013

29 Experienced Outreach Only Questions ?