Communicating a Complicated Medicaid Waiver Program to Enrollees in Iowa: How Federally Qualified Health Centers Support Medicaid Members

Natoshia M. Askelson, Patrick J. Brady, Brad Wright, Grace Ryan, Elizabeth Momany, Brooke McInroy, Peter Damiano

Research output: Contribution to journalArticlepeer-review

Abstract

Iowa expanded Medicaid eligibility with a waiver including a personal responsibility component. Early program evaluation revealed low compliance and awareness among members. There is little research on leveraging existing contact points in the health care system to effectively communicate with Medicaid enrollees. We interviewed outreach and enrollment staff at Federally Qualified Health Centers (FQHCs) to explore their work. We show that FQHCs use several strategies to enroll individuals in appropriate programs and support them in understanding and navigating their health insurance coverage. With increasingly complex Medicaid programs, this support will be more widely needed to prevent hardship and loss of coverage.

Original languageEnglish (US)
Pages (from-to)12-20
Number of pages9
JournalJournal of Ambulatory Care Management
Volume44
Issue number1
DOIs
StatePublished - Jan 2021
Externally publishedYes

Bibliographical note

Funding Information:
This study was funded by the Iowa Department of Human Services as Evaluation of the Iowa Health and Wellness Plan (grant number MED14-036). The work presented in this publication was done pursuant to a contract with the Iowa Department of Human Services, and it does not necessarily reflect the opinions, findings, and conclusions of the department.

Publisher Copyright:
© 2020 Society of Gastroenterology Nurses and Associates.

Keywords

  • evaluation
  • Federally Qualified Health Centers
  • health communication
  • Medicaid expansion

PubMed: MeSH publication types

  • Journal Article
  • Research Support, Non-U.S. Gov't

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