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Local Outreach & Enrollment Efforts Targeting Homeless Individuals. Yakima Neighborhood Health Services Rhonda Hauff, Chief Operating Officer. The Affordable Care Act Requires Most People to Have Insurance by January 2014.

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Local Outreach & Enrollment Efforts Targeting Homeless Individuals

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Local Outreach & Enrollment Efforts Targeting Homeless Individuals

Yakima Neighborhood Health Services

Rhonda Hauff, Chief Operating Officer


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

No Penalty


*Urban Institute


www.wahealthplanfinder.org


  • 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


Eligibility

Key Point

  • Real-time eligibility decision

  • Federal-state interfaces for verification

    • Internal Revenue Service

    • Immigration and Naturalization Service

    • Employment Security

  • Automated verification

    • Provisional Eligibility (90 days)


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.


How to Apply - Consumer Entry Points

4

5

3

2

1


1

Neighborhood Connections

Health Care for the Homeless

2

Homeless Respite

Healthplanfinder

Opportunities

3

Housing

4

Homeless Resource

Center,

HEN &

Basic Needs Assistance


Homeless Service Providers -- Opportunities


Inreach – Patient Registration


54% of our Homeless are Uninsured


Post Visit Inreach – Mining the Data


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


Point in Time / Project Homeless Connect


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”


Coming Prepared Not as Hard as it Used to Be


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


In the End, it’s all about THEM !


Medicaid Outreach Planning for People Living Homeless in King County

John GilvarJuly 29, 2013

Public Health- Seattle and King County


Safe Harbors and DSHS Data

Adults in King County HMIS below 135% federal poverty level, FY 2011


Adjusted Estimate of Target Population Size


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


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


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