Bringing ACA Navigators to SCLD

Aileen Luppertaluppert@scld.org509-893-8437

How It Began• Personal interest and March 2013 Spokesman

series led to permission to follow WA Health Benefit Exchange’s “Countdown to Coverage”

• Attended Exchange webinars and phone meetings with Exchange’s Outreach

• Listened to webinars– WebJuction featured Waukegan Public Library

Should SCLD Lead or Follow?

• Researched other library plans– Posters, flyers, web links, programs

• Staff Navigator Concerns– Training was 40-50 hours– To many unknowns– Liability

Persistent Partners

• Better Health Together (BHT) named lead agency for Spokane County

• BHT contact led to meeting with Community Minded Enterprises (CME)

“The Meeting” with CME

• What did the navigator training really entail?

• Who was doing the training?• What was the timeline?• Why have library staff trained to

do this?

Why not have library staff trained?

• Library seen as a trusted, neutral and, safe• Public would have questions and NEED to

enroll– DSHS no longer filing role

• Comfortable helping without deciding – Like FASFA or job applications

• Have enough staff resources • Have successful system (BaL)

– “Appointment Only” meant needs met with minimal staff

– More efficient to have few experts

SCLD Navigators

Managing Requests

• Used “Book a Librarian” model

• Email or calls funneled to intranet– Navigators@scld.org or 509-893-8400

Appointments

• Met in conference rooms or private places

Individuals Enrolled

Month Apple Health QHP Total

November 2013 44 23 67

December 2013 99 90 189

January 2014 58 30 88

February 2014 38 24 62

March 2014  81  30 111

TOTAL 321 197 517

62% Apple Health and 38% QHP

Partnerships and Relationships

Recognition

Consider Your Library• Plan programming or drop-in sessions• Ask them to consider a staff expert

– Basic ACA, Apple, QHP and poverty level info

• Invite staff to view training webinars• Ask to demonstrate HealthPlanFinder

site• Offer printed materials• Encourage them to join email lists or

watch for ones you forward

Remember Your Library

• Multiple locations• Open afterhours and 7 days a week• Computers, laptop labs, copiers, and

scanners• Conference and meeting rooms

– Meet with clients– Presentations

Plans for the Future

• Committed to maintaining our navigators’ training.• May add between 1 and 3 more

• Navigator staff will continue enrolling individuals in Apple Health year round.

• Arrange for more informational sessions in the fall.• Small Business Health Options Plan?

Questions for the Future• Enrollment/Renewals be like last year

– Will partnerships be terminated?

• Tax implications and penalties– Educate staff about ACA tax penalty

• Where to refer complaints and appeals

– Overpayment/Underpayment scenarios

• SHOP/Business resource• Customer Service support for

Navigators

Questions?

• Navigators• Navigators@scld.org • 509-893-8400

• Aileen Luppert• aluppert@scld.org• 509-893-8437

Thank you!