zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA Jessie Beebe, - PowerPoint PPT Presentation

Connecting Housing Providers and their clients to Medicaid Managed Care zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA Jessie Beebe, LCSW Health Services Specialist Center for Housing and Health L 312 -922-2322 | FA X312-922-2916 | A ID SC H IC A G O .O RG 200 W E S T JAC K S O N BLV D . | S U ITE2100 | C H IC AG OIL 60606 | TE

zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA Health Care Landscape • Illinoisexpanded Medicaid startingJanuary2013. • Medicaid Managed C areand C areC oordination began January2014 and continued through January 2015. • R apid changesfor Illinoiswith atremendouslearningcurve for housingproviders,social service agenciesand medical providers. • E ducation and support around Medicaid application and are enrollment. Marketplace but not much on Managed C

zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA Health Services Specialist • Designated role to work with housingprovidersand their residentson enrollment into Medicaid and Medicaid Managed C areaswell aseducation and support to connect residentsto their Managed C are plan. • Agency and housing case manager trainings • Meets regularly with housingcase managers • Home visits with clients • Accompanyclientsto doctor’s appointments if needed

Challenges • Manyclientswere auto-enrolled into Managed C are • C arecoordination isan evolvingprocess • V ulnerable populationshave little to no accessto cell phones, aretransient,difficult to outreach for Managed C are • Manyclientsnow have health insurance for the first time – usingprimaryand outpatient careisa learned behavior • Additional complications for clients living with HIV /AIDS • Assigned providers need to know how to treat HIV , medication coverage

Best Practices onsistent and continuouseducation and support – changing aculture • C • Trainings • One-on-one consultation • Home visits • Doctor appointments • Developed health carematerials for housing casemanagers and residents • Pre-enrollment G uide • Post-enrollment G uide • E nrollment C hecklist • C ollectingManaged C are Data G uide • Magnets with Managed C areinformation

Best Practices: Clients • C oncrete,specific and relevant exampleson how Managed C arewill impact and improvetheir health care • F ocuson clients real and perceived needs • Opportunityto talk about individual health of client • Motivatingclientsto learn about and connect to their arePlan and carecoordination services. Managed C • Identifywhat matters to them • R esourcesfor clientsto refer to and use • C onnecting to Managed C are together • Importanceof primarycare

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zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA Best Practices: Case Managers • E ncouragecasemanagersto connect with care coordinators and develop relationships. • C ase managersare the “experts” when it comes to understanding client needsand challenges. • Health S ervices S pecialist –resource for case managers • IntegrateManaged C are/C areC oordination dialogue into regular case management visits • C onsistent and continuous education and support on benefits and how to access • Focus on engagement in primary care, pharmacy and specialist referrals • A ddress challenges and barriers to care regularly • Connecting to M anaged Care together • M anaged Care Checklist

zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA Integrating Housing + Health • Better Health through HousingC ollaborative • Housing and support servicesasa health care intervention to improve health outcomesand reduce costs • PilotsA,Band C • S trengthen connection between housing casemanagersand carecoordinators • Demonstratingthe valueof supportivehousingand integration with health caresystems