Working Together to Expand Your Outreach and Enrollment Efforts. Tuesday, September 10, :00 to 3:00 PM EDT

Transcription

1 Working Together to Expand Your Outreach and Enrollment Efforts Tuesday, September 10, :00 to 3:00 PM EDT

2 Help Us Count! If you are viewing as a group, please go to the chat window and type in the name of the person registered and the total number of additional people in the room, e.g., Tammy Jones, +3. This will help us with our final count.

3 Reminders This presentation may be downloaded now. Please visit to download the presentation. All attendees are in listen-only mode. We want to hear your questions! To ask a question during the session, use the chat tool that appears on the bottom right side of your control panel. Attendees will receive an evaluation survey directly after the webinar. Please let us know how we are doing and new topics you would like us to cover.

4 Webinar Archives Access previous webinars, sorted by topic: Clinical Services ( Diabetes, ADHD) SBHC Operations (PCMH, HIT) Policy & Advocacy Quality Improvement Special Initiatives School-Based Health Alliance Tools

5 Objectives 1. Inform participants about current Federal opportunities to be engaged in outreach and enrollment. 2. Identify key timelines for the launch of the Health Insurance Marketplace. 3. Inform participants about key safety net partners in outreach and enrollment efforts.

6 Today s Panelists Donna Cohen Ross Senior Policy Advisor Centers for Medicare and Medicaid Kristen Stoimenoff Deputy Director Health Outreach Partners Johnette Peyton Health Promotion Project Manager North American Management

7 Helping Eligible Children Sign Up for Medicaid and CHIP Donna Cohen Ross Senior Policy Advisor Center for Medicaid and CHIP Services September 10, 2013

8 Children s Health Coverage: Moving in the Right Direction Rate of Uninsured Children From 8.9 % in 2008 to 6.6% in 2012; 1.7 million gained coverage* Number Eligible but Not Enrolled From 4.8 million in 2009 to 4.3 million in 2011 (even when 3 million more became eligible.)** Participation in Medicaid and CHIP 81.7% in 2008, 84.3% in 2009, 85.8% in 2010 ** *CDC National Health Interview Survey ** Urban Institute analysis of Census data) INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law. 8

9 Medicaid and CHIP Health insurance coverage for children in low- and moderate-income families Children in family of four earning up to $47,100/year or more may qualify Cover doctor visits, immunizations, hospital care, prescriptions, mental health care, dental care and more INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law. 9

10 Families Value Medicaid and CHIP 82% of parents with uninsured, eligible children say they would be interested in enrolling their children (88% if child was enrolled in the past.) 93% of parents with a child enrolled say they are satisfied or very satisfied with the coverage range of services and quality of care rank high Source: Informing CHIP and Medicaid Outreach and Education. INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law. 10

11 Medicaid and CHIP Help Children Stay Healthy As compared to uninsured children, children with Medicaid and CHIP coverage: are more likely to have seen a doctor in the past year, and to have a regular source of care are more likely to have received preventive care and to keep up with the schedule of well-child visits have fewer unmet medical and dental needs miss fewer school days INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law. 11

12 Coming Soon: A Simplified, Data- Driven System For Consumers No wrong door Many ways to apply: Online, in person, by mail, by phone Less paper work Quicker process Simpler renewals INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.

13 The Connecting Kids to Coverage Challenge Identify children eligible for Medicaid and CHIP -- and get them enrolled. Keep them covered for as long as they qualify Enrolling eligible parents helps get eligible kids covered New health coverage opportunities for the whole family! INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law. 13

14 Connecting Kids to Coverage Campaign National leadership and resources from CMS Waves of activities when parents are thinking about children s health care needs (Cold/Flu; Asthma/Allergy; Back-to-School) Connecting Kids to Coverage grantees and partners Materials and other resources for all INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law. 14

15 The Message and the Materials INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law. 15

16 Public Service Announcements INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law. 16

17 Back-to-School Materials Posters and flyers Outdoor advertising (in target markets) Public Service Announcements Scholastic 17 INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.

18 Your Program Can Play a Key Role at a Critical Time Boost health coverage enrollment for children and other family members: Leadership in school environment Direct application assistance Enrollment and connection to health services Renewal INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law. 18

19 Key Links to Campaign Resources Website: Special Back-to-School page Outreach video library PSAs and Posters/Flyers Subscribe to updates at scriber/new Weekly outreach tips Webinar announcements Links to other training and materials INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law. 19

20 Step Up to the Challenge! Donna Cohen Ross Senior Policy Advisor Center for Medicaid and CHIP Services THANK YOU! INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law. 20

21 Health Outreach Partners O U T R E A C H & E N R O L L M E N T O V E R V I E W F O R S C H O O L - B A S E D H E A L T H A L L I A N C E K R I S T E N S T O I M E N O F F, M P H D E P U T Y D I R E C T O R k r i s t e o u t r e a c h - p a r t n e r s. o r g

22 Health Outreach Partners Who we are National organization focused on strengthening health outreach programs Mission HRSA Cooperative Agreement Training, Consultation, Information Services To build strong, effective and sustainable grassroots health models by partnering with local community-based organizations across the country in order to improve the quality of life of low-income, vulnerable and underserved populations. Who we serve Health centers serving special populations Health-focused community-based organizations

23 Definition of Outreach Improving people s quality of life by facilitating access to quality health care and social services, providing health education, bringing linguistically and culturally responsive health care directly to the community, helping people to become equal partners in their health care, and increasing the community s awareness of the presence of underserved populations

24 National Outreach Guidelines

25 National Outreach Guidelines Outreach is a critical function of health centers serving members of underserved populations. Guideline #6 - Eligibility Assistance: The Outreach Program will assist members of underserved populations to enroll and maintain participation in health and social service safety net programs.

26 Barriers to Enrollment and Access Fear Undocumented and mixed status families Public charge Burdensome and confusing application processes Difficulty meeting documentation requirements Language and literacy issues Access to technology

27 Outreach Strategies (General) Use trusted organizations & individuals Direct one-on-one assistance from someone with a shared background Educate about options and process List of required documents & alternatives Zero income/cash income forms Cards requesting translation assistance Maintain contact

28 School-Based Strategies Formal or informal collaborations between CHCs and schools MOUs, shared workplans Communication with parents Questions on registration or emergency information forms Info at registration or through registration packets School mailings Information and assistance at school events Education, information, basic screening, appointments w/ CACs Working with school liaisons Messaging, eligibility, enrollment processes

29 School-Based Strategies Building partnerships with athletic departments Tailor messages for student athletes, educate coaches and instructors, provide enrollment resources Working with school lunch programs Identify students who qualify for free or reduced-price lunch, information in packets sent home, consider Express Lane Eligibility process

30 HOP Training & Technical Assistance Intensive training Training of Trainers curriculum Facilitated planning Peer-to-Peer webinars Innovative Outreach Practices

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33 Outreach is Key: Meeting the Healthcare Needs of Pubic Housing Residents

34 Objectives Overview of Public Housing Residents Demographics Identify new niches for safety net providers Ways PHPCs and other safety net providers can work together Importance of having case management/navigation Training opportunities

35 Overview of Public Housing Residents Demographics

36 Demographics 1 Residents of public housing are predominantly people of white race (50%) and non-hispanic ethnicity (76%). 2 Public housing is often in urban areas, situated on the eastern coast of the U.S. and dispersed throughout large states such as California and Texas. Approximately 2.2 million people live in public housing. 5 The average annual income is $13,722; most people live in extremely low economic conditions (30% below median income). 6 Health access may be limited for some because 33% of residents are uninsured. 3 Over 50% of residents have less than a high school diploma. 4 7 The majority of residents are from single, femaleled households. 8 Due to public housing being in low-income urban areas, health care facilities are limited. Residents are also distanced from social services and healthy food supplies.

37 Demographics

38 Public Housing Residents This is data from HRSA s 2011 Uniformed Data System (UDS) which collects national data from health centers across the country.

39 Identifying New Niches

40 Public Housing Primary Care Centers (PHPCs) are Patient Centric The Patient General Dentistry Primary Medical Care Behavioral Health Radiology Dental Hygiene Chronic Disease Management Annual Physicals Work/school/sports Specialty Care Labs, EKG s & X-rays Case Management Referrals Enabling Services Pharmacy Cancer Screening Health Education & Outreach

41 Key Health Issues of Patients Served by PHPCs High blood pressure Diabetes Oral health Mental health

42 Planning Outreach Steps Assess community needs and resources Assess agency needs and resources Develop an outreach plan Implement the outreach plan

43 Assess Community Needs and Resources Evaluate: Community characteristics and needs Who is the target population? What are their unmet needs? Community resources What are the strengths within the community? What are the challenges?

44 Key Ways Safety Net Providers can Work Together

45 HHS Grants Awarded to PHPCs to Enroll Uninsured Americans

46 HHS Grants Awarded to PHPCs to Enroll Uninsured Americans Access Community Health Network Centro De Salud Familiar La Fe Daily Planet Macoupin, County Of St. Johns Well Child & Family Center Altamed Health Services Charter Oak Health Center Family Health Centers Of San Diego Marin City Health & Wellness Center TCA Health Anthony L Jordan Health Colorado Coalition For The Homeless Floating Hospital Mobile, County Of The Health & Hospital Corp Of Marion County Arcare Columbus Neighborhood Health Center Franklin Primary Health Center Montefiore Medical Center United Neighborhood Health Services Barrio Comprehensive Family Health Care Community Health Center Of Lubbock Grace Hill Health Center Neighborcare Health University Of Illinois Birmingham Health Care Community Health Connections Heart Of Texas Community Health Center North Side Christian Health Center University Of Pittsburgh Bond Community Health Center Community Medicine Foundation Houston Area Community Services Community Health Centers Of The Central Coast Venice Family Clinic Brevard Health Alliance Consejo De Salud De Puerto Rico Hudson River Healthcare Primary Care Health Services West End Medical Center Brooklyn Plaza Medical Center Cornell Scott-Hill Health Kokua Kalihi Valley Primary Health Services Center West Side Community Health Services Care Alliance Corporacion S.A.N.O.S. La Maestra Family Clinic Quality Of Life Health Services York County Community Action Centro De Salud De La Comunidad San Ysidro, Curtis V. Cooper Primary Health Center Los Angeles Christian Health Centers Southern Illinois University Zufall Health Center, Inc.

47 Challenges for Health Center Programs Financial Obstacles Cultural Competence Low Insurance and Benefits Enrollment Utilization of Services Health Literacy and Medical Mistrust 47

48 Develop an Outreach Plan Identify: Need Goals and objectives Collaborations Logistics Training needs Staff

49 Implementing the Outreach Plan Community Support Strategy Identify Community Leaders Partner with the Housing Authority Partner with other Community Organizations Address Opposition Promptly

50 Outreach Methods Use: Door to Door Outreach Floor Captains Groups Community Events Individual/One on One Word of Mouth Mobile Units

51 Importance of Having Case Management/Navigation

52 Barriers to Care and Healthy Living Education and Health Literacy Economic Hardship and Unemployment Comorbid Conditions Limited Social Support Medical Mistrust

53 Training Opportunities

54 Centers for Medicare and Medicaid Services (CMS) Training Official Resources

55 North American Management Webinars Monographs Provider and Resident-Centered Factsheets Training Manuals Newsletters Annual symposiums One-on-One

56 Contact Us National Center for Health in Public Housing c/o North American Management 2111 Eisenhower Avenue, Suite 300 Alexandria, VA Phone: (703) Web: Johnette Peyton, MS, MPH, CHES Health Promotion Project Manager Disclaimer: The National Center for Health in Public Housing (NCHPH), a project of North American Management, is supported in part by a cooperative agreement grant awarded by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). This publication was made possible by grant number U30CS09734 from the Health Resources and Services Administration, Bureau of Primary Health Care and its contents are solely the responsibility of the authors and do not necessarily represent the official views of HRSA.

57 Resources

58 Additional Information The Affordable Care Act: What does it do for lowincome families? How Health Reform Helps Low-Income Children Medicaid and the Affordable Care Act Think Cultural Health Culture, Language & Health Literacy Resources: Special Populations

59 Additional Information Affordable Care Act: Cultural Competency Health Insurance Options for Low Income Individuals

60 South Bronx Health Center for Children and Families Montefiore Medical Center in New York City, New York Multidisciplinary Approach to Asthma in the Primary Care Setting: Developed to address high rates of asthma in children and high hospitalization rates for children with asthma in the South Bronx Focused on clinical care and patient and community education Diverse team addresses multifaceted needs of asthmatic patients and their families Included asthma toolbox on medical forms to facilitate standardized questions, care management and clinician documentation

61 San Ysidro Health Center in San Diego,CA Mobile Medical Services Providing Access to Care Healthy Steps Most of clinic area designated as a medically underserved and low-income area SYHC Healthy Steps program addresses resident reported barriers to care Transportation services provided Program delivers a continuum of preventive and primary care services to public housing residents Four integrated service components: 1) outreach and assessment; 2) referrals and access; 3) treatment; and 4) follow-up activities.

62 NeighborCare Seattle, WA Community Health Education Coordinators, Keeping Community in Community Health Care: Needed to bridge NeighborCare Health clinics and the community Previous model no longer met needs of most vulnerable patients Chronic Care program works to improve health outcomes of patients living with or at risk for chronic disease Created the community health education coordinators (CHEC) position to coordinate planned care visits Improved relationship with communities they serve Improved access to services that help patients improve their health

63 Questions and Answers

64 Additional Resources Visit our webinar page at to access our archived webinars featuring outreach and enrollment: Visit to access Promising Outreach and Enrollment Strategies and Tool- Kit for SBHCs Linking Kids to Health Coverage and Healthcare Toolkit Visit to access Biggest Bang for Your Community Health Buck: Staffing Your SBHC with AmeriCorps Access our Community Health Worker Reference Center here.

65 Closing Reminders This presentation has been recorded and will be archived on the School-Based Health Alliance website within the next 2 days. To request support and technical assistance related to outreach and enrollment please send us an at: programs@sbh4all.org Please take a moment to fill out this brief survey: This survey will also be sent out directly after the webinar. Let us know how we are doing!