local outreach & enrollment efforts targeting homeless individuals

Local Outreach & Enrollment Efforts Targeting Homeless Individuals

Yakima Neighborhood Health ServicesRhonda Hauff, Chief Operating Officer

The Affordable Care Act Requires Most People to Have Insurance by

January 2014You are insured for through a combination of any of the following sources:

▪Medicare

▪TRICARE or veteran’s health program

▪An employer-provided plan

▪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

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No Penalty

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*Urban Institute 4

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www.wahealthplanfinder.org

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For additional benefits (TANF, SNAP, etc, customers will apply here inWashington Connections - a “virtual handoff” from the HPF

▪ SSI Recipients

▪ SSI related clients

▪ Medicare Savings Program

▪ Nursing Home clients

▪ Alien Emergency Medical (AEM)

Eligibility

▪ Real-time eligibility decision

▪ Federal-state interfaces for verification▪ Internal Revenue Service▪ Immigration and Naturalization Service▪ Employment Security

▪ Automated verification▪ Provisional Eligibility (90 days)

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Key Point

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.

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How to Apply - Consumer Entry Points

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1 Neighborhood Connections

Health Care for the Homeless

3 Housing

2 Homeless Respite

4 Homeless Resource

Center, HEN &

Basic Needs Assistance

Healthplanfinder Opportunities

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

▪ Cinco de Mayo Celebrations

▪ Treaty Days / Yakama Nation events

▪ Central Washington Rodeo

▪ Employment Fairs

▪ Sunday Farmers’ Markets

▪ County Government – Employee Benefits Fairs

▪ National Night Out

▪ Veterans Stand Down

▪ Back to School Events

▪ Food Banks

▪ “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”

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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

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In the End, it’s all about THEM !

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Medicaid Outreach Planning for People Living Homeless in King County

John Gilvar July 29, 2013Public Health- Seattle and King County

Safe Harbors and DSHS Data

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Adults in King County HMIS below 135% federal poverty level, FY 2011

Adjusted Estimate of Target Population Size

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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