Embed Size (px)
Citation preview
Community Partner Outreach Program
Maria Waters, Regional Outreach CoordinatorJosie Silverman-Méndez, Senate Bill 558 Implementation Lead
October 4, 2018
35th Annual Oregon Rural Health Conference
Agenda
• Community Partner Outreach Program (CPOP) Overview
• Senate Bill (SB) 558 Overview • What we can do for you!
Mission and vision
3
Mission:Engaging communities across Oregon to advance an equitable, responsive health system.
Vision: A strong, healthy Oregon
Who we are
4
History:• 2009-12: Office of Healthy Kids • 2013-14: Navigator Program under Cover
Oregon • 2015-present: Navigator Program under
the Oregon Health Plan (OHP)/Oregon Health Insurance Marketplace• 2017: Administered the Safety Net Capacity
Grant Program• 2018: Lead on SB 558 implementation
What we do• Develop and engage a statewide network of
community partner organizations (CPs) to reduce barriers for OHP application and enrollment for Oregon’s most vulnerable populations
• Our CPs include:– Health systems – Medical providers– Community-based nonprofits– Other state and county agencies – Coordinated Care Organizations
More on our CP network
6
• 300+ organizations statewide- Majority volunteer- 42 grant-funded
• 27 General OHP Outreach and Enrollment• 15 SB 558 Outreach and Enrollment
• 1,000+ certified Application Assisters • Go to www.OHP.Oregon.gov to access the “public
search”
What we do• Provide real-time feedback from CPs to OHP
teams including policy and processing– ONE system – Hospital Presumptive Eligibility – Tribal applications (HNA) – Justice-involved – And more!
• Create opportunities for regional, systematic engagement with OHP– Monthly County Collaboratives– Quarterly OHP SB 558 meetings
7
What we do• Train and certify CPs to help Oregonians
apply for/enroll in/renew their health coverage:– Oregon Health Plan (including CAWEM/CAWEM
Plus): www.OHP.Oregon.gov– Qualified Health Plans through Federal Marketplace:
www.healthcare.gov• On-going support with outreach and
enrollment communication and technical assistance
8
SB 558
Overview
• Effective January 1, 2018• Opens the Oregon Health Plan to more
children and teens younger than 19, regardless of immigration status
• Requires OHA (and by proxy DHS) to convene an external stakeholder workgroup to advise on outreach and marketing
Impacted population
• An estimated 15,000 immigrant youth younger than 19 including those:– With Deferred Action for Childhood Arrivals
(DACA) or undocumented status– Prior to 2018, who were only eligible for
emergency Medicaid (i.e. CAWEM) level benefits
Timeline
*Oregon becomes 7th state in the nation to provide a “Medicaid-like” program for undocumented immigrant youth
2009:Healthcare for All Children Act
2015: House Bill
3735 → Safety Net Capacity
Grant Program
2016:Cover All Kids
advocacy campaign
2017: Senate Bill
558*
Safety Net Capacity Grant Program
• January 1-December 31, 2017• Connected undocumented immigrant
children and teens younger than 19 to free primary care services– Nonprofit health clinics (majority FQHCs)– Community-based organizations
Transition to SB 558 implementation• Leveraged community-based outreach
infrastructure– Outreach and Enrollment Grant Program – OHP-certified community partner network
• Prioritized stakeholder engagement– Oregon Latino Health Coalition– External stakeholder workgroup
SB 558 Outreach and Enrollment Grant Program• 15 community-based organizations
– Reaching 30 counties• OHP outreach, enrollment and system
navigation assistance • Trusted, culturally and linguistically
responsive
Our grantees
SB 558 external stakeholder workgroup• Advising on development and
implementation of the OHP now covers me! / ¡Ahora OHP es para mí! campaign
• 20+ members from across the state
SB 558 external stakeholder workgroupCampaign development - Phase 1: • Core message frame (starting with plain language)
– What– When– Who – Why
• Material design• www.OHPnowCOVERSme.org• Given no budget for marketing, focus on
supporting grantee grassroots outreach
Campaign development -Phase 2: • Core message frame
refinement • Mixed media
– Radio, TV, digital, environmental, movie theater
– Spanish, Korean, Vietnamese, Simplified and Traditional Chinese
SB 558 external stakeholder workgroup
Lessons we are learning• Fear of immigration enforcement is
number one barrier to enrollment• It take lots of repetition • “Too good to be true”• Trusted relationships are key
– Community gatekeepers – One-one-one– Word-of-mouth
Lessons we are learning• System navigation is a challenge
– It takes a lot of follow-up• Growing indigenous communities from
Latin America– Deeply entrenched cultural and linguistic
barriers
Lessons we are learning• Potential for broader system level change
- Language access- Application and enrollment process- System navigation - Culturally and linguistically responsive,
trauma-informed care
Enrollment
• Despite barriers, continues to increase at a rate of ~200 new enrollees/month
• As of September more than 4,700 enrolled
What we can do for you!
• Engage with your Regional Outreach Coordinator – Collaboratives
• Work to remove barriers for your clients to access OHP– Network with OHP-certified CPs
• Become an OHP-certified CP organization
Thank you!
Questions?
Maria [email protected]
971-209-9713
Josie Silverman-Méndez, MPH [email protected]
503-983-3739
