Archive for November 2013

How the Affordable Care Act (ACA) Affects Our Work

How the Affordable Care Act (ACA) Affects Our Work

On October 23, Futures without Violence in San Francisco, CA hosted a webinar titled “What Domestic Violence Advocated Need to Know About How New Health Policy Changes Can Help Survivors of Domestic Violence.” Domestic Violence victims have historically faced health care discrimination and with these new changes of increased screening and counseling, there will be an increased number of patients identified as domestic violence victims. As a result, we should see an increase in the number of individuals needing domestic violence services. Below are highlights from this webinar. To view resources from the webinar, visit Futures without Violence’s website. For additional information, visit healthcare.gov.

  • As part of the ACA (aka Obamacare aka Health Reform) –
    • Beginning 08/2012 – health plans must cover screening and counseling for lifetime exposure to DV and IPV as core women’s preventive health benefit
    • Beginning 01/2014 – insurance companies are prohibited from denying coverage to victims of DV as preexisting condition
    • Home visitation (programs for new moms or moms-to-be to help them with issues) – there are new federal benchmarks for home visitation for DV screening
  • ACA offers Marketplaces (“Exchanges”) as new way to buy private health insurance – Insurance coverage starts 01/01/2014
    • All plans on ACA Marketplace must include these benefits: Ambulatory, Maternity/newborn care, Mental health and substance abuse treatment, Prescription drugs, Preventive and wellness services (this includes IPV services!), Etc.
    • Who is eligible?
      • Live in state served by Marketplace, be a citizen or national of US, not incarcerated
      • Lawfully present immigrants (including individuals who are subject to 5-year immigration bar)
      • Undocumented immigrants cannot get coverage, but they can get coverage for their lawfully present relatives
    • Enrollment Assistance
  • Medicaid 101
    • Implications of state NOT expanding Medicaid (We did not expand Medicaid, so this applies to us in NC)
      • Nearly all children, adults, as well as parents with incomes above current eligibility levels, will be ineligible for Medicaid
      • None of the states NOT expanding Medicaid offer separate Medicaid-comparable coverage for childless adults
      • Adults below 100% FPL but above current state eligibility (median 42% FPL) will not be eligible for federal help to buy private coverage
      • In other words, this population likely remains uninsured in Sates that don’t expand Medicaid
    • Medicaid Benefits
      • Coverage for expansion populations will be offered through Alternative Benefit Packages
        • Medicaid Managed Care
      • Must include Essential Health Benefits package in ABP(including screening for IPV)
      • Important to remember that these are coverage requirement, not new requirements for providers
    • New ACA Benefits for Women
      • Women will have new access to coverage of a range of preventive health screenings, including a package of women’s preventive services
      • This includes screening and brief counseling for IPV
  • Screening and Brief Counseling for DV/IPV
    • What does screening cover?
      • Broadly defined and will vary from plan to plan
      • HHS says that it may consist of a few, brief, open-ended questions
      • Futures can provide examples of screening tools – such as brochure-based assessment – which can be effective
    • What does brief counseling cover?
      • Counseling benefit is not defined and will vary from plan to plan
      • HHS has said that counseling provides basic information, referrals, tools, safety plans, and provider education tools
    • How often can a woman receive the benefit?
      • At least 1 per year
      • No federal restrictions on the number of times a plan will reimburse for screening and counseling
      • Plans will set limits on what they will cover
    • Where does screening/brief counseling take place?
      • Anywhere; no limits on settings where screening can take place
      • Plans will make setting-specific decisions
      • Advocates may have role in reaching out to plans and encouraging a comprehensive response!
  • How might this impact DV/SA programs?
    • Recommendations for more screening/brief counseling could result in:
      • Increased referrals (eventually)
      • Increased training requests
      • New partnerships
      • Unintended consequences (reporting, privacy, poorly trained providers)
      • Reaching more women with prevention and intervention messages
      • May eventually create new funding streams
    • What can you do?
      • Advocates as part of care team:
        • Health Resource Center is developing a memo on examples of reimbursement strategies for providers and advocates
        • Advocates as part of healthcare team

UPCOMING EVENT: An Evening of Story and Song with Lee Smith, Jill McCorkle, Marshall Chapman and Matraca Berg | SOLD OUT!

UPCOMING EVENT: An Evening of Story and Song with Lee Smith, Jill McCorkle, Marshall Chapman and Matraca Berg | SOLD OUT!

TeaWLee header

Tea with Lee is taking to the big stage this year. Please join Compass Center as the Good Ol’ Girls reunite for an exciting Evening of Story and Song with Lee Smith, Jill McCorkle, Marshall Chapman and Matraca Berg on Friday, December 6. Lee Smith will be joined by fellow author Jill McCorkle and Nashville headlining musicians Marshall Chapman and Matraca Berg for an evening of story and song at the Varsity Theater.

Lee, Jill, Marshall and Matraca are the voices behind the popular Good Ol’ Girls musical, adapted and directed by UNC’s own Paul Ferguson, which Creative Loafing referred to as a “Southern classic.” The show will combine great music with fabulous down-home stories, all in support and celebration of women and families in our community. Don’t miss out on this special show, which is sure to be a good ol’ time!

Tickets for this event are sold out!

6 p.m. – Private reception will include appetizers with the artists!

7 p.m. – An Evening of story and song with Lee Smith, Jill McCorkle, Marshall Chapman and Matraca Berg

An Evening of Story and Song is generously supported by Molly Maid, Foster’s Market and Grapevine Distributors.

For information on downtown Chapel Hill parking, click here.

Join Our Email List