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Text Content

Menu
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✕


OUTREACH AND ENABLING SERVICES

Health centers provide critically important non-clinical, enabling services that
help reduce barriers to care and increase access to health care and social
services for the patients they serve. Theses enabling services including
transportation, interpretation, health education, referrals, case management,
environmental health risk reduction, and outreach and enrollment (O&E)
assistance.

Health Center Outreach and Enrollment

Health centers continue to provide outreach and enrollment assistance to
consumers looking for health insurance coverage. According to 2019 UDS data,
health centers employed over 4,000 enrollment assisters — also known as
Navigators, certified application counselors (CACs), in-person assisters, etc —
to help consumers understand their insurance coverage options and enroll into
public and private health plans. These assisters provided nearly 5 million
assists to individuals seeking coverage.

Open Enrollment Key Dates

 * In March 2021, the Biden Administration announced a Special Enrollment Period
   (SEP) for obtaining health care coverage through Healthcare.gov. The SEP
   currently extends through August 15, 2021.
 * If you lost your health insurance due to a job loss, you may qualify for
   Special Enrollment Period through Healthcare.gov.
 * Healthcare.gov has a “Coronavirus” page that explains changes in Marketplace
   coverage and eligibility resulting from the COVID-19 pandemic.
 * On June 22, 2021, NACHC and Young Invincibles co-hosted a national event to
   promote the HHS Special Enrollment Period’s “Community Health Center Week of
   Action (June 21-25).” Click here to view the slides.

Resources on Enabling Services

In addition to enrollment assistance, health center staff also provide other
enabling services such as health education, improving the health literacy of the
newly insured, translation services, and peer counseling. Research shows that
enabling services provided by health centers improve access to care, access to
preventive services, and increase satisfaction among health center patients.

In 2019, with funding from HRSA, NACHC published four case studies on health
centers and primary care associations that took innovative approaches to
providing enabling services in their communities. Each case study focuses on a
different issue — i.e. behavioral health integration, addressing food
insecurity, etc. — and highlights how each organization invested in and expanded
the role of their enabling services staff to address critical needs.

 * A Focus on Apprenticeships: Alaska Primary Care Association Apprenticeship
   Program
 * A Focus on Behavioral Health: WellSpace Health, Sacramento, CA
 * A Focus on Field-Based Enabling Services: North Carolina Farmworker Health
   Program
 * A Focus on Food Insecurity: Native Health, Phoenix, AZ

Publication on Community Health Worker Reporting in UDS:

MHP Salud released a publication titled “Reporting of Community Health Workers
in the Uniform Data Sytems: Important Factor to Consider.” This tool provides
resources that help health center identify staff that perform duties aligned
with the Community Health Worker (CHW) profession and that how that should be
reported in UDS.

Enabling Services Accountability Project

NACHC works closely with the Association of Asian Pacific Community Health
Organizations (AAPCHO) on a range of efforts related to enabling services.
AAPCHO’s Enabling Services Accountability Project was designed to increase EMR
data collection on enabling services in order to demonstrate the role of
enabling services in increasing access and quality of care for medically
underserved communities.

Previous NACHC Case Studies on the Impact of O&E Activities on Health Centers

 * Borinquen Medical Centers of Miami-Dade, Miami, FL (2017) – This case study
   highlights the impact of conducting outreach and enrollment activities on the
   operations and finances of a large urban health center in Miami.
 * Partnership Community Health Center, Appleton, WI (2016) – This case study
   highlights how a health center serving both rural and urban populations
   trained and hired the first Certified Application Counselors (CACs) in its
   state and re-branded itself to serve all patients in its service area.
 * Mountain Comprehensive Health Center, Whitesburg, KY  (2015) – This case
   study highlights best practices and innovations implemented by a health
   center in rural Kentucky and how these O&E-activities impacted the health
   center’s finances and operations.

NACHC Issue Briefs on O&E

 * Outreach and Enrollment Issue Brief: Expanding the Role of the Enrollment
   Assister at Community Health Centers (April 2017)
 * Improving Outreach and Enrollment Efforts in Health Centers Through
   Medical-Legal Partnership (February 2017)
 * “Navigating the Health Insurance Marketplace: Community Health Centers and
   Consumer Assistance Programs,” (January 2015): This paper is a supplement to
   NACHC’s August 2013 Issue Brief “Navigating the Health Insurance Marketplace“
 * Privacy and Security Standards for Personally Identifiable
   Information (November 2013)
 * Conflicts of Interest During Application Assistance (November 2013)
 * August 2013 Issue Brief “Navigating the Health Insurance Marketplace” (August
   2013)

NACHC Podcasts on Outreach & Enrollment

 * Creating a Culture of Enrollment: A Tale of Two Health Centers (Oct 2016):
   This podcast highlights how federal funding for O&E-activities impacted
   health centers in both Medicaid-expansion and non-Expansion states.
 * Reports from the Field: Outreach and Enrollment in Milwaukee: This podcast
   focuses on successful, collaborative O&E-efforts spearheaded by Progressive
   Community Health Centers in Milwaukee, WI.
 * Reports from the Field: Outreach and Enrollment at Health Centers (Feb 26,
   2016): This podcast focuses on how health centers and primary care
   associations help enroll individuals into Marketplace and Medicaid coverage.

Examples of Job Descriptions for Outreach and Enrollment

Following are examples of job descriptions for staff positions related to
outreach and enrollment efforts. All will need to be modified based on the
specific needs of the Community Health Center.

 * The first example from the Michigan PCA is specific to a health center staff
   position which will focus on doing the outreach and enrollment. View the job
   description.
 * The second example from the Arizona PCA is for a health center staff position
   in a more oversight/coordinating role. View the job description.


OUTREACH AND ENROLLMENT WEBINARS

In 2018, through the support of Community Catalyst and the Robert Wood Johnson
Foundation, NACHC hosted a series of webinars and developed resources on
outreach and enrollment, as well as customizable materials to support community
health centers in their health literacy and outreach efforts.

Outreach and Enrollment Funding Strategies and Partnerships
This webinar explored innovative strategies and partnerships to ensure
sustainable funding for outreach and enrollment activities.

Access the recording

Outreach and Enrollment in State Based Marketplaces
This webinar highlighted outreach and enrollment successes, challenges and best
practices in State-based Marketplace states.

Access the recording

Medicaid and CHIP Outreach & Enrollment
This webinar provided an overview of successes, challenges and best practices
for Medicaid and CHIP outreach and enrollment under the Affordable Care Act.

Access the recording.

O&E For Puerto Rico and US Virgin Islands Hurricane Evacuees
This webinar discussed coverage issues for evacuees in the wake of severe
weather events in Puerto Rico and the U.S. Virgin Islands.  This webinar is
intended for health center focused outreach, enrollment, and enabling services
staff or volunteers. PowerPoint presentations and a recording of the webinar are
now available. NACHC presented this webinar in partnership with UnidosUS.

Access the recording.

Contact Ted Henson, Director, Health Center Growth and Innovation, at (301)
347-0474 for more information.






 * Health Center Operations –
 * Special Interest Topics –
   * Caring for Immigrant Patients –
   * Compassionate Care Services –
   * Complementary and Integrative Health Services –
   * Health Center Employees’ Personal Advocacy Efforts
   * Infectious Disease Programs –
   * Legislative Mandates Restricting Uses of Federal Grant Funds –
   * Website Accessibility for People with Disabilities –
   * Women’s Health Services
 * Emergency Management / Continuity of Operations –
 * Health Center Growth and Development –
 * Health Information Technology (HIT) –
 * Outreach and Enabling Services –
 * Risk Management –
 * Special and Vulnerable Populations –
   * Health Care for the Homeless –
   * Health Care for Residents of Public Housing –
   * Health Care for Migratory and Seasonal Agricultural Workers –
   * Supporting Our Veterans –


RESOURCES

 * Join NACHC
 * COVID-19
 * NACHC Blog
 * Health Center Resource Clearinghouse
 * Find a Health Center

     

About NACHC



About Health Centers



Policy Matters





Clinical Matters



Health Center Operations



Research and Data





Advocacy Center



Trainings



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The National Association of Community Health Centers (NACHC) was founded in 1971
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