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Community Partner Outreach Program

Maria Waters, Regional Outreach CoordinatorJosie Silverman-Méndez, Senate Bill 558 Implementation Lead

October 4, 2018

35th Annual Oregon Rural Health Conference

Agenda

• Community Partner Outreach Program (CPOP) Overview

• Senate Bill (SB) 558 Overview • What we can do for you!

Mission and vision

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Mission:Engaging communities across Oregon to advance an equitable, responsive health system.

Vision: A strong, healthy Oregon

Who we are

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History:• 2009-12: Office of Healthy Kids • 2013-14: Navigator Program under Cover

Oregon • 2015-present: Navigator Program under

the Oregon Health Plan (OHP)/Oregon Health Insurance Marketplace• 2017: Administered the Safety Net Capacity

Grant Program• 2018: Lead on SB 558 implementation

What we do• Develop and engage a statewide network of

community partner organizations (CPs) to reduce barriers for OHP application and enrollment for Oregon’s most vulnerable populations

• Our CPs include:– Health systems – Medical providers– Community-based nonprofits– Other state and county agencies – Coordinated Care Organizations

More on our CP network

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• 300+ organizations statewide- Majority volunteer- 42 grant-funded

• 27 General OHP Outreach and Enrollment• 15 SB 558 Outreach and Enrollment

• 1,000+ certified Application Assisters • Go to www.OHP.Oregon.gov to access the “public

search”

What we do• Provide real-time feedback from CPs to OHP

teams including policy and processing– ONE system – Hospital Presumptive Eligibility – Tribal applications (HNA) – Justice-involved – And more!

• Create opportunities for regional, systematic engagement with OHP– Monthly County Collaboratives– Quarterly OHP SB 558 meetings

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What we do• Train and certify CPs to help Oregonians

apply for/enroll in/renew their health coverage:– Oregon Health Plan (including CAWEM/CAWEM

Plus): www.OHP.Oregon.gov– Qualified Health Plans through Federal Marketplace:

www.healthcare.gov• On-going support with outreach and

enrollment communication and technical assistance

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SB 558

Overview

• Effective January 1, 2018• Opens the Oregon Health Plan to more

children and teens younger than 19, regardless of immigration status

• Requires OHA (and by proxy DHS) to convene an external stakeholder workgroup to advise on outreach and marketing

Impacted population

• An estimated 15,000 immigrant youth younger than 19 including those:– With Deferred Action for Childhood Arrivals

(DACA) or undocumented status– Prior to 2018, who were only eligible for

emergency Medicaid (i.e. CAWEM) level benefits

Timeline

*Oregon becomes 7th state in the nation to provide a “Medicaid-like” program for undocumented immigrant youth

2009:Healthcare for All Children Act

2015: House Bill

3735 → Safety Net Capacity

Grant Program

2016:Cover All Kids

advocacy campaign

2017: Senate Bill

558*

Safety Net Capacity Grant Program

• January 1-December 31, 2017• Connected undocumented immigrant

children and teens younger than 19 to free primary care services– Nonprofit health clinics (majority FQHCs)– Community-based organizations

Transition to SB 558 implementation• Leveraged community-based outreach

infrastructure– Outreach and Enrollment Grant Program – OHP-certified community partner network

• Prioritized stakeholder engagement– Oregon Latino Health Coalition– External stakeholder workgroup

SB 558 Outreach and Enrollment Grant Program• 15 community-based organizations

– Reaching 30 counties• OHP outreach, enrollment and system

navigation assistance • Trusted, culturally and linguistically

responsive

Our grantees

SB 558 external stakeholder workgroup• Advising on development and

implementation of the OHP now covers me! / ¡Ahora OHP es para mí! campaign

• 20+ members from across the state

SB 558 external stakeholder workgroupCampaign development - Phase 1: • Core message frame (starting with plain language)

– What– When– Who – Why

• Material design• www.OHPnowCOVERSme.org• Given no budget for marketing, focus on

supporting grantee grassroots outreach

Campaign development -Phase 2: • Core message frame

refinement • Mixed media

– Radio, TV, digital, environmental, movie theater

– Spanish, Korean, Vietnamese, Simplified and Traditional Chinese

SB 558 external stakeholder workgroup

Lessons we are learning• Fear of immigration enforcement is

number one barrier to enrollment• It take lots of repetition • “Too good to be true”• Trusted relationships are key

– Community gatekeepers – One-one-one– Word-of-mouth

Lessons we are learning• System navigation is a challenge

– It takes a lot of follow-up• Growing indigenous communities from

Latin America– Deeply entrenched cultural and linguistic

barriers

Lessons we are learning• Potential for broader system level change

- Language access- Application and enrollment process- System navigation - Culturally and linguistically responsive,

trauma-informed care

Enrollment

• Despite barriers, continues to increase at a rate of ~200 new enrollees/month

• As of September more than 4,700 enrolled

What we can do for you!

• Engage with your Regional Outreach Coordinator – Collaboratives

• Work to remove barriers for your clients to access OHP– Network with OHP-certified CPs

• Become an OHP-certified CP organization

Thank you!

Questions?

Maria Watersbarbara.m.waters@dhsoha.state.or.us

971-209-9713

Josie Silverman-Méndez, MPH josie.j.silverman@dhsoha.state.or.us

503-983-3739