Covering Kids & Families of Indiana Newsletter
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Maintaining Telehealth Gains After the PHE
The Public Health Emergency (PHE) created a historical shift in the delivery of health care, including the use of telehealth services provided to children and adolescents. Medicaid policies enacted at the state level under federal permissions allowed for this widespread use of telehealth. Many state Medicaid agencies now recognize that telehealth has become more accepted by providers and is even sometimes the preferred method for delivery of care. As states look at the future of their telehealth policies, there are opportunities to maintain access to certain pediatric services delivered through telehealth for children and adolescents, including those with special health care needs.
In “Maintaining Telehealth Access to Medicaid-Covered Pediatric Services After the End of the COVID-19 Public Health Emergency,” an issue brief prepared in partnership with the Lucile Packard Foundation for Children’s Health and Manatt Health, provides a brief overview of the pediatric telehealth response to COVID. The issue brief outlines the temporary state policy changes that created improved access to services and also notes opportunities for permanent policy changes that would maintain broad access to pediatric telehealth services under Medicaid after the PHE.
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Medicaid Waiver Address Housing & Nutrition
The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), has approved an amendment to Arkansas' Medicaid section 1115 demonstration that will test innovative interventions to address housing and food insecurity, as well as other critical health-related social needs.
This action follows recently approved section 1115 demonstration initiatives in Arizona, Massachusetts and Oregon, with the amendment to the Arkansas Health and Opportunity for Me (ARHOME) demonstration aiming to drive better health and wellbeing outcomes by providing medically necessary support services for young people, pregnant and postpartum women and those dealing with mental illness and substance use diagnoses.
The demonstration seeks to address health-related social needs among targeted populations through intensive care coordination and other person-centered supports provided by what the state is terming as Life360 HOMEs. The state will work with local hospitals and community partners to advance three types of Life360 HOMEs:
- Supporting individuals with serious mental illness and/or substance use diagnoses who live in rural areas;
- Supporting individuals with high-risk pregnancies up to two years postpartum
- Supporting young adults ages 19 to 24 at high-risk for long-term poverty and poor health outcomes due to prior incarceration, involvement with the foster care system, or involvement with the juvenile justice system, as well as veterans ages 19-30 who are at high risk of homelessness.
To learn more about recent and historical 1115 demonstration waiver approvals, the Kaiser Family Foundation (KFF) keeps an up-to-date tracks of approvals complete with summary information and links to full waiver documentation.
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HIP and Medicare
During the federal public health emergency (PHE), some consumers may have turned down Medicare when they became eligible because they had HIP coverage. In October 2022, the Centers for Medicare & Medicaid Services issued a final rule that will help these consumers when the PHE ends.
A Medicare special enrollment period (SEP) will coordinate with the termination of Medicaid coverage after January 1, 2023, allowing people who missed a Medicare enrollment period to enroll in Medicare after the termination of their Medicaid eligibility. They should be able to choose Medicare coverage going forward or retroactively to the loss of Medicaid coverage. The State Health Insurance Program (SHIP) has counselors that can assist consumers in reviewing their options.
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Marketplace Messaging
Young Invincibles released their Marketplace toolkit in English and Spanish for the 10th annual open enrollment of the federal Marketplace. The toolkit includes information on the top messages to encourage consumers to enroll.
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Affordability - Expanded subsidies are still available. Millions qualify for $0/month health plans.
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Personalized Help - When consumers meet with a navigator, they are nearly twice as likely to complete an enrollment.
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Immigration Status - Signing up for coverage won’t impact immigration status thanks to recent changes to the policy known as “public charge”.
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Deadlines - Open enrollment continues through January 15, 2023, but consumers need to sign up by December 15, 2022, for coverage to start January 1, 2023.
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Medicaid Changes are Coming - It is important to talk to consumers with Medicaid about renewals and what they can do now. They can make sure their contact information is up to date with the state and look for important mail.
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Expired CAC Numbers
Certified Designated Organizations (CDOs) with the federal Marketplace may find if their staff did not complete their Certified Application Counselor (CAC) training by October 31 st that their CAC numbers are expired. To fix this situation, CDOs need to decertify the expired CAC record and add them back to the rooster on the CDO Organizational Maintenance site. For additional assistance, contact CACQuestions@cms.hhs.gov.
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Marketplace Call Center
Similar to previous open enrollments, Marketplace has a designated call center line for Assisters. When calling, you should have your access code (typically your main phone number) ready. Your agency’s main contact should have received an email about this the last week in October. For additional assistance, contact CACQuestions@cms.hhs.gov.
Assister Line for Certified Application Counselors: 1-855-879-2683
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News from the Indiana School Health Network
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ISHN Conference Call for Proposals
The Indiana School Health Network (ISHN) is inviting school health professionals and advocates to submit proposals to present a session at the 2023 Indiana School Health Network Conference on June 14-15, 2023. The conference will be in person and will be held at the Embassy Suites Plainfield Hotel. This year's theme is "School Health: Connecting the Pieces."
All sessions are 60 minutes long, including Q&A and evaluation. Proposals will be selected based on the speaker's knowledge and expertise on the subject. Proposals of interest include but are not limited to the following:
- Policies, practices, or programs that promote cross-sector collaboration
- Managing health & behavioral health conditions that affect educational achievement, especially proposals on chronic diseases, suicide and substance use disorder
- Role of school-based health centers in school health
- Emerging trends in early childhood education and health
- Promising practices advancing diversity, equity, and inclusion
- Neuroscience-based tools to transform challenging childhood behaviors
- Care of children with special health care needs in school
- Best practices addressing ethics and boundaries
- Policies and legislation that advance school health outcomes for all students
- Effective Navigator outreach and enrollment practices for healthcare coverage
- Innovative Whole School, Whole Community, Whole Child (WSCC) Model implementation
Special consideration will be given to proposals focused on alignment and coordination of services and resources, social justice in education, social-emotional learning and social influencers of health and education.
Deadline for submission is January 13, 2023
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Policy Support Needed for Behavioral Health Services
The COVID pandemic has increased attention on student’s behavioral health issues, including trends of increased rates of suicide, anxiety, and depression.
In a recent blog post for the Commonwealth Fund, child behavioral health expert Laura Conrad notes that policy support is needed for schools beyond programmatic funding. Many schools, for instance are not well-versed on navigating the complexities of Medicaid and health care billing. Many schools also counselors and administrative resources necessary to comply with paperwork requirements.
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Holiday Help for Vets
The Indiana Department of Veterans Affairs Military Relief Fund’s Operation Holiday Program assists veterans and their families experiencing financial hardship. Assistance can include $200 per household for a holiday meal and $300 per dependent child. Gross household income must be less than 200% federal poverty limit (FPL). The program runs through December 30th.
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Resources for Navigators and Assisters to Support Enrollment from the Georgetown University Center on Health Insurance Reforms includes information on their Navigator Resource Guide, what’s new for 2023 and FAQs.
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Health in all Policies, sponsored by Health by Design, will explain Health in All Policies concepts, the role of community and government, the policy process, engagement efforts, and examples from Marion County.
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Online & On-Demand Navigator Pre-Certification & Continuing Education Courses
Covering Kids & Families of Indiana invites you to view our online and on-demand Navigator Pre-Certification & Continuing Education Courses. Each course is approved by the Indiana Department of Insurance. The Pre-Certification Course is for those hoping to become a certified Indiana Navigator, and the Continuing Education Course is for current Indiana Navigators. There is no charge for these courses.
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Enrollment Trends
Total Membership increased again in September. With 2,113,659 members, there were 7,607, or 0.36%, more members in September 2022 than in August 2022. September was the eighth month in a row where total membership was over 2 million.
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© 2022 Covering Kids & Families of Indiana | All Rights Reserved
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