1. Affordable Care Act and NCUIH Communications: Now and Beyond Date: Tuesday, November 18, 2014 Time: 2:15-3:15 pm National Council of Urban Indian Health (NCUIH) Washington, DC

2. Agenda Welcome and Introductions – Kimberly Fowler and Alejandro Bermudez, NCUIH ACA Updates–Kimberly Fowler, NCUIH NIHOE Partnership updates April Hale, NIHB Communications Update Alejandro Bermudez and Shapiro Cambridge, NCUIH

3. Important Dates- ACA October 1 st - December 7 th - Medicare Open Enrollment November 15 th - February 15 th - Marketplace Open Enrollment (including SHOP for employers) www.healthcare.gov Medicaid and CHIP – Year Round Special AI/AN & Life change Enrollment Periods – Year Round November 24 th – National Tribal Day of Action for ACA Enrollment December (8 th ?) – White House Roundtable

4. What Can You Do? Get Certified to help assist your clients- CAC/CEC Become a Certified Assistance Counselor (CAC) Organization Host an Enrollment Fair Event Recruit local Navigators/ CAC (Urban/Tribal/State) Utilize Tribal or Local Colleges/ Universities (Free IT space)

5. Have A Successful Enrollment Event

6. Know your audience/community: Elders  Newspaper and radio Youth  Smartphone and social media Young adults  Smartphone, radio, social media Tribal leaders  newspaper and radio Adults  TV, smartphone, radio, social media

7. Ways to Tell Your Story Website Media Release Op-Ed Interviews Fact Sheets Testimonials Video Messages Social Media

8. Testimonials Stories from the community hit hard with the media and with Congress Children and elders’ stories are most compelling Don’t always focus on the bad/negative Be open to share the good/positive stories

9. Develop an Evaluation Plan Before You Implement Why evaluate? Identify which outreach strategies and partners reach the most consumers. Basis for future funding requests.

10. Things to consider: How will you know if your strategy was effective? What outcomes will you be measuring? Develop an Evaluation Plan Before You Implement

11. Suggested questions: How did consumers hear about your organization? How did they get your phone number? How did they come to attend a particular enrollment event? How many consumers created an account? How many successfully enrolled? Develop an Evaluation Plan Before You Implement

12. Application for AI/AN Exemptions

13. The exemption is for members of federally recognized Tribes who can go onto the marketplace and apply for an exemption certificate number that can be used on tax forms. IRS will have that number as well for confirmation or acknowledge on the tax forms. Tribal Exemption Waiver

14. Also includes those eligible to receive services from an Indian Health Service facility (including Descendants). There is only one application that serves both groups of exemptions-you can find it online @ www.marketplace.govwww.marketplace.gov These exemptions are retroactive and prospective. Tribal Exemption Waiver

15. For more information healthcare.gov marketplace.cms.gov urbanIndianhealth.org ncuih.org tribalhealthcare.org nihb.org/tribalhealthreform

16. ACA/ IHCIA Activities In-person Trainings in 2013-2014 Coordinating Urban presentations at National Meetings and Conferences NIHB Annual consumer conference NCAI Annual convention and marketplace ACA/IHCIA in Urban and Tribal Indian Communities Developing and coordinating Tools to Support SAMHSA Best Practices compendium for Urban Strategy Briefs on Insurance Opportunities in AI/AN Communities

17. SAMHSA (Truven) Provide resources and training materials to UIHPs/UIHOs to support their outreach and enrollment efforts specifically for behavioral health, through: Urban Needs Assessment Webinars / Trainings On-site technical assistance One-on-One support

18. NIHOE III Enrollment Community of Learning Training and Technical Assistance Updates / Information Dissemination Curriculum development Local marketing support Partnership building (CMS, SAMHSA, NIHB, NCAI, etc.) Advocacy and presence on national workgroups (TTAG, MMPC, IHS Q &A, etc.)

19. CMS NCUIH Navigators Supported 3 UIHP/UIHO Navigator Programs (Utah, Illinois, and Wisconsin) Weekly conference calls Info dissemination- local and national Peer connectivity/support Monthly Community of Learning Data capture of outreach and enrollment Ultimate Goal: educate consumers and promote access to coverage

20. Contacts National Council of Urban Indian Health (NCUIH) www.ncuih.org National Indian Health Board (NIHB) www.nihb.org

21. Like, Share, Follow, Connect & Subscribe to NCUIH Like NCUIH FB page Share NCUIH posts on your FB page Follow NCUIH on Twitter Subscribe to NCUIH youtube channel Connect with NCUIH on LinkedIn Subscribe to NCUIH news via SalsaLabs

22. Thank You!! Questions??