Bringing ACA Navigators to SCLD Aileen Luppert

How It Began Personal interest and March 2013 Spokesman series led to permission to follow WA Health Benefit Exchange’s “Countdown to Coverage” Attended Exchange webinars and phone meetings with Exchange’s Outreach Listened to webinars – WebJuction featured Waukegan Public Library

Should SCLD Lead or Follow? Researched other library plans –Posters, flyers, web links, programs Staff Navigator Concerns –Training was hours –To many unknowns –Liability

Persistent Partners Better Health Together (BHT) named lead agency for Spokane County BHT contact led to meeting with Community Minded Enterprises (CME)

“The Meeting” with CME What did the navigator training really entail? Who was doing the training? What was the timeline? Why have library staff trained to do this?

Why not have library staff trained? Library seen as a trusted, neutral and, safe Public would have questions and NEED to enroll – DSHS no longer filing role Comfortable helping without deciding – Like FASFA or job applications Have enough staff resources Have successful system (BaL) – “Appointment Only” meant needs met with minimal staff – More efficient to have few experts

SCLD Navigators

Managing Requests Used “Book a Librarian” model or calls funneled to intranet or

Appointments Met in conference rooms or private places

Individuals Enrolled MonthApple HealthQHPTotal November December January February March TOTAL % Apple Health and 38% QHP

Partnerships and Relationships

Recognition

Consider Your Library Plan programming or drop-in sessions Ask them to consider a staff expert – Basic ACA, Apple, QHP and poverty level info Invite staff to view training webinars Ask to demonstrate HealthPlanFinder site Offer printed materials Encourage them to join lists or watch for ones you forward

Remember Your Library Multiple locations Open afterhours and 7 days a week Computers, laptop labs, copiers, and scanners Conference and meeting rooms – Meet with clients – Presentations

Plans for the Future Committed to maintaining our navigators’ training. May add between 1 and 3 more Navigator staff will continue enrolling individuals in Apple Health year round. Arrange for more informational sessions in the fall. Small Business Health Options Plan?

Questions for the Future Enrollment/Renewals be like last year – Will partnerships be terminated? Tax implications and penalties – Educate staff about ACA tax penalty Where to refer complaints and appeals – Overpayment/Underpayment scenarios SHOP/Business resource Customer Service support for Navigators

Questions? Navigators Aileen Luppert Thank you!