Ohio's Medicaid program made health care available to more people than ever before in 2014, but there's more work to be done. The slides include an update on enrollment and health care access in Ohio, what's next for Ohio's Medicaid program, why personal stories are critical in our efforts to support health care access, and how you can get involved to keep Ohio’s families and communities healthy in the coming months.

1. Health Care Access and
Medicaid in Ohio

2. WILL PETRIK
STATE DIRECTOR
GAIL CLENDENIN
COMM. DIRECTOR

3. a statewide coalition of over 470
organizations working together to promote
health and human service budget and policy
solutions so that all Ohioans live better lives.
Advocates for Ohio’s Future is…

4. Click here to endorse our mission
or
go to www.advocatesforohio.org
Join our coalition to advocate for
strong families and communities.

5. We’re Moving!
On October 10 AOF is moving to:
37 West Broad Street, Suite 1100
Columbus, OH 43215
Although we are moving, our phone number
and email address will remain the same. We
will continue to share office space with the
Public Children Services Association of Ohio
(PCSAO) in our new location.

6. • Help you take action for strong families and
communities in many issue areas
• Inform & Share Resources
• What’s happening at the state level?
AOF’s NEW Monthly Webinar Series

7. Col Owens -
Co-Chair of Advocates
for Ohio’s Future and Senior
Attorney
at Legal Aid of Southwest Ohio
Julie Di Rossi King -
COO of
the Ohio Association of
Community Health Centers

8. MEDICAID EXPANSION 2013
• High AOF priority for
2013 budget
• AOF leadership played
key roles in statewide
coalition work and in
regional coalitions

9. MEDICAID EXPANSION 2013
 Expansion through
Controlling Board
action
 Controlling Board
action sunsets June
30, 2015

10. Health Care Access and
Medicaid in Ohio
Julie DiRossi-King, COO
Ohio Association of Community Health
Centers
October 9, 2014

11. ACCESS – QUALITY - VALUE
Our Missions
10/2/2014
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OACHC
 To ensure access to
high-quality affordable
health care for all
Ohioans through the
growth and
development of Ohio's
Community Health
Centers.
Health Center
 To provide
comprehensive,
culturally competent,
quality primary health
care services to
medically underserved
communities and
vulnerable
populations.

12. ACCESS – QUALITY - VALUE
Ohio Association of Community
Health Centers (OACHC)
Professional trade association representing Ohio’s
Federally Qualified Health Center (FQHC) and Look-
Alike (FQHC LA) networks (commonly referred to as CHCs)
 43 FQHCs and FQHC LAs in Ohio
 Healthcare home and family doctor for more than 550,000
Ohioans annually, representing over 2M patient visits
 Providing high-quality, affordable, primary and preventive health
care and care management services regardless of insurance status
or ability to pay
 Over 205 locations in 55 of Ohio’s 88 counties
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10/2/2014

13. ACCESS – QUALITY - VALUE
Medicaid Extension –
Background Info
 In 2013, approximately 1.5 million
uninsured Ohioans
 Oct. 2013 - under the leadership of
Governor Kasich coupled with actions of the
Controlling Board, Ohio extended Medicaid
eligibility for adults up to 138% FPL ($27,000
for a family of three) effective January 2014
through June 30, 2015
10/2/2014
13

14. ACCESS – QUALITY - VALUE
10/2/2014
14

15. ACCESS – QUALITY - VALUE
Medicaid Extension – Background
(cont’d)
 Dec. 2013 - Benefits.Ohio.gov opened for
enrollment (coverage effective Jan 1 2014)
 In the first six months (through June 30,
2014), more than 592,390 Ohioans were
connected to Medicaid coverage, including
338,707 individuals who were "newly
eligible".
10/3/2014
15

16. ACCESS – QUALITY - VALUE
Medicaid Group 8 Enrollment
*Health Policy Institute of Ohio
www.healthpolicyohio.org
10/3/2014
16

17. ACCESS – QUALITY - VALUE
Ohio Marketplace Enrollment
*Health Policy Institute of Ohio
www.healthpolicyohio.org
10/3/2014
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18. ACCESS – QUALITY - VALUE
Medicaid Presumptive Eligibility
 PE is used by states to provide immediate
access to needed health services while
completing the application process for
coverage in Medicaid and the Children’s
Health Insurance Program (CHIP).
 2014 - Ohio delivered PE functionality to
allow hospitals and FQHCs to enroll all
patients directly into Medicaid
10/2/2014
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19. ACCESS – QUALITY - VALUE
Ohio Enrollment Coalitions
 Ohio Network for Health Coverage and Enrollment (ONCE)
ensures outreach, education and enrollment efforts in
Ohio are coordinated and effective
 ONCE brings together statewide, regional, and local
organizations to foster collaboration and help uninsured
Ohioans understand and enroll in new coverage
opportunities.
 For more information and to join the ONCE network,
please visit www.onceohio.org
 Regional Coalitions for local assisters including Cleveland
Cincinnati Columbus Dayton and more
10/3/2014
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20. ACCESS – QUALITY - VALUE
Snapshot of Ohio’s Consumer
Assistors
 Navigators
 At least 75 in Ohio
 Certified Application Counselors (CACs)
 Approximately 450 in Ohio
 300 providing services at 130 of the 200+ FQHC
sites (providing over 115K consumer assists thru
6.30.14)
 County Department of Job and Family Services
 Ohio’s Managed Care Plans
10/3/2014
20

21. ACCESS – QUALITY - VALUE
Role of FQHC CACs
 CHCs will raise the awareness of affordable insurance
options and provide in-person eligibility and enrollment
assistance to current uninsured patients and the
community by:
Hire new staff
Train existing staff
Conduct in-reach, community outreach and
education
Help consumers understand coverage options
Help consumers determine eligibility
Help consumers enroll in the Marketplace, Medicaid,
or CHIP
 Nationally, CHC assisters accounted for 26% of all
assisters in year 1
10/3/2014
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22. Eligible but not yet Enrolled
 Uninsurance rate for Ohio adults between the ages of 18 and
64 fell from 17 percent last year to 11 percent in May 2014,
leaving 800K Ohioans w/o health coverage
 Hard to Reach Populations – “trusted messengers” needed
for:
 Communities of color
 Ethnic and refugee communities
 Rural communities
 LGBTQ communities
 Veterans
 Homeless
10/9/2014
ACCESS – QUALITY - VALUE
22

23. Common Health Behaviors of Newly-
Enrolled but Long-term Uninsured
 High rates of untreated multiple chronic health
conditions, mental illness, substance abuse, etc.
 Inappropriately use the ER for primary care
(non-emergency needs)
 Uncertain how to navigate the health care
landscape
10/9/2014
ACCESS – QUALITY - VALUE
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24. From Coverage to Care
 Medicaid managed care plans, community
organizations, and FQHCs and other
providers are teaching newly insured to use
healthcare appropriately
 Increase consumer health literacy
 Insurance terminology (deductibles co-pays, renewal,
etc.)
 What’s covered
 How to find a provider
 How to be an active health care consumer
 When to seek emergency care
10/9/2014
ACCESS – QUALITY - VALUE
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25. ACCESS – QUALITY - VALUE
Ohio’s Medicaid Program Moving
Forward
 Expect Gov. Kasich will include funding for
the continuation of the extension of
Medicaid in his SFY 2016-17 budget
 However it is unclear exactly what it will
look like once introduced and as it moves
through both legislative chambers
10/3/2014
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26. ACCESS – QUALITY - VALUE
10/2/2014
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Thank You!
For additional information
please visit the OACHC
website at
www.ohiochc.org
OACHC
4150 Indianola Avenue
Columbus, Ohio 43214
614.884.3101
Julie DiRossi-King
Chief Operating Officer
jdirossi@ohiochc.org

27. Looking Forward to 2015
State Budget
Col Owens

28. 2015 BUDGET: MAINTAIN PRESENT
MEDICAID PROGRAM
• Controlling Board action sunsets June 30,
2015, closure of next budget session
• Controlling Board not a viable option for
re-approval
• Likely 400,000 newly eligible enrollees by
2015
• Hopefully harder to take health care away
from people than not give it to begin with

29. GRASSROOTS WORK WITH
LEGISLATORS
• Regional Coalitions reconvening, educating
grassroots activists regarding new situation
• Need for documentation of successes of
Medicaid in 2014, i.e., development of stories
• Need for regional activists to meet with,
educate legislators on successes and benefits
• Need for maximum media coverage of benefits
of 2014 program

30. GOAL: MAINTAIN, NOT EXPAND,
MEDICAID
• Do not use phrase “Medicaid expansion” in
2015 budget advocacy
• Instead, focus on maintaining the program we
presently have,
– “health care access” or “Medicaid program” as a
whole
• As alternatives to taking Medicaid down, may
be proposals to “reform” it. Examples
– Arkansas model, buy all into insurance
– Indiana model, put all into HSA’s

31. Our Challenge: Share the
Success of Healthcare in Ohio
Will Petrik

32. WHY SHOULD WE USE STORY TELLING FOR
ADVOCACY?
• They put a human face on issues surrounding Medicaid
• Personal stories have a greater impact on lawmakers than
numbers alone
• Help to show that the impact of Medicaid expansion is wide
and deep. The impacts are statewide and affect:
• Individuals
• Communities
• Families
• Businesses

33. WHAT DOES A STORY LOOK LIKE?
• A brief essay
• A short video
• Legislative testimony
• A story in the media
Click here to check out
examples of Medicaid stories.

34. TIPS FOR COLLECTING STORIES:
LISTEN AND ASK GOOD QUESTIONS!
• Before questions - provide details that help readers understand that
not having access to health care could happen to anyone, which will
help the reader relate to the challenges the storyteller faced.
• What was your health situation prior to having
Medicaid/coverage?
• What was your employment prior to having Medicaid/Coverage?
• Were there other causes for not having health coverage or
having insufficient health coverage (i.e. a major life change)?

35. EXAMPLE QUESTIONS CONTINUED
• After questions - provide details about how the storyteller’s situation
changed after gaining Medicaid/coverage.
• Has your health situation changed since having Medicaid/coverage? If
so, how?
• Did your financial situation change after you obtained
Medicaid/coverage?
• What difference has having coverage made in your life?

36. WHO MAKES A
GOOD STORYTELLER?
• Consumers - emphasis on how
coverage has benefitted them
• Employers
• Veterans
• Social Workers
• Primary Care Providers
• Criminal Justice System
• Churches
• Dental/Dentists
• Behavioral Health Providers
• Child Welfare
• Navigators/Certified Application
Counselors/other enrollment
specialists

37.  Akron: Contact Tracy Carter at cartert@summahealth.org, 234-312-5257 or Thomas
Turner at thomas.turner@cantonmercy.org, 330-489-1421
 Cincinnati/Southwest Ohio: Contact Col Owens at cowens@lascinto.org, 513-362-
2841
 Next meeting: October 16 at 10 a.m. at Interact for Health, Rookwood Tower 3805 Edwards
Road, Cincinnati, OH 45209. RSVP to Col Owens.
 Columbus: Cathy Levine at clevine@uhcanohio.org, 614-456-0060 ext. 222
 Next meeting: October 21 at 3 p.m. at the Ohio Hospital Association, in the PNC Building, 155
East Broad Street, Columbus, OH 43215. RSVP to Cathy Levine.
 Dayton: Contact Jessica Mead at jessica.mead@caresource.com or 614-255-4615
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JOIN YOUR LOCAL MEDICAID
ADVOCACY COALITION

38. JOIN YOUR LOCAL MEDICAID
ADVOCACY COALITION
 Northeast Ohio: Contact Loren Anthes at lanthes@metrohealth.org or Marcia
Levine at mw1464@roadrunner.com
 Next meeting: Tomorrow at 9AM. The call-in number is 1-605-475-5950. The passcode
is: 9409397.
 Southeast Ohio: Contact Julie DiRossi-King at jdirossi@ohiochc.org, 614-884-
3101 ext. 226
 Next meeting: October 15, 11 a.m. The call-in number is 1-800-250-2600 followed by code
2204999#. RSVP to Julie DiRossi-King.
 Toledo: Contact Tim Schneider at timothy.schneider@promedica.org, 419-469-
3710 or Barb Petee at barb.petee@promedica.org, 419-469-3894
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39. TAKE ACTION:
ENSURE MEDICAID FUNDING CONTINUES
1. Submit one health care story to OhioSPEAKS by the end of
November
2. Join your regional Medicaid advocacy coalition

40. Q&A
• Unmute using the phone icon on top center of
your computer screen or by pressing *6 on
phone
• Type your question into the chat bar

41. COMING UP NEXT
Webinar on Thursday,
November 13 10-11:00 A.M.
Adult Protective Services: Building a statewide
system that protects older Ohioans
Stay tuned for the release of health care
videos from Advocates for Ohio’s Future

42. Advocates for Ohio’s Future
37 West Broad St., Suite 1100
Columbus, OH 43215
www.advocatesforohio.org
Will Petrik | 614-602-2464
wpetrik@advocatesforohio.org
Gail Clendenin | 614-602-2463
gclendenin@advocatesforohio.org