1. ACA ENROLLMENT BEST PRACTICES AMERICAN INDIAN HEALTH AND FAMILY SERVICES

2. TRAINING  Training is Key!  Train Navigators and CACs  Train additional staff members as CACs to answer questions

3. PARTNERSHIPS  Look for partnerships to increase enrollment and for support  Media Outlets- We utilized newspapers, TV stations, and radio shows  WDIV Phone Bank- Referrals to Agency and Interviews  CMS- Detroit Auto Show, Detroit Bike Expo  Hospitals- We partnered with hospitals to help them with enrollment efforts  Politicians and local leaders- We reached out to local leaders for enrollment efforts  Enroll America- Door to Door Knocking  Tribes  Other Partners  Local Universities and Colleges  Other FQHC Clinics  Navigator Network  Health Fairs

4. WORKING WITH TRIBES  Attending Pow Wows and Annual Meetings  Training Tribal Staff  Email list for tribal navigators  See Plans Before I Apply

5. ENROLLMENT PLAN  Staffing  4 Navigators  11 Certified Application Counselors  Enrollment Activities  Outreach and Education  One-on-one appointments  Phone assistance- reliance on CACs  Social Media  Facebook, blog, website, email  Other Resources  Kiosk  Education Materials

6. APPOINTMENTS  Multiple staff members trained as CAC’s in addition to 3 Navigators.  CACs had basic knowledge to answer questions or direct them to the appropriate place  Our front reception scheduled appointments for our Navigator in 1 hour increments for ACA enrollments  Medicaid expansion occurred late in Michigan so we now offer 20 min appointments for Medicaid only appointments  Clients are reminded to bring in proof of income and Date of Birth/Social Security numbers for all members in their household. This saves a lot of time  Other time-saving techniques  Ask client for their ID and if their address is correct  Type in the application for clients instead of them typing

7. TRACKING  Appointments were tracked in Scheduling Package  We utilized paper tracking form