Program or Project:
Health benefits outreach, education, screening and enrollment
Percentage of time over term member will spend with this program:
Member will deliver information to patients about health insurance programs, including Medicaid, the Marketplace, and Emergency Medical Assistance.
Member will conduct insurance assessments and assist patients in applying for health insurance using the PA Compass System.
If not eligible for Medical Assistance, the member will assist the patient in applying for prescription medication assistance and other health benefit programs, or assist the patient in applying for health insurance through the Marketplace.
The member may serve as an advocate in assisting the patient to negotiate public assistance, community resources, and the health insurance marketplace. This includes significant advocacy efforts with DHS, including insure supporting documents were received and the application is being processed.
After submitting a medical assistance application members will call the CAO or Change Center to insure supporting documents were received and the application is being processed.
Member will assist with benefits maintenance and questions pertaining to coverage, including PCP and HMO selections or changes, insurance verifications, explanation of benefits, etc.
Educate and screen at least 10 people a week. Complete at least 100 insurance application over the course of service. Enroll 60-80 in health coverage
NHC performance measure(s) this activity falls under (if any). :
Deliver information about Health Insurance, Health Care Access and Health Benefits programs
Health Insurance screening and enrollment assistance
Health Insurance enrollment
Prescription assistance program and/or other health benefit screening and enrollment assistance
Prescription Medication Assistance Program (PMAP) and/or Other Health Benefit Screening and Enrollment