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.
"Outreach & enrollment" means much more than putting up posters and helping people fill out MassHealth applications. Recently, over the course of a two hour appointment, my supervisor and I counseled one household on eleven different public health insurance, subsidy and care programs. We helped them file four separate applications to five different insurance programs, putting together a patchwork of care options to cover the hole left by the loss of employer-sponsored insurance.
Changes in 2008 FPL guidelines are reflected in new charts for the Low-Income Subsidy (LIS).
