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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
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
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 Insurance by January 2014

www.wahealthplanfinder.org Insurance by January 2014

  • SSI Recipients Insurance by January 2014

  • 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 Insurance by January 2014

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
PEOPLE WHO DON Insurance by January 2014’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
How to Apply - Consumer Entry Points Insurance by January 2014






1 Insurance by January 2014

Neighborhood Connections

Health Care for the Homeless


Homeless Respite






Homeless Resource



Basic Needs Assistance

Inreach patient registration
Inreach – Patient Registration Insurance by January 2014

54 of our homeless are uninsured
54% of our Homeless are Uninsured Insurance by January 2014

Post visit inreach mining the data
Post Visit Inreach – Mining the Data Insurance by January 2014

Outreach likely unlikely outreach venues
Outreach Insurance by January 2014Likely & 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
Point in Time / Insurance by January 2014Project Homeless Connect

Dshs chipra ii grants
DSHS CHIPRA II Grants Insurance by January 2014

  • Provided PCs, laptops, printers, and scanners

  • Used at satellite locations, mobile sites

  • Plan for HCH team to take “to the streets”

Once they have coverage
Once They Have Coverage… Insurance by January 2014

  • 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
In the End, it Insurance by January 2014’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
Safe Harbors and DSHS Data King County

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

Adjusted estimate of target population size
Adjusted Estimate of King CountyTarget Population Size

Potential barriers to successful enrollment for eligible homeless adults
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
King County Homeless Enrollment Strategies Homeless Adults

  • 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