School-Based Outreach: A Recipe for Success

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Outreach and Enrollment Distance Learning Series School-Based Outreach: A Recipe for Success July 9, 2015 Welcome to the Outreach and Enrollment Webcast Series All lines are muted. Please use chat to ask a question to the chairperson.

2015 Outreach and Enrollment Distance Learning Series: Upcoming Events Visit the CHAMPS Distance Learning Page for more information Taxes and Consumer Education August 13, 2015 Motivating Consumers to Enroll in Coverage September 10, 2015 Communication Strategies for OE3 October 8, 2015 2

Community Health Association of Mountain/Plains States (CHAMPS) www.champsonline.org 3

Colorado Community Health Network (CCHN) www.cchn.org 4

Presented by: LIZ TANSEY Outreach and Enrollment Coordinator, Covering Kids and Families (CKF), Colorado Community Health Network (CCHN) ltansey@cchn.org 5

Colorado Covering Kids and Families CKF Coalition Community Health Centers Community Based Organizations

Things to consider How can you utilize the SBHC to increase enrollments? What are the schools and school districts in your area? What steps would you take to create a similar partnership? What questions do you have for Denver Health and Denver Public Schools?

Presented by: AUDREY HOENER Director of Outreach Services, Denver Health Audrey.Hoener@dhha.org 8

School-based Outreach and Enrollment Audrey Hoener Director of Outreach Services Denver Health

Who is Denver Health? 2012 Denver Health Denver s Safety Net, an Innovative Health Care System Denver Health Medical Center (Hospital), 8 Community Health Centers, 16 School-Based Health Centers Denver Public Health 10

Denver School-Based Health Centers 2012 Denver Health 16 SBHC including 3 Regional SBHCs Denver Public Schools (DPS) Staff Services/Programs Offered Medical, MH, Dental, Health Ed, and Outreach 11

Why have outreach? 2012 Denver Health 12

Why a SBHC Outreach Program 2012 Denver Health 2004-05 School Year 23% of charges were recovered 47% of children were identified as uninsured 13

Creation of the SBHC Outreach Program 2012 Denver Health School District s need and acceptance DH and DPS MOU Partnership with DPS Medicaid Department Duplication School events 14

Creation of the SBHC Outreach Program 2012 Denver Health Partnership with the school Space Security Champions Salary and Fringe Outreach Worker, Enrollment Specialist Technical (WiFi/Computers/Copiers) Processing Applications **Salary and Fringe tends to be the highest cost 15

The Need in Denver Public Schools 2012 Denver Health 16

Benefits of Reducing Uninsured Children Sustainability of SBHCs Cost to Denver Health Improved charge recovery Improved utilization of resources Decreased delay in primary care Improved access to specialist care Improved access for other family members Enhanced resources (meds, supplies, therapy) Better care and better outcomes 2012 Denver Health 17

The SBHC Outreach Model 2012 Denver Health Uninsured patients/students identified daily Urgent or specialty referrals SBHC consent insurance information School registration Parent nights, PTA, and activities at school School Nurse, social worker, and other school staff 18

The SBHC Outreach Model 2012 Denver Health Each clinic has an Outreach worker assigned Outreach in the same community Outreach workers contact and meet with families prior to enrollments Enrollment specialists come to clinics for enrollment events Enrollment events schedules are consistent each month 19

What have we learned? 2012 Denver Health Cost and ROI Space Connectivity Qualified candidates Health insurance application requirements Demand Be patient Identify outreach worker capacity Data collection Consistency 20

Impact 2012 Denver Health 70% 60% 50% 40% 30% Medicaid & CHP+ Q21 20% 10% 0% 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15* 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15* Medicaid & CHP+ 36% 44% 46% 50% 54% 58% 62% No Insurance 36% 28% 26% 23% 19% 17% 13% *2014-15 data through end of April 21

SBHC Recovered Charges 2012 Denver Health 22

2012 Denver Health Outreach and Enrollment strengthens SBHC models and patient care. 23

Contact Information 2012 Denver Health Audrey Hoener Director of Outreach Services Denver Health Audrey.Hoener@dhha.org (303) 602-8969 24

Presented by: ROB HENDERSHOT Supervisor, Denver Public Schools Medicaid Department rob_hendershot@dpsk12.org 25

Medicaid Department Outreach & Enrollment Program

Agenda Who We Are Outreach (Strategies, Events, Campaigns) Connecting with Families Beyond Outreach and Enrollment Key Factor for Success: Collaboration Internal Initiatives Partnering with a School District

Who We Are School Medicaid Certified Application Assistance Site (CAAS) 6 O&E Specialists 1 O&E Coordinator Located throughout Denver Public Schools Central office Outstationed at several school sites

Outreach Strategies Culturally relevant materials Understanding our families Language barriers Transportation barriers Customer service Reliable and accountable

Outreach Events Intensified outreach activities School events: carnivals, parent-teacher conference, coffee with the principal, festivals, BBQs, field days Educa Radio Show American Diabetes Association Radio Educa Newspaper Head Start meetings Parent Leadership organization events DPS Student Services Resource Fair

Outreach Campaign Back-to-School Campaign Phase I and II Registration Day Spread the Health Campaign Culture and Diversity Events Free and Reduced Lunch letter

Connecting with Families Letters Flyers Postcards E-mails Robocalls Text messages Promo items School staff: secretaries, nurses, parent liaisons, psychologists, social workers and principals

Denver Public Schools / MEDICAID DEPARTMENT Makes it easier to get free or low-cost health insurance: Medicaid for children and families Medicaid for adults without dependent children Child Health Plan Plus (CHP+) What are the services provided by Denver Public Schools / Medicaid Department: Help families with application and re-enrollment process Help families to access benefits Provide families with information and referrals to other community programs and resources Enrollment Session at Castro Elementary When: May 27th (Wednesday) Time: 9:00 a.m. 2:00 p.m. For more information call: 720-423-3661 outreach@dpsk12.org

Escuelas Públicas de Denver / Departamento de MEDICAID Hace muy fácil obtener seguro de salud gratis o a bajo costo: Medicaid para niños y familias Medicaid para adultos sin niños a cargo Plan de Salud Plus (CHP+) Los servicios que provee el Departamento de Medicaid de las Escuelas Publicas de Denver: Ayuda a las familias con la aplicación y con el proceso de renovación Ayuda a las familias a acceder a beneficios de salud Provee a las familias de información y recomienda otros servicios en la comunidad, otros programas y recursos. Enrollment Session at Castro Elementary When: May 27th (Wednesday) Time: 9:00 a.m. 2:00 p.m. For more information call: 720-423-3661 outreach@dpsk12.org

Student Services Medicaid Department 1860 Lincoln St, 9 th Floor Denver, Colorado 80203 720-423-3661 Dear Parent / Guardian, Good news: You Can Get Free or Low- Cost Health Insurance for your Children! Why am I receiving this letter? Because your children are eligible for free or reduced lunch, your family may qualify for free or low-cost health insurance for your children. Call our Denver Public Schools / Medicaid department for more information; our NEW phone number is 720-423-3661. What is Medicaid and CHP+? Medicaid and CHP + are public health insurance that provide health coverage with low or no cost to you. It covers services such as check-ups, hospital stays, medications, eye exams and glasses, mental health, substance abuse treatment and some dental care. There is no waiting list! Take the first step in enrolling in free or low-cost health insurance today! Call Denver Public Schools / Medicaid Department at 720-423-3661. We are available to assist you from Monday to Friday, 8 am 4:30 pm Schedule a one-on-one appointment today! Appointments are available at your neighborhood school. You can apply YEAR-ROUND. Please note: other members in the household may also be eligible for free or low-cost health insurance. If you have any questions about your Medicaid, renewal or utilizing your benefits, please contact our DPS Medicaid Department at our NEW phone number 720-423-3661 or e-mail us at Medicaid@dpsk12.org. Have a wonderful summer. Kindly, Denver Public Schools / Medicaid Staff

Denver Public Schools Medicaid Department We help families get free or low-cost health insurance: Medicaid for children and families Medicaid for adults without dependent children Child Health Plan Plus (CHP+) You can apply any time of the year! We also help with re-enrollment and using your benefits! 720.423.3661 outreach@dpsk12.org Denver Public Schools Medicaid Department We help families get free or low-cost health insurance: Medicaid for children and families Medicaid for adults without dependent children Child Health Plan Plus (CHP+) You can apply any time of the year! We also help with re-enrollment and using your benefits! 720.423.3661 outreach@dpsk12.org Denver Public Schools Medicaid Department We help families get free or low-cost health insurance: Medicaid for children and families Medicaid for adults without dependent children Child Health Plan Plus (CHP+) You can apply any time of the year! We also help with re-enrollment and using your benefits! 720.423.3661 outreach@dpsk12.org Denver Public Schools Medicaid Department We help families get free or low-cost health insurance: Medicaid for children and families Medicaid for adults without dependent children Child Health Plan Plus (CHP+) You can apply any time of the year! We also help with re-enrollment and using your benefits! 720.423.3661 outreach@dpsk12.org

Ayudamos a que las familias consigan un seguro médico gratis o a bajo costo: Medicaid para niños y familias Denver Public Schools Medicaid Department Medicaid para adultos sin niños dependientes Programa Child Health Plan Plus (CHP+) Pueden solicitarlo en cualquier momento del año También brindamos ayuda para volver a inscribirse y usar los beneficios 720.423.3661 outreach@dpsk12.org Ayudamos a que las familias consigan un seguro médico gratis o a bajo costo: Medicaid para niños y familias Denver Public Schools Medicaid Department Medicaid para adultos sin niños dependientes Programa Child Health Plan Plus (CHP+) Pueden solicitarlo en cualquier momento del año También brindamos ayuda para volver a inscribirse y usar los beneficios 720.423.3661 outreach@dpsk12.org Ayudamos a que las familias consigan un seguro médico gratis o a bajo costo: Medicaid para niños y familias Denver Public Schools Medicaid Department Medicaid para adultos sin niños dependientes Programa Child Health Plan Plus (CHP+) Pueden solicitarlo en cualquier momento del año También brindamos ayuda para volver a inscribirse y usar los beneficios 720.423.3661 outreach@dpsk12.org Ayudamos a que las familias consigan un seguro médico gratis o a bajo costo: Medicaid para niños y familias Denver Public Schools Medicaid Department Medicaid para adultos sin niños dependientes Programa Child Health Plan Plus (CHP+) Pueden solicitarlo en cualquier momento del año También brindamos ayuda para volver a inscribirse y usar los beneficios 720.423.3661 outreach@dpsk12.org

Beyond Outreach and Enrollment Lifecycle of an application Phone screening, one-on-one appointment, case management, renewal Case management Tracking our services - Access Intake Database

Key Factor for Success: Collaboration External Denver Health Enrollment Van Denver Health School-Based Health Centers CKF : DOP, Agency Partner Workgroup, Health Policy Workgroup, Quarterly Coalition meetings Denver County Department of Human Svcs SNAP! Into Health (DHS food assistance) Healthy Communities (EPSDT) Kaiser Permanente HCPF (State Medicaid agency) Denver Indian Health Focus Points TOPS Dental Denver Options The Colorado African Organization Social Security Concerned Citizens for Healthcare Internal DPS Food and Nutrition Services Nursing Office of Social Emotional Learning (School Psychology and Social Work) Special Education Transition Team (18-21) Multicultural Office Communications Human Resources Total Awards Program Office of Family and Community Engagement Early Education Department Child Find

Internal Initiatives DPS Food and Nutrition Services FRM data School registration form and Infinite Campus Health insurance questionnaire 1) Private insurance 2) CHP+ 3) Medicaid 4) Discount program 5) None

artnering with a School District Recognizing advantages and benefits for each School district has access to students/families School district has the trust of the family Community-based orgs may offer elevated services Therefore, school district refers family HIPAA! FERPA! OH MY!

Thank You!!! Rob Hendershot, Supervisor DPS Medicaid Dept Rob_hendershot@dpsk12.org 720.423.8239 Leticia Rezende, Coordinator O&E Program Leticia_rezende@dpsk12.org 720.423.8238 outreach@dpsk12.org Denver Public Schools Medicaid Department Emily Griffith Campus 1860 Lincoln St, 9 th Floor Denver, CO 80204

What do I do if

What do I do if my state does not have expanded Medicaid? State CHIP FPL Medicaid FPL South Dakota 209% 52% Utah 200% 45% Wyoming 205% 57% Source: Kaiser Family Foundation

What do I do if I work in a rural area without a dedicated school district?

What do I do if my CHC is in an area with multiple CHCs?

Key Takeaways and Tips for Incorporating What You Learned Utilizing the SBHC for enrollments Contacting your local school district o Who to reach out to o Aligning goals Your takeaways

QUESTIONS? Type all questions into the chat box on the left side of the screen. 31