LOCAL OUTREACH & ENROLLMENT EFFORTS TARGETING HOMELESS INDIVIDUALS Yakima Neighborhood Health...
Transcript of LOCAL OUTREACH & ENROLLMENT EFFORTS TARGETING HOMELESS INDIVIDUALS Yakima Neighborhood Health...
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Local Outreach & Enrollment Efforts Targeting Homeless Individuals
Yakima Neighborhood Health ServicesRhonda Hauff, Chief Operating Officer
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The Affordable Care Act Requires Most People to Have Insurance by
January 2014
You 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 in
Washington Connections - a “virtual handoff” from the HPF
▪ SSI Recipients
▪ SSI related clients
▪ Medicare Savings Program
▪ Nursing Home clients
▪ Alien Emergency Medical (AEM)
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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
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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
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Homeless Service Providers -- Opportunities
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Inreach – Patient Registration
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54% of our Homeless are Uninsured
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Post Visit Inreach – Mining the Data
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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
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Point in Time / Project Homeless
Connect
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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
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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
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Safe Harbors and DSHS Data
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Adults in King County HMIS below 135% federal poverty level, FY 2011
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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
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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