The situation was all too familiar: A young woman and her father met with one of our Community Outreach Workers and asked how to sign up for health insurance. A quick check in My Account Page (MAP) found that her MassHealth Essential had ended mid-month because she had started a new part-time job. MAP also showed she was already Commonwealth Care eligible. The Outreach Worker explained how to enroll in Commonwealth Care and all of the benefits it would provide starting next month.
"Well, the problem is that she’s a heroin addict," the father said. "Her rehab clinic checks her insurance every day and won’t help her out until she gets her insurance back."
The economic downturn shaped a lot of our discussion – how it affects clients, state services, and our own organizations. For example, more clients find themselves in tears during appointments – some with problems like home foreclosure that outreach workers just can’t help fix. Many HAN organizations are taking on additional responsibilities with fewer staff. CP has also cut back staffing; we are now closed on Wednesdays.
Awards may be renewed for up to three years and will cover post-enrollment activities.
At both HAN meetings, Brian Rosman from Health Care For All (HCFA) led a discussion about the next steps in Health Care Reform. Before he spoke, outreach workers exchanged stories about how some of new policies in Health Care Reform are working out in practice.
Commonwealth Care plans a switch to same-month billing, starting in December.
Please call your legislators today and tell them how important outreach and enrollment work is to the success of health care reform. Line item 4000-0352 - which funds outreach and enrollment, and Community Partners - is in jeopardy.
Exceptions Forms have been revised to address denials and terminations separately and will come pre-populated with member and employer information.
MassHealth responds to questions and notes compiled by advocates during site visits to MECs.
Tools from MLRI can help translate some knowledge of a person’s immigration status into eligibility.
Enrollments usually slow down during the summertime, but this year, outreach workers are seeing increasing numbers of people needing help. At our July HAN meetings, we also had the opportunity to have some dialogue with Rebecca Balder and Carolyn Minkin of the Health Safety Net about upcoming changes.
