An Introduction to Connecting Kids to Coverage/Text4baby Partnership and Outreach

Webinar

July 31, 2012

Sarah Ingersoll

Campaign Director, text4baby

National Healthy Mothers,

Healthy Babies Coalition

A free mobile information service

designed to promote maternal and

child health.

An educational program of the National

Healthy Mothers, Healthy Babies

Coalition (HMHB).

A service that provides pregnant

women and new moms with information

to help them care for their health and

give their babies the best possible start

in life.

The largest national mobile health

initiative to date.

What is Text4baby?

Donna Cohen Ross

Senior Policy Advisor

Office of the Center Director

Center for Medicaid and CHIP Services

The Connecting Kids to Coverage Challenge (2010):

Enroll the 5 million uninsured children who are currently

eligible for Medicaid or CHIP over the next five years

More than 75 organizations have stepped up

www.chip.challenge.gov

Ways community organizations can meet the challenge:

Create opportunities to apply

Provide application assistance

Reach out to groups most likely to experience gaps in coverage

Focus on retaining eligible children in coverage

Use technology to facilitate enrollment and renewal

Stepping Up to the Challenge

Sarah Ingersoll

Campaign Director, text4baby

National Healthy Mothers,

Healthy Babies Coalition

Sabrina Matoff-Stepp, Ph.D.

Director

Office of Women’s Health

HRSA

Beverly Wright, CNM, MSN, MPH

Branch Chief of the Division of Healthy Start

and Perinatal Services

Maternal and Child Health Bureau

HRSA

Jane Segebrecht

Public Health Analyst

Office of Quality and Data

Bureau of Primary Health Care

HRSA

Sarah Ingersoll

Campaign Director, text4baby

National Healthy Mothers,

Healthy Babies Coalition

Connecting Kids to Coverage &

Text4baby

1. Incorporate information about Medicaid/CHIP & text4baby in printed outreach and enrollment materials. 2. Distribute free co-branded tearpads (40 sheets each) that have Medicaid/CHIP contact information and details on

the text4baby service for you to share with clients. 3. Place Insure Kids Now (http://insurekidsnow.gov/spreadtheword.html) and text4baby sign-up buttons

(http://www.text4baby.org/index.php/text4baby-enrollment-button-info) on your website. 4. Collaborate with agencies that have direct contact with new moms. 5. Include links to text4baby enrollment page (http://www.text4baby.org/index.php/sign-up) and Insure Kids Now

(http://www.insurekidsnow.gov/) in online Medicaid/CHIP enrollment forms. 6. Insert an automatic text4baby enrollment feature on Medicaid and CHIP online enrollment forms. 7. Incorporate text4baby enrollment into other online and printed forms like pregnancy risk assessment forms

completed by providers. 8. Feature Medicaid/CHIP & text4baby in newsletters, broadcast emails, and other communications. 9. Plan and host an enrollment drive in your community with the support of partners, elected officials, local

businesses, families, advocates, and local media. 10. Discuss text4baby and Medicaid/CHIP services within the programs/services offered at your facility. 11. Promote Medicaid/CHIP & text4baby through your organization’s social media platforms (Facebook, Twitter, etc.). 12. Get creative and share YOUR strategies for bringing together these two critical programs in supporting the health of

moms and families in your community. Email your dual promotional ideas and examples to info@text4baby.org to be added to this list and featured in Text4baby Tuesday!

What Your Organization/Agency Can Do

View the document, here: http://text4baby.org/index.php/miscellaneous/188-2012

Donna Cohen Ross

Senior Policy Advisor

Office of the Center Director

Center for Medicaid and CHIP Services

Medicaid Enrollment: 3 days following text4baby enrollment

(1/2) Free msg: Text4baby wants to share information about free/low-cost health insurance for you & your kids. It's called Medicaid/CHIP. (2/2) Do you have health insurance right now? Reply 1 for Yes or 2 for No.

Free msg: That's great! What type of health insurance do you have? Reply 1 for Employer/Union; 2-Medicaid/CHIP; 3-Veterans/Military; 4-Other.

(1/2) Free msg: Medicaid/CHIP pays for pregnancy check-ups & delivery. For kids who qualify, it covers check-ups, sick visits, medicine, dentist visits & more. (2/2) You may qualify if your family (of 4) income is below $46,100 (maybe more). Call 877-543-7669 or go to www.insurekidsnow.gov/state for info and to sign up User marked as “Interested in Medicaid/CHIP”

1-Has Health Insurance

2-No Health Insurance

2 Medicaid/CHIP

1, 3, or 4; Private or Military Insurance

Free msg: Thank you for the response. If your situation changes, you can always call Medicaid/CHIP at 877-543-7669 or go to www.insurekidsnow.gov/state

Free msg: Great! Don’t forget to renew before coverage runs out. Look for renewal notices in your mail. Have questions? Call 877-543-7669. User marked as “Medicaid/CHIP recipient”

Send to users marked as “Interested in Medicaid/CHIP” Free msg: Text4baby check in! Were you able to apply for free/low-cost health insurance called Medicaid/CHIP? Reply 1 for Yes or 2 for No.

Free msg: Great job keeping your family healthy, Mom! You should hear back soon. If you haven’t heard in 30 days, call 877-543-7669. User marked as “Medicaid/CHIP recipient”

Follow up Message for Mom’s Interested in Medicaid/CHIP 10 days after enrollment

1 (yes)

2 (no)

Free msg: Get peace of mind that your kids are covered. Call Medicaid/CHIP at 877-543-7669 or go to www.insurekidsnow.gov/state

to see if your family qualifies.

Follow up for Interested in Medicaid/CHIP On Tuesday in week 50 in new baby protocol

Send to users marked as “Interested in Medicaid/CHIP” or “Medicaid/CHIP recipient” Free msg: If you have Medicaid/CHIP, don’t forget to renew before coverage runs out. Look for a renewal notice in the mail. Have questions? Call 877-543-7669.

Together, CHIPRA and ACA allocated $140 million for outreach and enrollment efforts:

$14 million for national activities

$126 million in grants to states, nonprofit CBOs and providers, AI/AN and others

$90 million awarded to date

Last grant cycle still to be announced

Outreach and Enrollment Grants

For Consumers

Programs in your state

Find a dental provider

Mobile website

For Professionals

Beneficiary Satisfaction Survey

Outreach strategy guides, Customizable flyers

Outreach Video Library

Technology Fair – Promising Tools

Resources on InsureKidsNow.gov

Sarah Ingersoll

Campaign Director, text4baby

National Healthy Mothers,

Healthy Babies Coalition

Erin Kaleba

Director of Research Initiatives

Alliance of Community Health Centers

Alliance and Text4Baby

Alliance of Chicago Community Health Services

• HRSA-funded Health Center Controlled Network

• 32 CHCs

• all on the same EHR

• Alliance, with Illinois

Maternal and Child Health

Coalition, began

Text4Baby in Sept 2010

The Alliance EHR User Community

Alliance and Text4Baby

• Alliance created a custom data element field within the EHR to identify clients interested in enrolling in Text4Baby.

• Data element field added to updated pre-natal patient education template in the EHR in Feb 2011.

• Web link added in 2011

Screen Shot of EHR

Clinical Data Being Tracked

EHR allows for additional data to be collected:

• Text4Baby Enrollment

• Missed appointments

• Smoking status and advised to quit

• Infant birth weight

• Post-partum check-up within six weeks

• Compliance with infant immunization schedule

• HIV tested

Rachael Godinez Wallace

Greater Chicago Area-Clinical Educator

Erie Family Health Center

Erie Family Health Center

Erie Family Health Center • Serves over 37,500 patients annually • 12 clinical sites across Chicago • 84% of Erie’s patients are Hispanic • 62% are best served in Spanish • 68% are female • 46% are under the age of 19 • 34% are uninsured • 86% come from households with incomes that

fall below the Federal Poverty Line

Erie and Text4Baby

• T4B went live March 2011

• Hundreds of women enrolled to date

• Enrolling women is routine part of prenatal workflow, usually initiated by Prenatal Educator, reinforced by OB or midwife

• Several Erie providers have signed themselves up for T4B

Erie, Text4Baby, and Medicaid

• Potential for integration, but currently separate processes

• We sign up all our pregnant women for Medicaid on the spot • However, that is at the reception area automatically when they check out

and found out they are pregnant. • Health Educator explains Medicaid, and also takes all the prenatal hx, med

hx, and starts prenatal education; offers T4B

So they are separate from one another but both always offered to everyone

• Not everyone wants the T4B (eg, ambivalence about pregnancy) but everyone wants help with the PA card

Enrollment in Medicaid Reception Staff

Enrollment in Text 4 Baby Health Educator

Sarah Ingersoll

Campaign Director, text4baby

National Healthy Mothers,

Healthy Babies Coalition

Maggie Norris

Assistant Deputy Director

Westside Family Healthcare

Our We Deliver program is a comprehensive maternal child health program that provides prenatal

patients and new moms with a variety of support services and prenatal classes, including financial

aid assistance to enroll in Medicaid/CHIP, to ensure they have a healthy pregnancy and healthy

baby.

All prenatal patients are case managed by a prenatal nurse from the intake to postpartum

appointment.

Financial Aid Assistants meet with prenatal patients before the first prenatal intake

appointment. During the Financial Aid appointment, the Financial Aid Assistants coordinate

the Medicaid/CHIP enrollment forms for the mom’s labor/delivery and post delivery to assist

with the enrollment in eligible programs.

WESTSIDE FAMILY HEALTHCARE:

TEXT4BABY& MEDICAID/CHIP ENROLLMENT

PROCESS

Before the first prenatal intake appointment, prenatal patients meet with the financial aid assistants who

coordinate Medicaid/CHIP enrollment forms

Text4Baby reviewed during nurse intake visit. Nurse

directs patient to make an appointment with the financial

aid assistant, if needed

Text4Baby is also reviewed at all Provider, Social

Work, and Breastfeeding Peer

Counselor Appointments.

Text4Baby is discussed at childbirth,

parenting, and social support classes.

After delivery, new moms meet with

Financial Aid Assistants to ensure baby and mom are

enrolled in all eligible programs

Sarah Ingersoll

Campaign Director, text4baby

National Healthy Mothers,

Healthy Babies Coalition

Connecting Kids to Coverage &

Text4baby

1. Incorporate information about Medicaid/CHIP & text4baby in printed outreach and enrollment materials. 2. Distribute free co-branded tearpads (40 sheets each) that have Medicaid/CHIP contact information and details on

the text4baby service for you to share with clients. 3. Place Insure Kids Now (http://insurekidsnow.gov/spreadtheword.html) and text4baby sign-up buttons

(http://www.text4baby.org/index.php/text4baby-enrollment-button-info) on your website. 4. Collaborate with agencies that have direct contact with new moms. 5. Include links to text4baby enrollment page (http://www.text4baby.org/index.php/sign-up) and Insure Kids Now

(http://www.insurekidsnow.gov/) in online Medicaid/CHIP enrollment forms. 6. Insert an automatic text4baby enrollment feature on Medicaid and CHIP online enrollment forms. 7. Incorporate text4baby enrollment into other online and printed forms like pregnancy risk assessment forms

completed by providers. 8. Feature Medicaid/CHIP & text4baby in newsletters, broadcast emails, and other communications. 9. Plan and host an enrollment drive in your community with the support of partners, elected officials, local

businesses, families, advocates, and local media. 10. Discuss text4baby and Medicaid/CHIP services within the programs/services offered at your facility. 11. Promote Medicaid/CHIP & text4baby through your organization’s social media platforms (Facebook, Twitter, etc.). 12. Get creative and share YOUR strategies for bringing together these two critical programs in supporting the health of

moms and families in your community. Email your dual promotional ideas and examples to info@text4baby.org to be added to this list and featured in Text4baby Tuesday!

What Your Organization/Agency Can Do

View the document, here: http://text4baby.org/index.php/miscellaneous/188-2012

Q&A

Additional Questions? Contact: info@text4baby.org

Thank You!