1. Assisting Immigrant and Refugee Populations Samantha Longacre Anchorage Neighborhood Health Center

2. Today’s Topics Eligibility – Immigration status – Identity Verification – Household size – Income Language – Interpreter services – Printed materials – Communication tips

3. Who are we helping?

4. Everyone! Single Married Families Varying immigration statuses Different languages New to insurance

5. Residency Marketplace: – No requirement for length of residency Medicaid: – Requires 5 years in US < 5 year residency, denied Medicaid? Apply in Marketplace (even if under 100%FPL)

6. Immigration Status “Green Card” (I-551) Reentry Permit (I-327) Refugee Travel Document (I- 571) Employment Authorization Card (I-766) Temporary I-551 Stamp (on passport or I-94/I-94A) Arrival/Departure Record (I- 94/I-94A) Arrival/Departure Record in foreign passport (I-94) Foreign Passport Certification from U.S. Department of Health and Human Services (HHS) Office of Refugee Resettlement (ORR) Document indicating withholding of removal Alien number (also called alien registration number or USCIS number) or 1-94 number

7. Identity Verification No credit record? Can’t verify identity! Option 1 Submit application through call center Send in supporting documents Option 2 Upload/mail requested documentation Wait for verification

8. Household Size Household members vs. Tax filing members Dependents in Mexico or Canada – “no permanent address” – Same mailing address

9. Income Tricks Unpredictable Multiple jobs Seasonal jobs Unemployment benefits Permanent Fund Dividend Tips Break it out by job – Start/finish – Pay rate/hours – Overtime average Use date calculator for weeks – timeanddate.com Ask about each person

10. Language Spanish Somali Arabic Korean Tagalog Albanian Russian

11. Interpreters Why? Health insurance is difficult to understand Family/friends are not trained interpreters Impartial, maintains confidentiality Tips One idea at a time Plan double the appointment time

12. Posters, Brochures, and flyers Keep it simple 3 – 5 major points Active voice Short sentences Large font Lots of white space

13. 5 Communication Tips 1.Short sentences – Break down concepts – Short questions 2.Take your time 3.Eye contact (even with phone interpreter) 4.Use examples/stories 5.“What questions do you have?”

16. What questions do you have? Samantha Longacre slongacre@anhc.org 907-743-7309