Connecting Kids to Coverage through Colorado’s School-Based Health Centers CASBHC Annual Conference May 3, 2013 Stacey M

1. + Connecting Kids to Coverage through Colorado’s School-Based Health Centers CASBHC Annual Conference May 3, 2013 Stacey Moody, MSW * I do not have any conflicts of interest and/or off‐label use disclosures.

2. Kids Coverage in Colorado • 125,000 uninsured children • 71% eligible for Medicaid/CHP+ but not enrolled • Number of uninsured decreased between 2010 and 2011 Source: Colorado Health Institute. Colorado Children’s Health Insurance Status: 2013 Update

3. Children’s Health Insurance Reauthorization Act (CHIPRA) of 2009 Reauthorized CHIP plus… Federal efforts to enroll more eligible children into Medicaid and CHIP and improve quality of care through incentives, policies and grants CHIPRA outreach and enrollment grants (2 Cycles to date)

4. CHIPRA SBHC Outreach Sites Rocky Mountain Youth Clinics Montrose County School District Durango 9-R School District Southwest Open School Greeley-Evans Weld School District 6 Community Health Services, Inc. Denver Health Peak Vista Community Health Center

5. Outreach Strategies Using school data to identify students who are enrolled in Free and Reduced Lunch and/or uninsured A proactive approach for engaging school nurses, social workers, coaches, secretaries and community partners. Educating students and their families about coverage when they are in need of care

6. Building a Solid Foundation • Community outreach scan • On-site application assistance • Training • Case management • Implementation team • School year timing • Goals and outcomes • Renewal assistance

7. Celebrating Successes Cycle I Goal: Enroll/renew 2,004 children in Medicaid and CHP+ Results: Enrolled/renewed 2,689 children Cycle II Goal: Enroll/renew 6,500 children in Medicaid and CHP+ Results (to date/5 of 8 quarters): Enrolled/renewed 3,595 children

8. Benefits of School-Based O&E • Having health insurance is an imperative factor in ensuring children have access to quality, affordable, and comprehensive health care. • Increase in Medicaid and CHP+ patient payor mix CASBHC and Colorado Health Institute, 2012 Annual Survey Data CHIPRA Sites: SBHC User by Insurance Type CHIPRA Sites: SBHC User by Insurance Type SY2006-2007 SY 2011-2012

9. The Future of O&E at SBHCs Sustaining Efforts • SBHC Operations • Funding Sources Impact of the Affordable Care Act • Changes to Medicaid and CHP+ • Colorado Health Benefits Exchange

10. Helpful Resources CASBHC Publication, “Linking Kids to Health Coverage and Health Care” available at http://casbhc.org/Publications/Toolkits/outreachEnrollment_FINAL.pdf Colorado Health Institute: data on children health coverage including county-level number eligible but not enrolled. http://www.coloradohealthinstitute.org/ Centers for Medicare and Medicaid Services : outreach tools, reports, data and more. http://insurekidsnow.gov/ Stacey Moody, MSW Director of Strategic Initiatives Colorado Association for School-Based Health Care 303-399-6380 x 106 moody@casbhc.org