Bridging the Gap Training Series, Winter 2011 Hillary Lazar, Program Director, NHSA

1. Bridging the Gap Training Series, Winter 2011 Hillary Lazar, Program Director, NHSA Healthy Families, Healthy Communities From Help with Groceries to Free Health Care

2. Understanding the Basics: What Health-related Benefits Are and Why They Matter

3. Understanding the Basics – What Health Benefits Are Examples of Nutrition and Medical (Health/Wellness) Benefits: • Supplemental Nutrition Assistance Program • (SNAP – formerly Food Stamps) • Women, Infants, Children Program (WIC) • Children’s Health Insurance Program (CHIP) • Medicaid

4. Understanding the Basics – Why Health Benefits Matter Now Did you know? 1 in 4

5. Understanding the Basics – Why Health Benefits Matter People in America worry about not being able to afford groceries

6. Understanding the Basics – Why Health Benefits Matter Did you know? 1 in 7

7. Understanding the Basics – Why Health Benefits Matter Or 48+ million Americans are receiving SNAP Benefits . . . and 1 in 6 are eligible

8. Understanding the Basics – Why Health Benefits Matter Did you know? 124

9. Understanding the Basics – Why Health Benefits Matter Average monthly amount a SNAP Beneficiary receives

10. Understanding the Basics – Why Health Benefits Matter Did you know? 34 :131

11. Understanding the Basics – Why Health Benefits Matter Percentage increase in employee wages vs. increase in insurance premiums since 1999

12. Understanding the Basics – Why Health Benefits Matter Did you know? 56,000,000

13. Understanding the Basics – Why Health Benefits Matter The number of people in America covered by Medicaid

14. Understanding the Basics – Why Health Benefits Matter Workplace Success: • Decreased absenteeism • Increased retention • Greater employee commitment • Higher-levels of productivity 

15. Understanding the Basics – How Wellness Benefits Help Routine illness = 29% of Absenteeism A two year study showed a major company reduced their absenteeism rate by 15%. They also cut their hospital costs by 34% after three years. In a four year study of a major company, sick leave was reduced 19%. Turnover rate for wellness program participants for one organization was 1.8%, compared to the company-wide average of 18%. Studies of 29 of 30 worksite health promotion and disease prevention programs proved to be cost effective.

16. Understanding the Basics – Why Health Benefits Matter It’s good for the economy.

17. U.S. Nutrition Benefits 101

18. Nutrition Benefits 101 - 3+ Programs to Know • SNAP/Food Stamps • - Emergency/Disaster SNAP • 2. WIC • - Commodity Supplemental Food • - Farmer’s Market Nutrition • 3. School Food Program • - Child and Adult Care Food

19. Nutrition Benefits 101 - Supplemental Nutrition Assistance Program What it is: Who it benefits: Formerly Food Stamps – Pays for groceries w/Electronic Benefit Transfer Card (EBT) Low-income families and individuals

20. Nutrition Benefits 101 - Supplemental Nutrition Assistance Program Eligibility:

21. Earned Benefits 101 - Supplemental Nutrition Assistance Program Eligibility: • A household w/a person who is 60 or older or disabled, only needs to meet the net income limit. • Certain deductions are allowed. • Lawful Permanent Residents, Children regardless of D/O/E

22. Nutrition Benefits 101 - Supplemental Nutrition Assistance Program • Items that can be purchased with SNAP benefits: • Food/food products • Vegetable seeds and food-producing plants • Baby formula, diabetic, and diet foods • Spices and food preservatives • Water and ice • Snack foods

23. Nutrition Benefits 101 - Supplemental Nutrition Assistance Program How to Claim it: • For more information, please visit: http://www.fns.usda.gov/snap/ • SNAP toll-free number: 1-800-221-5689

24. Nutrition Benefits 101 - Disaster/Expedited SNAP What it is: Who it benefits: How to claim it: SNAP benefits are processed more quickly or cover food lost in disaster Beneficiaries w/ income & resources less than rent, mortgage and utilities For more information, please visit: http://www.fns.usda.gov/snap/

25. Earned Benefits 101 - Women, Infants, and Children Program What it is: Who it benefits: Vouchers for food and nutrition-related health services Low-income mothers w/kids under 5

26. Nutrition Benefits 101 - Women, Infants, and Children Program Eligibility:

27. Nutrition Benefits 101 - Women, Infants, and Children Program Eligibility: • A pregnant woman of any age • An infant or child up to five years of age • A mother of a baby that is up to six • months of age ORbreastfeeding up to 1 year • A resident of the U.S. • At nutritional risk • * Not required to be a U.S. citizen

28. Nutrition Benefits 101 - Women, Infants, and Children Program • WIC Foods and Services: • Milk • Juice • Eggs • Cereal • Infant formula • Other healthy foods • Nutrition education • Referrals to other resources and services

29. Nutrition Benefits 101 - Women, Infants, and Children Program How to Claim it: • To find a toll-free number for your state, please visit: • http://www.fns.usda.gov/wic/Contacts/tollfreenumbers.htm

30. Nutrition Benefits 101 - Commodity Supplemental Food Program What it is: Who it benefits: How to claim it: Free nutritious meals, nutrition education and referrals Seniors (over 60) and women not eligible for WIC Contact a distribution site

31. Nutrition Benefits 101 - Farmers' Market Nutrition Program What it is: Who it benefits: How to claim it: Checks for fresh, local foods at famers’ markets Women and children in the WIC program and seniors in the CSFP http://www.fns.usda.gov/wic/fmnp/FMNPfaqs.htm

32. Nutrition Benefits 101 – National School Food Program What it is: Who it benefits: • Nutritious meals to children in Public Schools • The National School Lunch Program (NSLP) • School Breakfast Program (SBP) • Summer Food Service Program (SFSP) Low and moderate-income kids

33. Nutrition Benefits 101 - National School Food Program Eligibility: - Categorical (Eg. Foster Care, TANF recipient) - Income-based (130% FPL – Free; 185% FPL – Reduced) *U.S. Citizenship or Proof of Residency is not required

34. Nutrition Benefits 101 - National School Food Program Breakfast and School Lunch Program Benefits: How to claim it: • Swipe cards, prepaid meals, or cash • Breakfast consists of 4 food items: milk, grain, protein and vegetable/fruit/juice • Lunch consists of five items: milk, protein, grain, and • vegetable/fruit (2) Forms given to kids in school

35. Nutrition Benefits 101 - National School Food Program Summer Food Service Program: How to claim it: All kids under 19 are eligible http://www.fns.usda.gov/fns/services.htm Or call 703-305-2052

36. Nutrition Benefits 101 - Child and Adult Care Food Program What it is: Who it benefits: How to claim it: Healthy foods at adult and child care centers Low-income children, adults, and their caregivers Ask at center for details

37. Nutrition Benefits 101 - What’s needed for enrollment • Proof of identity • Proof of address • Social Security numbers or Individual Tax Identification Numbers (ITIN) • Proof of the amount of all earned and unearned income before taxes or deductions • Household composition • Proof of housing and utility costs • Proof of immigration status for non-citizens (for some • programs) • Proof of child support and child care payments • Proof of out-of-pocket medical expenses if you are age • 60 or older or receive federal disability benefits

38. Medical Benefits 101

39. Medical Benefits 101 - 3 Programs to Know • Medicaid • CHIP • Medicare

40. Medical Benefits 101 - Medicaid What it is: Who it benefits: Low and no-cost health insurance Uninsured low-income individuals and families

41. Medical Benefits 101 - Medicaid General Eligibility:

42. Medical Benefits 101 - Medicaid Eligibility for pregnant women and children:

43. Medical Benefits 101 - Medicaid Medicaid Benefits: • Treatment and preventive health • and dental care • • Hospital inpatient and outpatient • services, clinic services • • Laboratory and X-ray services • • Nursing home and home health • care • • Mental health facilities • • Family planning services • Prenatal care • Early periodic screening, diagnosis, and treatment for children under 21 • Medicine, supplies, and medical equipment • Medical transportation • Some insurance and Medicare premiums • Other health services

44. Medical Benefits 101 - Medicaid How it works: Benefit Card and Managed Care Program – Health Maintenance Organization, clinic, etc. How to claim it: Please visit: http://www.cms.gov/ContactCMS/

45. Medical Benefits 101 - CHIP What it is: Who it benefits: Federal Children’s Health Insurance Program administered by each state – Low and no-cost health care Children up to 19 who don’t qualify for Medicaid

46. Medical Benefits 101 - CHIP Eligibility:

47. Medical Benefits 101 - CHIP Eligibility:

48. Medical Benefits 101 - CHIP Eligibility: • Under the age of 19 • United States resident • Currently uninsured *Some children who were covered by employer-based health insurance within the past six months may be subject to a waiting period

49. Medical Benefits 101 - CHIP CHIP Benefits: • Well-child care and physical exams • Immunizations • Diagnosis and treatment of illness and injury • X-ray and lab tests • Outpatient surgery and inpatient hospital medical or surgical care • Emergency care • Medication • Short-term therapeutic • outpatient services • Some inpatient and • outpatient treatment for • alcoholism, substance • abuse, and mental health • Dental and vision care and • speech/hearing • Durable medical equipment • Emergency transportation • and hospice

50. Medical Benefits 101 - Child Health Plus How it works: How to claim it: Care from a list of local providers (single doctor, group practice or community health center.) Please visit: http://www.insurekidsnow.gov/contact/index.html Or call 1-877-543-7669