The Opportunity To maximize enrollment and retention of King County residents who will be newly eligible for healthcare coverage on January 1, 2014 – 80,000 newly eligible for Medicaid – 100,000 eligible for affordable insurance options through the Exchange To assure businesses are aware of new coverage options and requirements

King County Outreach & Enrollment Plan For the uninsured: Education and encourage enrollment through multiple communications and outreach strategies Targeted enrollment assistance to newly eligible at convenient sites For employers: Education and outreach to businesses

The Challenges Confusion about what health reform is and how it affects the community Uninsured individuals will not necessarily take the initiative to get coverage on their own Education alone is not enough—some individuals, especially the most vulnerable, will need extra help with the enrollment process

Strategies for Reaching the Uninsured 1.King County Cities & Seattle Districts 2.Health Care Partners/Providers 3.Colleges/Universities/Tech Schools/High Schools 4.Libraries 5.Community Centers 6.Housing 7.Homeless 8.Jail 9.Public Health’s specialty health programs (e.g., HIV/STD clinic, needle exchange) 10.More to come…

Additional Outreach and General Awareness Strategies Vocational Institute Douglass Truth Library Plymouth Housing Youth Outreach Bus ads Business outreach New Outreach Locations Center for Multi-Cultural HealthGay City Existing Enrollment Sites Public HealthCountry Doctor FQHCYWCA Example: Central Seattle Uninsured <138%: 5, – 399%: 4, % +: 1,677

Population focusGeographic area Language Asian/Pacific Islander Latino/ Hispanic Black/African American Special populations All of King County with a focus on: Central Seattle South Seattle North Seattle South King County Rural King County In-Person Assister Network 23 organizations with plans to reach diverse groups across King County 34 languages

Enrollment Events October 1Launch Event (Carolyn Downs) October 5Garfield High School Enrollment Event October 12Third Place Commons Enrollment Event October 19Crossroads Mall Enrollment Event October 26 Kent Commons Community Center Enrollment Event In addition we have over 200 additional enrollment events in King County!!! kingcounty.gov/healthservices/health/personal/coverage/calendar.aspx 8

Public Health – Seattle & King County: Lead In-Person Assister Agency

What is an In-Person Assister? Assist individuals to make informed decisions about health care coverage based on their needs and resources One-on-one, in-person support to individuals and families Community outreach and education 10

ACA Requirements for In-Person Assisters Knowledgeable in eligibility, enrollment and program requirements Fair and impartial Facilitate Qualified Health Plan selection Refer to consumer assistance or ombudsman Protect confidentiality and privacy Cultural, language and disability access 11

In-Person Assister Qualifications Complete required training Certification examination Background check Verification of language certification (if applicable) Attestations - Code of Ethics, Privacy and Security 12

Language Access Resources Lead Organization Language Access Plan/Strategies – Web site available in English and Spanish – Key documents, such as outreach material, translated in 8 most common languages Assess the need for language services – Bi-lingual Assister – Provide translated material – Referral to another network partner – Arrange for a translator/interpreter 13

Disability Access Accessible, barrier free settings Material in alternative formats, such as large print Organizational policies/procedures for providing accessible services Inform individuals about their right to receive disability-related accommodations and how to request these services 14

In-Person Assister Functions 15 Community outreach and education One-on-one customer assistance Facilitate enrollment Information and follow up

One-on-One Consumer Assistance Program overview Using the Healthplanfinder and “Partnering” Entering information in the Healthplanfinder Explaining coverage options Comparing, filtering using “decision support tools” 16

Facilitate Enrollment Medicaid – System Interface with HCA – Assignment to a Healthy Options Plan Qualified Health Plans – Initial premium payment – Tax credits Ongoing account access for updates or changes 17

Information and Follow-Up Next steps in accessing coverage – Medicaid Notification from Health Care Authority Designation of Plan Check provider or preferred plan Contact HCA to request a change – Qualified Health Plans Designation of a primary care provider Getting started 18

Qualified Health Plans Commercial plans offered through the Healthplanfinder Health Management Organization (HMO) Preferred Provider Organization (PPO) Subject to open enrollment Regulated/certified by the Office of the Insurance Commissioner Approved by the Health Benefit Exchange 19

Eligibility Real-time eligibility decision Federal-state interfaces for verification – Internal Revenue Service – Immigration and Naturalization Service – Employment Security Automated verification – Conditional Eligibility (90 days) 22

25 Phase 1: Planning (January – May 2013) Develop campaign plan, including key messages and outreach materials Complete outreach needs analysis county-wide Develop outreach strategies with community partners, including enrollment events Establish additional partnerships with community organizations and businesses Identify funding opportunities Phase 2: Preparation (June – October 2013) Provide training and technical assistance to community partners Finalize performance metrics Launch website to track enrollment progress and share info (DONE) Distribute materials through partner networks Phase 3: Implementation (October 2013 – April 2014) State opens enrollment October 1 Execute plan including enrollment assistance county-wide Conduct regular performance monitoring

Public Health Website Kingcounty.gov/coverage 26

Tool Kit 27

Callista Kennedy Outreach Specialist Public Health-Seattle & King County (206) QUESTIONS? 28