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Increasing Health Care Access for Teens through Medicaid and CHIP January 24, 2018 3:00 p.m. ET Connecting Kids to Coverage National Campaign Agenda Overview and Introductions Engaging Virginia Teens in Medicaid & CHIP Programs

  1. Increasing Health Care Access for Teens through Medicaid and CHIP January 24, 2018 3:00 p.m. ET Connecting Kids to Coverage National Campaign

  2. Agenda • Overview and Introductions • Engaging Virginia Teens in Medicaid & CHIP Programs • Increasing the Dialogue Around Important Adolescent Health Topics • Leveraging Health and Physical Education to Enroll Teens in Health Coverage • Campaign Resources • Questions and Answers

  3. Poll Question: Are you currently working to enroll teens in Medicaid and CHIP? a. Yes b. No c. Planning to engage soon

  4. Poll Question: How are you currently working to enroll teens in Medicaid and CHIP? a. Partnering with other community initiatives b. Setting up a table at school and community events c. Posting information on social media d. Co-sponsoring local events e. Other

  5. Denise Daly Konrad Director of Strategic Initiatives and Policy Virginia Health Care Foundation

  6. Virginia Health Care Foundation • The Virginia Health Care Foundation ( VHCF ) is a public/private partnership founded in 1992. • VHCF uses a multi-pronged approach to fulfill its mission of increasing access to primary health care for uninsured and medically underserved Virginians.  Help eligible children, teens, and pregnant women enroll in state- sponsored health insurance via Project Connect.  Grants and other initiatives to support health safety net organizations that provide direct services to uninsured and medically-underserved Virginians.

  7. Virginia Health Care by the Numbers • Participation in Virginia’s Children’s Medicaid and CHIP programs is slightly lower than the national average (VA: 91.2%; US: 93.1%). • As of 2015, enrollment in contiguous states ranged from a “low” of 94.1% (Maryland) to a high of 98.6% (Washington, D.C.) ( InsureKidsNow.gov ). • More than 40% of Virginia’s uninsured children ( 39,000 ) are between the ages of 13 and 18.

  8. VHCF’s Child Health Insurance Initiatives • Virginia’s Medicaid and CHIP programs are collectively known as the “FAMIS” programs. – Medicaid = FAMIS Plus; CHIP = FAMIS) • VHCF’s initiatives focus on increasing the number of children and pregnant women covered through FAMIS programs by: – Helping children and pregnant women apply for and enroll in state- sponsored health insurance programs – Improving retention and annual renewal of coverage – Providing training, technical assistance and support to organizations that provide outreach and enrollment – Advocating for policy and program improvements

  9. VHCF’s Child Health Insurance Initiatives SignUpNow – Training & technical assistance on state-sponsored health coverage programs – 3.5-hour in-person regional training as well as online training. – Quarterly newsletter and information toolkit – Over 11,000 trained. Project Connect – Specialized network of in-person assistance focused on state- sponsored health insurance for children, pregnant women, and low income parents. – Over 95,000 children and pregnant women have enrolled or renewed.

  10. Teen-Focused Strategies • 29% of all Project Connect enrollments have come from school referrals to Outreach Workers (OWs). • VHCF worked with the Department of Education to design an outreach plan in 2016 that ties FAMIS outreach and enrollment ( O&E ) to two activities teens like most – sports and driving. – Strategies for sports are consistent with the CMS strategy guide, The Game Plan . – DOE and DMAS have a longstanding collaborative agreement through which a State Superintendent’s Memo about FAMIS is sent to school division superintendents each August for distribution to all students. – These approaches do not require schools to provide individual student personal information to OWs, so there are no privacy concerns related to the Family Educational Rights and Privacy Act ( FERPA ).

  11. Why VHCF & DOE Selected These Approaches to Reach Teens • Relatively simple, very focused concepts; • Inexpensive to design, implement and sustain; • Systemic change focused on students and faculty/staff; • Statewide approach with a broad reach; • Clear support from DOE and VHSL; • Consistent with, and builds on, The Game Plan; • Complemented existing outreach efforts underway at DOE and local school districts; • Health insurance literacy is an important life skill for all teens;

  12. FAMIS Information on Sports Physical Form in Virginia • Added language about the FAMIS programs to the Virginia High School League Athletic Participation / Parental Consent / Physical Examination Form , via the state high school leagues’ Sports Medicine Advisory Committee. • With this addition, families whose teens wish to play high school sports, but do not have insurance, can learn about the FAMIS programs and be well-educated about their coverage options. • Status : Live and accessible as July 1, 2017

  13. Contact: Cover Virginia at www.coverva.org or call 855.242.8282.

  14. Training for Coaches • Created and distributed 30-hour continuing education (CE) on-demand webinar about the FAMIS programs for athletic trainers, athletic administrators, coaches and other school administrators that will apply towards CE requirements. • STATUS : Live and accessible as of April 1, 2017

  15. Lesson Plans • Developed and distributed lesson plans about FAMIS programs and how to apply for Drivers’ Education and 9th Grade Health and Physical Education on health insurance and health insurance literacy. • STATUS : Live and accessible as of May 1, 2017

  16. Customized Posters and Palmcards • Developed teen-focused print materials about the FAMIS programs, customized with the local Outreach Workers’ contact information, and distributed via 9th Grade Health and Physical Education teachers in localities served by OWs. • STATUS : Materials available for distribution as of January 2018.

  17. Sample VHCF Materials

  19. Best Practices to Engage Families, Encourage Teen Enrollment • Partner with organizations generally trusted by families, that can facilitate access to a large group of eligible uninsured children. • Show families and their teens that you have a vested interest in children’s health. • Connect on-the-go with a “Mobile Office” and be readily- accessible when convenient for families. • Hire OWs who connect with families of all sorts and can effectively interact with state and local agency staff.

  20. Best Practices to Engage Families, Encourage Teen Enrollment • One-On-One assistance generally addresses: – Overcoming language barriers; – Uncertainty with how to complete long application and the technology involved; – Difficulty gathering documentation; – Lack of awareness of programs or eligibility requirements; – Family’s limited understanding of the value and importance of coverage; – Family’s reluctance to seek help from a government program; – Undocumented parents’ worry that enrolling their U.S. Citizen children in the FAMIS programs will prevent the parent from becoming a citizen in the future, because he/she accessed a government benefit before becoming a legal resident.

  21. Engaging Teens in Virginia Medicaid & CHIP Programs For more information: Virginia Health Care Foundation dkonrad@vhcf.org www.vhcf.org

  22. Paula Keyes Kun Senior Advisor to the CEO SHAPE America

  24. Our History The association now known as SHAPE America began in 1885 as the Association for the Advancement of Physical Education (AAPE).

  25. Our Mission We are the nation’s largest membership association of health and physical educators . Working together with our 50 state affiliates, our mission is to advance professional practice and promote research related to health and physical education, physical activity, sport and dance.

  26. Our vision Physically Active A nation where all children are Making Healthy Choices prepared to lead healthy, Prepared for Life physically active lives.

  27.  Jump Rope For Heart/Hoops For Heart Founding Partner  Active Schools  PYFP

  28. Our Goal: 50 Millions Students in U.S.

  29. Our Commitment is Strong 50 Million Strong is SHAPE America’s commitment to put all children on the path to health and physical literacy through effective health and physical education programs.

  30. Learn More and Get Involved A website full of resources. shapeamerica.org

  32. Professional Development with SHAPE America

  33. Recognition Programs and Celebrating Excellence

  34. Melanie Lynch, M.Ed. 2016 SHAPE America National Health Teacher of the Year

  35. Building Health Literacy with Teenagers Health Literacy is the ability to access, understand, appraise, apply and advocate for health information and services in order to maintain or enhance one’s own health and the health of others. Bridging the Gap: 99% of Americans can read, But only 12% are health literate.

  36. Building Health Literacy with Teenagers Health Knowledge vs. Health Behavior

  37. Building Health Literacy with Teenagers Instituting Functional Knowledge

  38. Building Health Literacy with Teenagers Thank you! Melanie Lynch, M.Ed. North Allegheny School District Mlynch@northallegheny.org @MelanieLynch52

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