Outreach and Enrollment

Best Practices for Florida’s

Children’s Health Insurance

Programs

Jodi A. Ray, MA

Project Director

USF Florida Covering Kids & Families

Navigate PBC Conference

4/12/13

Outreach Objectives

Identify target population and strategies for developing an approach and setting goals

Develop tips for working with members of the media

Utilize techniques for partnership recruitment and activation

Share ways to retain current enrollees

Use methods for tracking and

evaluating your activities

Priorities for Successful

Outreach in Florida

Outreach is results driven and

connected to actual enrollment

Use relevant messages for specific

target populations

Partners use sound data

demonstrating connection

Partners share best practices and

lessons learned for potential

replication

Framework for Best Practices

for Geographic Areas1

Adapted for specific locations by taking into account community resources and social

context

Takes into account key needs to be addressed

Uses the following criteria: Innovative

Positive Impact

Sustainable Reproducible

1. Dotson, A. a& Sharif, F. Best Practices and Models of Care in Rural Health: A Compendium for the Virginia Rural Health Access Council. Virginia’s State Rural Health Plan. 2000

CHALLENGE SOLUTIONS

COMMUNITY CHALLENGE

Rural, low poverty families with low literacy,

and difficulty navigating systems without

assistance.

EFFECTIVE STRATEGY

Case management services are offered in a

climate that allows direct communication

between the case manager, the family and

appropriate service personnel, in order to

optimize the outcome for all concerned. Ex:

on-site application assistance at a charter

school housed within a low-income area.

COMMUNITY CHALLENGE

Median income for families in demographic areas are reported as below the state poverty level.

Lack of access to technology and transportation.

One of the highest rates of unemployment in state.

CHALLENGE SOLUTIONS

COMMUNITY CHALLENGE More families are qualifying for Medicaid

due to the loss of employment. It is hard for families who normally wouldn't qualify for any assistance to go through a process for support.

EFFECTIVE STRATGIES It is beneficial for health care coverage

for children information to be sent out several times a year through the schools (private and public). This information must contain local contact information for application/renewal assistance.

School nurses make the best advocates & delivery system. Ask the nurses to send home the health care coverage information with students.

CHALLENGE SOLUTIONS

Florida’s Outreach and

Enrollment Program Places application assistors in communities across

Florida to enroll uninsured children

Provides “on-site” and “in-person” enrollment

assistance in Florida KidCare for families in a variety of

environments

Follows up with contacts to support families in using

and maintaining their coverage

Is always culturally and literacy sensitive and

competent

Focuses on partnering with local organizations to reach

the uninsured population

Incorporates use of technology through online

applications, online case management and follow-up

Finding the Uninsured

Where are the uninsured? Key data indicators give

us the best perspective

Use all data sources to build a profile of the area(s)

you work in by examining, comparing and

contrasting different data points to identify gaps

Data doesn’t give the complete picture but

conversations with key stakeholders can help to

guide your work

Partnerships

•Increases access

Individuals/families

•Diminishes negative community effects

Communities

•Where the kids are

Schools

•Reduces financial risks

Health Care Providers

•Increase employee satisfaction & productivity

Local Businesses

Building the Relationship

Identification of stakeholders

Increased public understanding

Avoid redundancy

Access to technical expertise and resources

Leverage funding

Invest in Partnerships

Successful Partnerships:

Address complex issues

Leverage scarce resources

Reduce conflict and litigation

Promote innovation and integration

&

Create significant, measurable improvements!!

Key Benefits

Key Partners

Florida KidCare Partner agencies

Other state agencies: DOE, DOR,

Children’s Hospitals

Schools and school districts

Faith-based organizations

Health Plans

Health departments

CBO’s

Businesses

Military & veteran organizations

Government entities or municipalities

What are you doing?

Application Assistance Program Recruiting assisters in identified areas of

need

Identifying application sites

Coalition Building/Grassroots Outreach Focusing on housing, health care and

other organizations

Also reaching out to the business

community and other state agencies

Training Holding informational sessions and

trainings around the state

Training assisters, providers and volunteer

community partners

Cultural Competency

Competency vs. Awareness

Language

Using Interpreters

Written Materials - English, Spanish,

other

Advocacy

The Multi-Prong Approach

Community Navigator/Certified Application Assistance

Sites Referral programs

Community coalitions

Military/Veteran outreach

Business outreach School-based outreach

Children’s hospital-based outreach

Faith-based outreach Press Enrollment Events

Link with Text4Baby

Teen Campaign

ELL & Refugee Outreach

Community Coalitions

19 Local Coalitions representing

30 counties

Targeting Hispanic and Haitian

populations

Both Urban and Rural

Identifying application assistance

sites

Targeting the newly unemployed

and newly eligible

Referral Program Basics

Establishing a referral arrangement

between your program and community

organizations is a powerful tool to increase

local capacity and get kids enrolled

When done correctly, referral programs

can be very effective for both the

referring organization and your program

Variety of referral methods

Follow-Up and Redetermination

Why Follow-Up Matters

Key Points in the

Coverage Year

Program Evaluation Goal

Assess the process, impact and outcome measures of proposed activities intended to increase enrollment

and retention in all Florida KidCare Program components

“Coming together is the beginning.

Keeping together is progress. Working together is success.”

- Henry Ford

Jodi A. Ray, Project Director

jray@health.usf.edu

813-974-3143

www.floridacoveringkidsandfamilies.health.usf.edu