1. Bringing ACA Navigators to SCLD Aileen Luppert aluppert@scld.org 509-893-8437

3. 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

4. Should SCLD Lead or Follow? Researched other library plans –Posters, flyers, web links, programs Staff Navigator Concerns –Training was 40-50 hours –To many unknowns –Liability

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

6. “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?

7. 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

8. SCLD Navigators

9. Managing Requests Used “Book a Librarian” model Email or calls funneled to intranet –Navigators@scld.org or 509-893-8400Navigators@scld.org

10. Appointments Met in conference rooms or private places

11. Individuals Enrolled MonthApple HealthQHPTotal November 2013442367 December 20139990189 January 2014583088 February 2014382462 March 2014 81 30111 TOTAL321197517 62% Apple Health and 38% QHP

12. Partnerships and Relationships

13. Recognition

14. 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 email lists or watch for ones you forward

15. 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

16. 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?

17. 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

18. Questions? Navigators Navigators@scld.org 509-893-8400 Aileen Luppert aluppert@scld.org 509-893-8437 Thank you!