Enrollment is Year-Round: Maximizing Time between Open Enrollment Periods FamiliesUSA.org Housekeeping Speaker Introductions Presentations Q&A Agenda FamiliesUSA.org 0 ABCDEF What is your current job title? A.Program Manager B.Outreach Coordinator C.Navigator or CAC (Certified Application Counselor) D.Other Assister E.Director F.Other FamiliesUSA.org Do you currently engage in enrollment year-round? A.Yes B.No, only engage in enrollment for a portion of the year C.Do not engage in enrollment activities 0 ABC FamiliesUSA.org 0 AB Has your state expanded Medicaid? A.Yes! B.Not yet FamiliesUSA.org After Plan Selection Give consumer an idea of when they should receive a bill Instruct them to call the carrier if they havent received a bill and the deadline is looming Let them know to call you with any questions about their plan If an HMO, prepare them to choose a primary care provider Let them know they can call you for help with this Data Matching Inconsistencies Carrier Issues/Billing Issues Special Enrollment Periods FamiliesUSA.org SEPs, SEPs, SEPs Go where they are Coverage to Care 5 strategies for assister workload outside of OE Maria Romero-Mora, Director of Programs California Coverage & Health Initiatives History CCHI is a statewide association of community based outreach and enrollment organizations whose focus is helping children and families access affordable, quality health coverage and care. 5 strategies 1.Outreach 2.Enrollment 3.Retention 4.Utilization 5.Training Retention Health coverage renewal assistance, identify challenges, income changes, new members in the household this piece goes hand-in-hand with the utilization strategy. Utilization Follow-up/Case Management helping individual to keep their health coverage active, assisting consumers to make monthly payments, assist with selecting a medical home, and referrals to other services. Training There is nothing better for an organization than a well-educated Assistor that has a grasps in-community resources, knows eligibility, health coverage benefits, and more Points to take away 1.Counselors in California wear multiple hats and use this to their advantage 2.Counselors build a culture of health insurance and focus on all aspects that are important about staying covered year round 3.Outreach, enrollment, retention and utilizations, and training of Counselors Charting the Course In Changing Times Karen Spink, Assistant Director How to Prepare for the Next Open Enrollment Period Free, unbiased, in-person assistance with Health Coverage Options in Larimer County, Colorado 1.Thoughtful, Data Driven Planning 2.Highly competent, well-trained core staff 3.Tools & Supports 4.Customer Care 5.Flexibility and Nimbleness Keep Went Well Didnt work as well (analyze and change) Locations for In-Person Assistance Staffing Hours of Operation Examples: Dealing with difficult conversations Learning the details of local plans Motivational Interviewing Resource Binders Case Conferencing Real-Time Communication Devin to All: Hey - Every time that I put corrected income into the actual annual amount for 2016 tab, it uses a different income to compute tax credits. This happens every time I am changing income. The tip sheet indicates that this is what we should be doing, but I havent gotten any correct eligibility using this method. Anyone figured it out? Follow-up after enrollment Calls/Surveys Newsletters Education Glitches and Disruptions Changing Guidelines Demand Staff Illness 1.Thoughtful, Data Driven Planning 2.Highly competent, well-trained core staff 3.Tools & Supports 4.Customer Care 5.Flexibility and Nimbleness Karen Spink, MPA Assistant Director Health District of Northern Larimer County (970) Karen Spink, MPA Assistant Director Health District of Northern Larimer County (970) Charting the Course In Changing Times How to Prepare for the Next Open Enrollment Period FamiliesUSA.org Certified Application Counselor, Manager CoxHealth Diane G. Rozier, MHRM FamiliesUSA.org Success Requires Planning GAP FamiliesUSA.org Defining the Audience Target audience had to: Have income (to avoid the gap) Be involved with an existing program PARTNERSHIP IS KEY FamiliesUSA.org Communities of Recovery Experience Addiction Recovery Program Participants: Live on-site Required to have a job Attend weekly life skills classes MUTUALLY Partnership means MUTUALLY beneficial! FamiliesUSA.org H.A.P.P.Y. Life Followed key points for adult learning: Visual Interactive Self Discovery Health Literacy MO review Fourth grade Reading Understanding = ENROLLMENTS! FamiliesUSA.org Expanding the Reach! FamiliesUSA.org H.A.P.P.Y. Life Evolves FamiliesUSA.org YOU are a GEM! Ask TWO questions at every opportunity: 1.What went well? Recognize it! KEEP it! 2.What should we do differently next time? Change it! Evaluate the Program FamiliesUSA.org THX- Missouri Foundation for Health! FamiliesUSA.org Questions? 1201 New York Avenue, NW, Suite 1100 Washington, DC main / fax us at: Or visit us at:center