View Outreach & Enrollment Peer Network discussions

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Co-Chairs: 

Merrill Buice, Director, Health Care Coverage & Access, San Francisco Community Clinic Consortium

CPCA Staff:

Cindy Keltner, Director of Care Transformation

Support Staff:

Charlotte Reische, Admistrative Coordinator

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OVERVIEW

The Outreach & Enrollment Peer Network (O&E PN) is open to all community clinics and health centers (CCHCs) as well as consortia members. The purpose of the peer network is to provide an ongoing opportunity for O&E staff to share struggles and successes, tools and resources, as well as receive statewide and federal updates from CPCA staff. The outreach and enrollment peer network is critical in empowering CHCs and their CECs so that they can better serve their patients in completing the enrollment process.

2020 MEETINGS:

CPCA is working with the O&E Peer Network chair to finalize the 2020 schedule.

 

December Outreach and Enrollment News:

• Update on Texas District Court Ruling on Affordable Care Act

• Covered California's Open Enrollment is Off to a Solid Start December 04, 2018

• Resources for Wildfire Victims Quick Guide for Certified Enrollers

• Proposed Changes to the Public Charge Determination  Quick Guide for Certified Enrollers

MORE RESOURCES:

Covered California Resources

• Covered CA Regional Representatives
  

• 2019 Open Enrollment Tool Kit

• 2019 Renewal Tool Kit

• Review the 2019 County Rate and Plan Information Slide Deck, which provides a snapshot of the sample rates for a 25 and 40 year old single individual by county. It is a quick way to identify the second-lowest silver plan in each county, which factors the amount of Advanced Premium Tax Credit (APTC) your consumer will receive. It also provides each plan position by county at a glance.

• Loss of Short-Term Insurance- Short-term limited duration insurance plans will be banned in California beginning January 1, 2019.  Some carriers have decided to stop selling these plans now, while other carriers will continue to sell new policies through December 31, 2018. Covered California will allow a Special Enrollment Period (SEP) for consumers who will be affected by this ban.Consumers affected by this ban may contact you inquiring about health insurance options. Consumers affected by the short-term insurance ban will have 60 days following the last day of their short-term coverage to enroll in a Covered California health plan. You can use the special SEP circumstance to assist consumers with their applications. Please Note: The last lawful short-term plan in California will expire on March 31, 2019, therefore the last possible day to enroll in a Covered California health plan for consumers affected by this ban will be May 30, 2019

• 2019 Sign-Up and Renewal Journey FAQ
  

• Assisting Medi-Cal Eligible Consumers FAQ Certified Enrollers -confused about the Medi-Cal enrollment process? Review frequently asked questions and glossary terms to understand the basics and learn how to seek help for difficult scenarios.
  

California Department of Health Care Services (DHCS)  and other Medi-Cal Related Resources

• Medi-Cal Managed Care Enrollment Reports

• New Webpage for Resources related to Medi-Cal Transportation Services for Patients - Medi-Cal offers transportation to and from appointments for services covered by Medi-Cal. This includes transportation to medical, dental, mental health, or substance use disorder appointments, and to pick up prescriptions and medical supplies. Click here to download the FAQ.

• DHCS Consumer-Focused Stakeholder Workgroup (CFSW) - The purpose of the CFSW is to provide stakeholders an opportunity to review and provide feedback on a variety of consumer messaging materials. The forum focuses on eligibility and enrollment related activities and strives to offer an open discussion on Medi-Cal policies and functionality.

• County Directory for Medi-Cal Applications and Renewals - Provided by County Welfare Directors Association of California (CWDA)

• Medi-Cal Renewals by County

• Outreach and Enrollment Resources for Schools and School-Based Health Centers

County Medical Services Program (CMSP) Updates

• Counties CMSP serves and County Contacts

• Path2Health Pilot Project - At the County Medical Services Program Governing Board (Board) meeting of May 31, 2018, the Board approved development of the Path2Health Pilot Project to expand access to primary care for up to 25,000 undocumented adults ages 21 – 64 that are enrolled in an emergency services only (restricted scope) Medi-Cal program aid code and reside in one of the thirty-five CMSP counties. The Pilot Project will begin in early 2019.

CONTACT INFORMATION:

Cindy Keltner, Director of Care Transformation
ckeltner@cpca.org
(916) 440-8170