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
Navigators / In Person Assisters
2
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
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Projections
Projected
Projected
Population Population
by
of
12/31/2013
Uninsured
under age
65
Uninsured
Estimated
who would
qualify for
Medicaid
Expansion
Uninsured
who would
qualify for
subsidies
Percent of
Population
who would
benefit
from the
ACA
Yakima
County
250,600
76,800 *
30,800
24,500
72% **
Kittitas
County
42,100
8,400*
3,100
3,200
75%**
Two County
Total
292,700
85,200*
33,900
27,700
Washington
State
6.9 million
1.1million
328,000
447,400
74%
5
Need for In-reach in Yakima/Kittitas
Counties
Community Health Centers
# of Patients at 3
CHCs
Medicaid
% of
County
Medicaid
Uninsured
% of County
Uninsured
Children
34,150
59%
3,632
39%
Adults
11,000
45%
21,683
44%
Community Partners Collaboration
Non-Contracted Partners:
People for People
Children’s Village
Maher Insurance
ESD 105
La Casa Hogar
Triumph Services
Health MSDR
Homeless Resource Center Yakima
Yakima Valley Memorial Hospital
Yakima Regional Medical & Cardiac
Housing Authority of Kittitas
Yakima Housing Authority
Sanelli Insurance
Prosser Memorial Medical Center
Central WA Disabilities
SE WA Aging & Long Term Care
Homeless Resource Center Sunnyside
Lower Valley Crisis & Support Services
Central WA Comprehensive Mental
Department of Social & Health Services Hearing and Speech
Roles for Community Partners
o 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.)
o Hosting a location for a certified IPA to assist clients
on a regularly scheduled basis.
o Hosting a special event for a presentation / Q&A
session and assistance.
o Willingness to distribute Outreach & Assistance
information.
Education about Training
Different Roles
Type of
Training
Length
Format
Features
Offered
by
Assisters /
Navigators
30 hours
In person
training
• Certification
• Dashboard access
• Ongoing account access with
consumer permission
• Medicaid and QHP
enrollment
YNHS
(Lead Org)
Certified
Application
Counselor
10 hours
Recorded
webinars
•
•
•
•
Certification
Dashboard access
Short term account access
Medicaid and QHP
enrollments
Health
Benefit
Exchange
(state)
Medicaid
One day
In person
trainings
•
•
•
•
No certification
Dashboard access
Short term account access
Medicaid enrollment
authorization only
Health
Care
Authority
(state
Medicaid) 9
(different
name for
same roles)
Yakima / Kittitas County
“TrailBlazers”
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Multiple Ports of Entry by October
Nearly 100 Trained Assisters
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Our Navigators Know Their Stuff -ACA Jeopardy
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Outreach Efforts
Outreach Handouts
Offering various points of contacts for clients seeking IPA/Navigator Assistance
1
Neighborhood Connections
Health Care for the Homeless
2
Homeless Respite
Healthplanfinder
Opportunities
3
Housing
4
Community Outreach
Resource
Center,
HEN &
Basic Needs Assistance
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
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)
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Inreach – Patient Registration
 SSI Recipients
 SSI related clients
 Medicare Savings Program
 Nursing Home clients
 Alien Emergency Medical (AEM)
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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.
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Homeless Youth
The 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
54% of our Homeless were Uninsured in 2013
Point in Time /
Project Homeless Connect
Coming Prepared Not as
Hard as it Used to Be
Preparing Clients for
What They Should Know
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
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Don’t Forget - Medicaid Plan Choice
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Experienced Outreach Only
Questions ?