Peers Educating Peers on the Affordable Care Act: Part 2

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Spencer Strickland
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1 Welcome to the 28 th in a series of free webinars for peer supporters Peers Educating Peers on the Affordable Care Act: Part 2 The webinar will begin at 9 AM PDT, 10 AM MDT, 11 AM CDT, 12 PM EDT. Audio When signing into the webinar website, enter a telephone number (without an extension) for an immediate call back. The audio portion of the webinar will be on your telephone. If you have difficulty with the audio call back, dial: Meeting ID: Webinar 1

2 Peter Ashenden Director of Consumer Affairs OptumHealth Behavioral Solutions Contact Information T F Peter.ashenden@optum.com This webinar series is presented by members of the International Association of Peer Supporters (inaps) with generous assistance from Optum, without whom this series would not be possible. inaps/resilience,inc. is solely responsible for the content of the webinar. Thank you for your participation! Webinar 2

If you prefer not to be identified by name, go out and sign back in to the webinar without using your name (anonymously).

3 These webinars are recorded and available on the inaps website for future viewing. As a participant in the webinar, your name, if you choose to provide it in the chat function may be included in the recording. If you prefer not to be identified by name, go out and sign back in to the webinar without using your name (anonymously). Thank you for your participation! Please do not start your video camera! If you see the box to the right, click the link that says, Not Now Or TURN OFF the video camera next to your name in the participant list if it has started automatically. Webinar 3

4 Chat feature (cont.) Use the drop down menu to select EVERYONE Everyone Webinar 4

Certificates are an inaps Member Benefit

5 Certificates are an inaps Member Benefit Additional instructions on how to obtain a certificate of attendance for 1 hour of continuing education will be provided at the end of the webinar. inaps-international Association of Peer Supporters A Collaborative inapsand Resilience, Inc. Webinar Webinar 5

6 Peers Educating Peers on the Affordable Care Act Part 2 : Objectives During this presentation you will learn about: Why should we care about the ACA? The inaps and Resilience Inc. project Peer Educating Peers on the Affordable Care Act -and what we have learned along the way. ACA a brief refresher. Peers Educating Peers on the Affordable Care Act Part 2 : Objectives During this presentation you will learn about: How to support someone through the health insurance enrollment process using the userfriendly resources developed specifically for this project. How to use the Resilience Action Planning process and other strategies to reduce the life span disparity. Webinar 6

Why should we care about the ACA? Did you know: 1 in 5 adults approximately 43.8 million Americans experience mental illness in a given year. 1 in 25 about 13.

7 Why should we care about the ACA? Did you know: 1 in 5 adults approximately 43.8 million Americans experience mental illness in a given year. 1 in 25 about 13.6 million Americans live with a serious mental illness. Approximately 60% of adults with a mental illness received no mental health services within the previous year. Individuals living with a serious mental illness face an increase risk of having chronic medical conditions. Why should we care about the ACA? Did you know: And of most concern. Adults living with a serious mental illness die an average of 25 years earlier than other Americans largely due to treatable medical conditions. NAMI Mental Illness Facts and Numbers 2015 Webinar 7

8 inaps and Resilience Inc. Peers Educating Peers on the Affordable Care Act Project Part 2.what have we learned? A FEW THINGS WE HAVE LEARNED. Many Peers have some familiarity with the ACA and Medi-Cal. Not as many Peers have had direct experience with the enrollment process. Peers have varying degrees of understanding about CHURN and how it effects the people being supported. There has not been a solid connection between enrolling in health insurance and how that can reduce the life span disparity. Essential Health Benefits: Ambulatory Services (outpatient medical care). Emergency Services. ACA A Brief Refresher There are several Hospitalization. key provisions in the ACA which include: Maternity/Newborn Care. Mental Health and Substance Use Expand access Services. to insurance coverage. Increase participant Prescription Drugs. insurance protections. Emphasize Rehabilitative prevention and and Habilitation wellness. Services. Improve health Laboratory quality Services. and system performance. Curb rising health care costs. Preventive and Wellness Services. Pediatric Services. Webinar 8

9 Finding Healthy Me Resources Participant Handbook An Overview of the Affordable Care Act. How will we help and support you? What you need to proceed. The Easy Enrollment Process. The Streamlined Application. Application Attachments. Webinar 9

10 Participant Handbook What is an Authorized Representative and Why Should I Have One? Avoiding Churn. You Have Rights. Important Contacts and Resources. Let s make a plan. Leader s Guide Introduction to the Finding Healthy Me Leader s Guide. An Overview of the Affordable Care Act. How will we help and support you? What you need to proceed. The Easy Enrollment Process. The Streamlined Application. Application Attachments. Webinar 10

11 Leader s Guide What is an Authorized Representative and Why Should I Have One? You Have Rights. Important Contacts and Resources. What is CHURN and how it can be eliminated. Let s make a plan. Glossary Appendix A and B Webinar 11

and based on each participant s unique situation, may need some

12 The Easy Enrollment Process First -What you need to proceed!! Participants will need identification.and based on each participant s unique situation, may need some additional documentation. Then.it s time to enroll!! Streamlined Application and Attachments Webinar 12

13 Streamlined Application and Attachments What type of information is needed for the health insurance enrollment application? Name Address Phone Number Language Preference Name Gender Marital Status Date of Birth Social Security Number Webinar 13

14 Primary tax filer Disability? US citizen? Children in the home? Ethnicity Employment Income Deductions Step 2 is repeated 4 times (Person 2, 3 and 4) You can choose an Authorized Representative Understanding Your Rights and Responsibilities Webinar 14

15 Declaration and Signature Did you receive assistance from a Certified Enrollment Counselor? Would you like to be considered for Medi-Cal? How did you hear about Covered CA? Need information on other programs? Webinar 15

Attachments use only as applicable: A = If you are American Indian or Alaska Native. B = If you currently have or a family member has health insurance.

16 Attachments use only as applicable: A = If you are American Indian or Alaska Native. B = If you currently have or a family member has health insurance. C = If you qualify for health insurance through a job. D = Select insurance. E = Use for completing Step 2 in the application. F = Income schedule that can help identify if a person is eligible for Medi-Cal. Frequently Asked Questions. Call: Find a Certified Enrollment Counselor in your area by using the Covered CA website. Application incomplete? Still submit it!! Webinar 16

17 PEOPLE YOU SUPPORT HAVE RIGHTS!! Change doctors if you want. Effective Strategies for Reducing Life Span Disparity: Outreach Meaningful Engagement Activation Webinar 17

18 Creating a Resilience Action Plan to. make your garden flourish!! Pause HERE AND NOW GARDEN. Strengths are the things we want to keep in our garden to identify some strengths and what gives you a sense of purpose when you are healthy. to identify what can make you feel heavy or exhausted. Letting Go Pause and Letting Go What things will you let go of that get in the way of maintaining your physical health? Webinar 18

The Greenhouse Now that you are in the Greenhouse, you will experience some freedom and healing. What is the primary short-term goal you wish to achieve? RESILIENCE GARDEN.

19 The Greenhouse Now that you are in the Greenhouse, you will experience some freedom and healing. What is the primary short-term goal you wish to achieve? RESILIENCE GARDEN.Rise and Shine What action steps will be needed to grow the garden? Who are the gardeners? By when will your garden flourish? What weeds may pop up and how will you eliminate them? How will you celebrate the success of a beautiful garden? Webinar 19

How can you use the Resilience Action Plan? Some ways you can use the Resilience Action Plan to benefit your health: Retrieving the documents to enroll in health insurance.

Developing an exercise strategy. Building stronger relationships. Lowering your blood pressure. Identifying an Authorized Representative. Lowering stress. Giving back to the community.

20 How can you use the Resilience Action Plan? Some ways you can use the Resilience Action Plan to benefit your health: Retrieving the documents to enroll in health insurance. Healthy Eating and Good Nutrition. Developing a positive relationship with you primary care doctor. Developing your Spiritual Health. Eliminating Nicotine Use. Developing an exercise strategy. Building stronger relationships. Lowering your blood pressure. Identifying an Authorized Representative. Lowering stress. Giving back to the community. Focusing on your heart health. Q & A Additional questions?? Contact Scott at scott@resilience4u.us Visit the Resilience, Inc. website at to download the resources discussed during today s webinar. Webinar 20

Certificates are a Member Benefit If you are a member of inaps, go the inaps website: www.inaops.

You will be able to verify your membership and receive a link to the webinar quiz.

21 Certificates are a Member Benefit If you are a member of inaps, go the inaps website: Click the link in the upper right corner and follow the instructions. You will be able to verify your membership and receive a link to the webinar quiz. Special thanks to Optum for their ongoing support of this series and their dedication to quality in the practice of peer support Webinar 21

22 Webinar 22

Audio. Recovery to Practice Training 4/25/2014. inaps Webinar -Steve Harrington, Rita Cronise, Lisa Goodale 1

Audio. Recovery to Practice Training 4/25/2014. inaps Webinar -Steve Harrington, Rita Cronise, Lisa Goodale 1 Welcome to the next in a series of webinars for peer supporters. This webinar series is presented by members of the International Association of Peer Supporters (inaps) with generous assistance from Optum,