Healthier Communities Webinar
July 21, 2016
Agenda
A. Welcome / Overview of the Webinar Series
B. Update on Enrollment Periods
C. Update on Transitional Medical Assistance (TMA) Efforts and Results
D. Update on Marketplace Insurers
E. Final Questions
F. Next Call
Presenters
• Moderator
– Lee Goodall, Grossman Heinz – Community Outreach Consultant
• Special Guests
– Emanuela Cebert, Manager – Stores & Outreach
– John Carbone, Manager – Small Business Sales
Enrollment Periods: When Can My Clients Enroll?
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2017 Open Enrollment
• Open Enrollment (OE)
– The annual period by which individuals can sign up for a health insurance
plan.
– Only applies to Qualified Health Plans (private health insurance).
– 2017 Open Enrollment will be November 1, 2016 – January 31, 2017
• Enroll by December 15, 2016 will ensure coverage for January 1, 2017
• Example: Complete enrollment on January 20, 2017, coverage may not
begin until March 1, 2017, so don’t delay!
Special Enrollment & Qualifying Life Events
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Just married to an AHCT customer
Divorced or Legal Separa:on
Having, adop:ng, or fostering a child
Just moved to Connec:cut
Loss of coverage due to job change
Aging off parents’ plan
Special Enrollment Period (SEP)
Special Enrollment: The period between or outside of Open Enrollment in which you can sign up
for a health insurance plan due to a Qualifying Life Event (QLE)
• Allows you to enroll in health care coverage through AHCT or change your current
plan or carrier choice
– A Qualifying Life Event can trigger a Special Enrollment Period anytime
• E.g. Parents have a child on November 28
• E.g. Moved to Connecticut on March 3
– Time limits
• You have 60 days – from the date of the Qualifying Life Event – to enroll
• Missed deadlines (thus going without coverage) could result in a federal tax
penalty (fine)
• The effective date of coverage will depend on the type of the event and when you
complete the enrollment
Special Enrollment Period (SEP)
• Other circumstances
– Expiration of COBRA
– No longer eligible for Medicaid/Husky
– No longer eligible for Advanced Premium Tax Credits
– Decertification of employer provided health plan due to non-compliance with ACA standards
– Cancellation of employer health care coverage for employees or their beneficiaries
– Cancellation of employer contributions toward coverage
• What is the most prevalent Special Enrollment reason?
– 82% claimed Loss of Minimum Essential Coverage
– 8% claimed Loss/Gain of APTC/CSR
– 3% claimed they Moved in the Last 60 days
• Forthcoming requirement to provide documentation of Qualifying Life Events
– Notices to send verification documents to AHCT such as Marriage Certificate, Proof of
Residency, and/or previous proof of coverage
Enrollment: Notables
• Medicaid (Husky Health) or the Children’s Health Insurance Program (CHIP)
– If you may apply to determine if you are eligible for these program anytime/year round, you
don’t need a reason.
– Eligibility is based on income, citizenship, and/or age.
• American Indians (Federally-recognized tribes) and Alaska Natives
– Can enroll in coverage at any time during the year.
– Can change plans or carriers during the year without a Qualifying Life Event.
For More Information Visit
http://Learn.AccessHealthCT.com/Special
http://Learn.AccessHealthCT.com/es/Especial/
HUSKY A Transitional
Medicaid Update
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TMA: Why?
• A Connecticut State law was passed on June 29, 2015. It lowered the income eligibility limit for parents and caretakers of HUSKY A eligible children from 201% of the Federal Poverty Level (FPL) to 155% of the FPL. Due to this change some parents and caretakers will now have monthly incomes higher than the HUSKY A eligibility.
• The change is considered a Qualifying Life Event (loss of minimum essential coverage) and triggered a Special Enrollment period. Parents or caregivers will lose coverage as of July 31, 2016. These individuals have 60 days to enroll in other health care coverage offered through Access Health CT.
TMA: Options
• May still qualify for Husky A or another HUSKY program
• Qualified Health Plan (QHP) from a private insurance carrier
– Advanced Premium Tax Credits (APTC) to help lower monthly premiums
– Cost – Sharing Reductions (CSR) to help lower the cost of coverage, such as
lower deductibles, co-pays, etc.
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Plan Phases
Planning Team
Access Health CT Dept. of Social Services Office of the Healthcare Advocate Office of Policy Mgmt.
Development
Communications schedule
Postcards/Posters
Notices
Community Meeting (CT Health Foundation)
Outreach Execution
Enrollment Fairs
Social Media Campaign
Live Outbound Phone Calls
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Communication Strategy • Notices
– 60-Day (sent 6/4/16) 30-Day (sent 7/1/16)
– Reviewed by Focus Groups (5/24/16 & 6/21/16) • Facilitated by Office of the Healthcare
Advocate – English and Spanish
• Poster – Regional Department of Social Services Offices – All Community Health Center Association of CT
Facilities – All Planned Parenthood Centers
• Postcard – Directly mailed to all 13,811 (6/20/16)
• Live Outbound Call Campaign – 1st Pass – July 9th – 2nd Pass – July 25th
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Outreach Plan – Enrollment Fairs
Date City Location 6/22 Danbury Danbury Women’s
Center
6/23 Waterbury Waterbury OIC
6/29 Norwich UCFS
6/30 Stamford Optimus Health Center
7/7 Hartford Main Branch Library
7/13 New Haven New Haven E.C.
7/14 Bridgeport Main Branch Library
7/16 Norwich UCFS
• One-On-One Help – Certified Application Counselors
(CAC) – AHCT Staff – Certified Brokers
• On-going Assessment – Extended Enrollment Fair hours – Added Saturday Call Center Hours – Adding Saturday Fairs in July – Provide Regular Updates to
MAPOC and CT Voices for Children
Previously Held Enrollment Fairs:
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Community Partners Meeting – April 27, 2016 • ABCD (Bridgeport) • Agency on Aging of South Central CT • Bridgeport Child Advocacy Coalition (BCAC) • Caring Families Coalition • Chase School Family Resource Center • Christian Community Action • Community Action Agency of New Haven • Community Action Agency of Western CT • Community Catalyst • Community Health Center Association of CT • CT Association for Community Action • CT Health Foundation • Eastern AHEC • Health Disparities Institute – UCONN • Health Equity Solutions • Hispanic Alliance • Hispanic Federation • Hispanic Health Council • Office of the Healthcare Advocate • Latino Community Services • National Alliance on Mental Illness – CT • New Haven Legal Assistance Association • Pequeñas Ligas Hispanas de New Haven
• Planned Parenthood of Southern New England
• Project Access • Southwestern AHEC • United Connecticut Action for
Neighborhoods • Universal Health Care Foundation • Urban League of Greater Hartford • West Hartford-Bloomfield Health District
Community Partners Meeting -- Facilitated by CT Health Foundation
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AHCT Media Outreach
• 9 press releases (EN/SP) so far • Multiple media interviews (radio, social, TV, EN/SP) • Social Media campaign: Facebook, Twitter, Distributed Social Media Toolkit to all Community
Partners & Leaders
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Engagement Activity Over Past 3 Months
13,811 Postcards Mailed 13,811 Notices Mailed 9,000+ Outbound Calls* 10 - Enrollment Fairs 9 – Press Releases 4 – Media Interviews
12.7% increase in Web Site activity 6,664 Notice/Postcard Attributed Calls 6,160 Accounts Accessed Over Last 3 months
2,638- Actively enrolled in HUSKY 1,338 – Actively enrolled in a QHP Plan 4,309 – Accessed account but did not enroll 6,117 – Have not accessed their account within the last 3 months
Outreach Activity Customer Activity Customer Enrollment
*Outbound calls only placed to those without active enrollment
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Call Activity Generated by Mailings W
eek
24
Wee
k 25
Wee
k 26
Wee
k 27
Wee
k 28
Wee
k 29
0
500
1000
1500
2000
2500 2,434
933 977 893
503
924
Num
ber o
f Calls Re
ceived
Over 6,600 calls received through the number listed on Notices and
Postcards (June 5 – July 11)
Averaging 578 calls per business day over the last two weeks
June 5 – June 11
June 12– June 18
June 19– June 25
June 26– July 2
July 3 – July 9
July 11 – July 13
30 Day NoCces Received
60 Day NoCces Received
Postcard Delivered
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Enrollment Activity Status Update (7/18/16)
29% of population actively enrolled in a plan with coverage
after 7/31
Approx. 160 enrollments per day over the last two weeks
Upcoming Enrollment Fairs Saturday, July 30th
10:00am to 1:00pm
Southwest Community Health Center 46 Albion Street Bridgeport, CT 06605
10:00am to 1:30pm
Charter Oak Health Center 21 Grand Street, Hartford, CT 06106
10:00am to 1:30pm
Generations Family Health Center 40 Mansfield Avenue Willimantic, CT 06226
10:00am to 2:00pm
Cornell Hill ScoJ Health Center 428 Columbus Avenue New Haven, CT 06519
For More Informa5on Go To
http://Learn.AccessHealthCT.com/Husky‐Move
http://Learn.AccesshealthCT.com/es/Cambio‐Husky
Carrier Update
Carrier Update: Healthy CT
• HealthyCT is leaving the Connecticut Insurance marketplace
• Due to several contributing factors, the CT Insurance Department placed the company under an order of supervision – Decision prevented the company from writing any new policies
and also renewing any policy that expire after July 1, 2016
• Individual Marketplace Impact – No immediate impact
• Members should continue to pay premiums – and on time – to keep coverage in place through the expiration of their policy
QUESTIONS ?
Thank You for Participating!
Call: 860-327-5517 Email: [email protected] Online: http://Learn.AccessHealthCT.com/brokers http://Learn.AccessHealthCT.com/community
Follow us @AccessHealthCT
To reach the AHCT Outreach Team:
#AHCT #GetCoveredCT
Tips & Information Playlist (YouTube Video blog)
Thank You!
Next Webinar: Access Health 101
July 28, 2016 at 1PM