Health Policy

Communicating a Complicated Medicaid Waiver Program to Enrollees in Iowa

Askelson, N.M.; Brady, P.J.; Wright, B.; Ryan, G.; Momany, E.; McInroy, B.; Damiano, P.
Jan-01-2020

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.

Citation

Askelson NM, Brady PJ, Wright B, et al. Communicating a Complicated Medicaid Waiver Program to Enrollees in Iowa. 2020;Publish Ahead of Print. doi:10.1097/JAC.0000000000000359.