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Washington Coalition of Medicaid Outreach Yakima IPA Network Strategies for Successful Outreach & Enrollment

Washington Coalition of Medicaid Outreach Yakima IPA Network Strategies for Successful Outreach & Enrollment. Yakima Neighborhood Health Services Annette Rodriguez, Homeless / Housing Director Jorge Rodriguez, HPF Project Coordinator Yakima/Kittitas Counties.

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Washington Coalition of Medicaid Outreach Yakima IPA Network Strategies for Successful Outreach & Enrollment

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  1. Washington Coalition of Medicaid OutreachYakima IPA Network Strategies for Successful Outreach & Enrollment Yakima Neighborhood Health Services Annette Rodriguez, Homeless / Housing Director Jorge Rodriguez, HPF Project Coordinator Yakima/Kittitas Counties

  2. Navigators / In Person Assisters

  3. Lead Organization Responsibilities • Build local network of community-based organizations • Lead outreach and education activities for service area • Train Navigators within the service area • Financial agent for network partners • Performance monitoring • Reporting

  4. State and County Projections

  5. Need for In-reach in Yakima/Kittitas CountiesCommunity Health Centers

  6. Community Partners Collaboration Non-Contracted Partners: People for People Homeless Resource Center YakimaYakima Valley Memorial Hospital Children’s Village Yakima Regional Medical & Cardiac Housing Authority of Kittitas Maher Insurance Yakima Housing Authority Sanelli Insurance ESD 105 Prosser Memorial Medical Center Central WA Disabilities La Casa Hogar SE WA Aging & Long Term Care Homeless Resource Center Sunnyside Triumph Services Lower Valley Crisis & Support Services Central WA Comprehensive Mental Health MSDR Department of Social & Health Services Hearing and Speech

  7. Roles for Community Partners • In-Person Assister (IPA) Training and having an IPA certified through the Health Benefit Exchange (requires 25-30 hours of training & successfully passing the state certification exam.) • Hosting a location for a certified IPA to assist clients on a regularly scheduled basis. • Hosting a special event for a presentation / Q&A session and assistance. • Willingness to distribute Outreach & Assistance information.

  8. Education about TrainingDifferent Roles

  9. Yakima / Kittitas County “TrailBlazers”

  10. Multiple Ports of Entry by OctoberNearly 100 Trained Assisters

  11. Our Navigators Know Their Stuff --ACA Jeopardy

  12. Outreach Efforts

  13. Outreach Handouts Offering various points of contacts for clients seeking IPA/Navigator Assistance

  14. 1 Neighborhood Connections Health Care for the Homeless 2 Homeless Respite Healthplanfinder Opportunities 3 Housing 4 Community Outreach Resource Center, HEN & Basic Needs Assistance

  15. Integration of YNHS Staff Expertise • Health Care for the Homeless • In 2013, served 2,231 homeless • Permanent Supportive Housing • In 2013, served 67 people in 28 households • Transitional Housing • 107 people in 35 households • Emergency Housing / Medical Respite Care – • 38 individuals • Homeless Services (non-health care) • 2,037 clients in 1,553 families

  16. Cross Training Staff to Enroll in WA Healthplanfinder • Dedicated Patient Navigators (3) • Health Care for the Homeless Outreach staff (3) • Housing Specialists (5) • WIC Certifiers (3) • Maternity Support Case Managers (2) • Reception / Billing staff (6) • Dental Reception (1) • Behavioral Health Specialist (1)

  17. Other Reasons People Come to Us • Consolidated Homeless Grants (CHG) • State support to Counties / CACs • Emergency Solutions Grants (ESG) • State support to Counties / CACs • Housing & Essential Needs (HEN) • Dept of Commerce to Counties • Clients already on Medicaid- but often attached to uninsured • Low Income Energy Assistance Program (LIHEAP)

  18. Inreach – Patient Registration

  19. SSI Recipients • SSI related clients • Medicare Savings Program • Nursing Home clients • Alien Emergency Medical (AEM) For additional benefits (TANF, SNAP, etc, customers will apply here in Washington Connections - a “virtual handoff” from the HPF

  20. 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.

  21. Homeless YouthThe Issue of “Legal Contracts” HCA will now offer a contact person to assist in the processing of homeless teen applications: •  HCA CONTACT: Jessica Cottom (only available during regular HCA office hours of Monday – Friday from 8:00am – 5:00pm) •  PHONE: (360) 725-2050 •  EMAIL: jessica.cottom@hca.wa.gov •  FAX: (360) 664-2186

  22. 54% of our Homeless were Uninsured in 2013

  23. Point in Time / Project Homeless Connect

  24. Coming Prepared Not as Hard as it Used to Be

  25. Preparing Clients for What They Should Know

  26. Once They Have Coverage… • Picking a health plan and a primary care provider (PCP) • Understanding how to use the local health care system • Reducing Churn – recertification • Partnering on the application and accepting receiving copies of information is important

  27. Don’t Forget - Medicaid Plan Choice

  28. Experienced Outreach Only

  29. Questions ?

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