Health Care Connection

1. Health Care Connection Health Care Commission meeting June 2, 2016

2. Background • In 2012, The Community Health Access Program (CHAP) was administratively transferred from the Health Care Commission to the Division of Public Health. • This move saved the Department of Health and Social Services approximately $400,000 per year in administrative costs. • CHAP was integrated into the Screening for Life Program due to the overlap in the number of participants in each program. In addition, program criteria for enrollment was very similar. • Relies on the VIP at the Medical Society of Delaware to recruit and retain health care providers who will see patients at discounted rates.

3. CHAP = HCC • In 2015, CHAP officially became Health Care Connection. • The name change was spurred by the movement to encourage people to obtain healthcare coverage through the Health Insurance Marketplace. • The intent of the name change was to begin to have residents see that the “old” CHAP no longer existed.

4. Mission • The Health Care Connection (HCC) ensures access by individuals who are uninsured to primary care doctors, medical specialists, health promotion and disease prevention services and help with access to other health resources—including prescription programs, and laboratory and radiology services. HCC program staff are available to assist individuals with establishing a health care home, scheduling appointments, and removing barriers to obtaining healthcare and health promotion services.

5. HCC • The Health Care Connection program maintains much of the CHAP program with a few exceptions: • Changes: • Requires non-US Citizens to complete a self-attestation form indicating they are not eligible to obtain health care coverage from the Health Insurance Marketplace. • Requires non-US Citizens to provide a copy of a current or expired VISA or a letter indicating they do not have a VISA to ensure they cannot be routed to Medicaid or the Health Insurance Marketplace. • US Citizens must apply for Medicaid (if below 138% of FPL) or the Health Insurance Marketplace and demonstrate denial or exemption before being potentially eligible for HCC.

6. HCC • HCC program (cont’d) • Things that are the same • Income <200% FPL • Resident of Delaware • Uninsured

7. Health Promotion Advocates • In the past, CHAP Coordinators primarily performed financial screening at health care facilities for potential CHAP clients. • Today, the staff are called Health Promotion Advocates (HPAs) and their work aligns with the SIM work focusing on broader care coordination and health promotion services and not just on financial screening. • The HPAs provide information on healthy lifestyles, refer people to various health programs such as the DE Quitline, Diabetes Prevention Program, Diabetes Self Management Programs, Screening for Life, etc.

8. CHAP vs. HCC • Programs by the numbers: • September 2013 • CHAP = 11,609 enrolled • September 2014 • CHAP = 7,106 enrolled • September 2015 • HCC = 3,116 enrolled • April 30, 2016 • HCC = 2,170 enrolled

9. MSD/VIP • To date in Fiscal Year 16 (July – March), MSD/VIP by the numbers: • 570 health care providers participating in VIP • 293 New Castle County • 112 Kent County • 165 Sussex County • 341 HCC clients were referred to specialty care • 203 clients were connected with a primary care provider (other enrollees already had a medical home) • Clients were assisted with filling 1568 prescriptions