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 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 Medicaid 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 Washington 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 Medicare 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 ?.