1. Stacey McMorrowStacey McMorrow, Genevieve M. Kenney, Christine Coyer (2011, May 31), Addressing Coverage Challenges for Children Under the Affordable Care Act. Urban InstituteGenevieve M. KenneyChristine Coyer The number of uninsured children within the U.S. is at 8 million, of which, close to 5 million children eligible for Medicaid and CHIP.

2. Where do Uninsured Children Come From-Who are they? Working Families Working Poor Families TeensUndocumentedHispanic families Newly Uninsured Families Families with Literacy Problems

3. Uninsured Children in Indiana More than 150 thousand children in Indiana are uninsured (7.8%). 59% of the children in Indiana are eligible for Hoosier Healthwise The five Indiana counties with the highest percentages of uninsured children  Porter, 14.6% Benton, 13.5%  Marshall, 13.4% Noble, 13.2%  Kosciusko, 12.9%. U.S. Census Bureau. (2006) Small Area Health Insurance Estimates. http://www.census.gov/did/www/sahie/

4. Indiana children covered by health Insurance

5. Hoosier Healthwise

8. Benefits offered through Hoosier Healthwise Medical Supplies/Equipment Clinic Services Home Health Care Well-Child Visits Substance Abuse Services Dental Care Nurse Practitioner Service Vision Care Nurse Midwife Services Chiropractors Family Planning Services Doctor Visits Lab and X-Ray Services Therapies Mental Health Care Foot Care Prescription Drugs Hospital Care

9. Indiana Medicaid

10. 2012 Poverty Guidelines for the 48 Contiguous States and the District of Columbia Persons in family/household Poverty Guideline 1$11,170 215,130 319,090 423,050 527,010 630,970 734,930 838,890 For families/households with more than 8 persons, add $3,960 for each additional person.

11. Renewal process

12. Communicating with Families One-on-one assistanceEasy to understand informationBe sensitive to fear and mistrust Keep information shared confidential

13. HIPAA HIPPA- The Health Insurance Portability and Accountability Act As a Hoosier Healthwise Enrollment Center families entrust you to not only help them navigate the Indiana application system but to keep the information they share with you confidential and safe.

14. Confidentiality & HIPAA Indiana Family and Social Services Administration (FSSA) requires a properly completed Authorization for Release of Case Status Information form be on file prior to the release of any account related information.

16. Authorization for Release of Case Status Information A Client Release form should be voluntarily completed by applicant parent or guardian. One Client Release must be properly completed and on file for each enrollee (child) prior to disclosure. Make sure to initial where indicated. Signature is required. The Client Release expires after 1 year.

17. Personal Health Information (PHI) Name Address Phone Number Social Security Number (SSN) Date of Birth (DOB) Premium Payment Relatives Email Address Health/Dental Plan # Employer Account Number

18. To maintain HIPAA security you must: Prevent unauthorized access and disclosure Prevent loss of information Secure electronic informationSecure paper records Avoid overheard conversationsNever leave information in public view Always check the credentials of a requester Always check a client’s authorizations Report incidents to your organization’s HIPAA Compliance Officer Use encryption when sending an email with PHI Do not copy others on an email with PHI without written consent from the client HIPPA Compliance

19. Misleading Applicants

21. You are the gatekeeper between parents & Hoosier Healthwise Parents need to know It is easier to apply & get coverage Application is free, no face-to-face interviews People are available to help navigate the application system Children can get coverage Medicaid may be able to pay for unpaid medical bills

22. Reprinted in part- with permission from Florida KidCare