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AACHC Highlight:
More Arizonans enroll in insurance coverage for 2021

The eighth Open Enrollment (OE8) ended on December 15 with Arizona seeing a small increase in the number of Marketplace enrollments. Total enrolled between November 1 and December 15 was 154,265 compared to 153,020 one year ago. The trend is very significant since Navigator and Marketing budget cuts has caused fewer Arizonans to seek coverage from the Marketplace. Perhaps, concerns about COIVD-19 and the potential costs of long and expensive medical care motivated some consumers to enroll. Or people who lost coverage during the pandemic who did not seek a special enrollment period took advantage of Open Enrollment to regain coverage. It appears that more people enrolled in AHCCCS this year compared to last year’s open enrollment. While AHCCCS is available year around, the number of AHCCCS enrollments usually increase during the annual Affordable Care Act open enrollment. Across all states that use the Federal Marketplace, preliminary total enrollment appears to be about the same as last year.

Arizona’s Navigator program and application counselors enrolled fewer people in Marketplace plans during OE8 than last year. Some returning Marketplace consumers qualified for AHCCCS because of reduced income. Many Marketplace customers chose to automatically renew their coverage and did not seek assistance. While specific data is not available, it is likely that changes to HealthCare.gov may have caused more consumers to use an insurance broker for help. Because of COVID-19, application counselors at Community Health Centers (CHC) had to move from primarily face-to-face appointments to primarily virtual and phone appointments. Sharing required documentation is a barrier for some consumers who lack access to computers and printers. Some CHCs added drop boxes and drive-by drop off options to accommodate consumers’ needs.

Arizona’s ACA Marketplace appears to have stabilized with only small changes to monthly premiums. One additional company, United Health Care, reentered the Marketplace and increased the total number of companies to six. Because some companies added new counties, the number of counties with only one insurance company deceased for 2021 coverage.

Since 2016, Arizona’s uninsured population has grown from 681,000 to 809,000 in 2019, an estimate by the U.S. Census Bureau. These numbers predate the impact of COVID-19, so it is safe to assume the number has grown.

For more information about Open Enrollment in Arizona, please contact:
Allen Gjersvig
Director, Outreach and Enrollment Services
AllenG@aachc.org | (602) 288-7554
 
Key Health Center Guidance
AACHC Annual Needs Assessment for All Health Center Staff:
We welcome all levels of staff to complete our Annual Needs Assessment so we can ensure we are offering training and technical assistance that will be of greatest benefit for you all.

Complete the survey here by January 15th: https://www.surveymonkey.com/r/2BFRBDM (Please complete as much or as little as you are comfortable with; all questions are optional)
Covered Clips:
Click here to read the latest edition of "Covered Clips" with information about Open Enrollment and opportunities for Arizonans to enroll in a health insurance plan. 
AACHC Grants Peer Networking Committee:
AACHC’s next Grants Peer Networking Committee meeting is scheduled for Wednesday, January 27, at 10:00 a.m. Special guests Stacey Easterling (Vice President of Programs) and Emily Mead (Program Officer) from the Virginia G. Piper Charitable Trust will be sharing their perspective on “The impact of COVID on grant making in 2021.” This committee meets quarterly and is a great opportunity for anyone involved with grants to connect with other health center grant writers and grant administrators. If you or someone from your health center would like to join the next meeting, please contact Lindsey Ruivivar at LindseyR@aachc.org.
FY2021 Ending the HIV Epidemic Funding Opportunity for Maricopa County Health Centers

FY 2021 PCHP will support expanding HIV prevention services that decrease the risk of HIV transmission, focusing on supporting access to and use of pre-exposure prophylaxis (PrEP). Health centers with service delivery sites in the geographic locations that did not receive FY 2020 PCHP funding will be eligible to apply. Technical assistance (TA) resources are available on the PCHP TA webpage.

SDOH Resources
Addressing Food Insecurity
FoodFinder is an app and website that ehlps connect those in need to free food resources near them.  It is free, simple, and uses the most comprehensive and up-to-date free food resource data available. FoodFinder.Us

You can also use the Arizona Food Bank Network website to locate a food bank near you: https://azfoodbanks.org/get-food/
Upcoming AACHC Events
Visit the AACHC Events page to view a full calendar of
upcoming events and trainings or to register. 

Tribal Opioid and Substance Use Webinar Series


January 20, 2021
Virtual

Discover Tribal Approaches to Addressing Substance Use in Your Community

The webinar series will:

  • Provide tribal models of substance misuse and abuse prevention.
  • Identify strategies to build capacity for data collection and integration.
  • Provide federal and local efforts in Medically Assisted Treatment Program.
  • Enhance knowledge in prevention and recovery in response to substance misuse. 

Click here for more details and to register. 

The Addicted Brain


January 27, 2021
Virtual

 

In this webinar we will cover the impact of drug addiction on the brain, the healing process that the brain goes through in early recovery, and the ways that behavior is impacted throughout the process.

Click here for more details and to register. 

Member News
NATIVE HEALTH hosted an Indigenous Food Box Distribution where they distributed 300 boxes to families
Photo courtesy of NATIVE HEALTH.
Adelante Healthcare participated in a six-week fitness challenge sponsored by Cigna, with over 280 employees participating and over 500,000 minutes of exercise logged
Photo courtesy of Adelante Healthcare.
Staff from Sun Life Family Health Center show their vaccination cards after receiving their vaccine to help protect them against COVID-19
Photo courtesy of Sun Life Family Health Center.
Staff at Mariposa Community Health Center sponsored over 120 children from 50 families to receive gifts during the holiday season
Photo courtesy of Mariposa Community Health Center.
Educational Opportunities
& Networking Events

Promising Practices for Diabetes Self-Management Education and Support (DSMES) Implementation


January 13
Virtual Event
This webinar offers an introduction to ADCES-DEAP (Diabetes Education Accreditation Program). Whether you are new to Diabetes Self-Management Education and Support (DSMES) or have a program in place, join us to listen directly from experts in the field and health centers currently implementing DSMES services. In this webinar, we will share suggestions to mitigate challenges identified with program implementation, DSMES tools and resources that have been most effective for similar settings and target populations and offer best practices and general strategies for effective DSMES program implementation.

Click here to register. 

Capital Expansion for Health and housing Partnerships Learning Collaborative


January 14
Virtual Event
 
Can expansion of your health center also help address the housing shortage for low-income vulnerable populations in your community? Join the Capital Expansion Health and housing Partnership Learning Collaborative.

Click here to register. 

Social Determinants of Health Learning Collaborative


January 19, February 2, February 16, March 2
Virtual Event
This is a multi-disciplinary Learning Collaborative (LC) designed for staff of community and migrant health centers hosted by: Farmworker Justice, Health Outreach Partners, Migrant Clinicians Network, MHP Salud and National Center for Farmworker Health. The purpose of this LC is to increase the number of health centers that screen for social determinants of health (SDOH) factors affecting migrant and seasonal agricultural workers. Health center staff recommended to participate in this LC include clinical supervisors and coordinators, medical assistants, patient navigators, community health workers, and front office workers.

Click here to learn more and to register. 

Increasing Staff Capacity to Respond to Intimate Partner Violence/Human Trafficking during COVID-19


January 20
Virtual Event
Futures Without Violence’s National Health Network on Intimate Partner Violence and Human Trafficking invites you to a webinar offering a combination of self-care and organizational practice strategies to help prevent provider burnout and bolster staff readiness for implementing CUES (Confidentiality, Universal Education + Empowerment, Support). Speakers will also share information on trauma-informed and healing-centered practices.

Click here to learn more and to register. 

Getting Back on Track After the Impact of COVID-19: HPV Vaccination and Cervical Cancer Screening Guideline Updates 


January 20
Virtual Event
This webinar is designed to provide evidence-based strategies for the updated ACS Recommendations for Cervical Cancer Screening and HPV Vaccinations, to discuss impact of COVID-19 on adolescent immunization, and best practices including resources for getting back on track. Join us for a free CE webinar!

Click here to learn more and to register. 

Managing Hypertension in the Era of COVID-19


January 28
Virtual Event
Attend this essential webinar on the importance of controlling hypertension during COVID 19, designed for physicians in their everyday practices. In collaboration with the American Heart Association (AHA), Health Services Advisory Group (HSAG) is hosting this webinar, featuring Mike Rakotz, MD, FAHA FAAFP, VP of Improving Health Outcomes, American Medical Association. Rakotz’s expertise lies in improving blood pressure control and preventing type 2 diabetes. His role as the AMA’s clinical lead of Target: BP® suits him well in delivering impactful information. This webinar will provide tips on how to help your patients achieve and maintain their blood pressure goals during the pandemic.

Click here to learn more and to register. 

Arizona Rural & Public Health Policy Forum


February 1-2
Virtual Event
Join the Arizona Center for Rural Health (AzCRH) on February 1 and 2 for their annual forum on Rural & Public Health Policy. More details and registration will soon be available at this link

Introduction to Community Health Center Finance (CHC Finance) Training


February 9-10
Virtual Event
This introductory-level seminar is designed to provide CEOs, CFOs, COOs, Controllers, Finance managers and accountants with an orientation to financial management, accounting principles, and terminology unique to health centers as well as an in-depth focus on managing the 330 grant, including the elements of the scope of services, and reporting.

Click here to learn more and to register. 

NACHC Policy and Issues Forum (P&I)


March 15-18
Virtual Event

The Pol­icy & Issues Forum (P&I) is THE largest gath­er­ing of health cen­ter clin­i­cians, exec­u­tive direc­tors, State and Regional Pri­mary Care part­ners, board mem­bers and advo­cates on record.  This event focuses on the lat­est in state and fed­eral gov­ern­ment poli­cies affect­ing Com­mu­nity Health Cen­ters and health care for mil­lions of Amer­i­cans.

Click here to learn more and to register. 

2021 Virtual Forum for Migrant and Community Health


March 22-26, 2021
Virtual Event
For the first time ever, the three Regional Stream Forums hosted by the National Center for Farmworker Health (NCFH), North Carolina Community Health Center Association (NCCHCA), and Northwest Regional Primary Care Association (NWRPCA) are joining together to host a Virtual National Stream Forum. This virtual event will take the place of the 2020-2021 in-person Stream Forum events. 

Stay tuned for more updates and information regarding the
Call for Proposals/Abstracts submissions.
General Information
CDC Vaccine Resources:
CDC’s new vaccine site has resources for clinicians and patients and answers to common questions. This includes a link to the latest Advisory Committee on Immunization Practices recommendations. The information on the site helps set expectations about how the entire COVID-19 vaccination process will work. We encourage you to check it out and consider bookmarking so you can quickly get the latest information.

One resource available through the site is the
COVID-19 Vaccination Communication Toolkit, which health centers and clinicians can use to build confidence about COVID-19 vaccination among your health care teams and other staff.

If you missed CDC’s call about vaccine safety (Monday, December 14) or other recent calls/webinars,
see the recordings.
HHS Releases First National Strategic Plan to Address Sexually Transmitted Infections: 
HHS has released the first-ever national plan to address the public health crisis caused by alarming increases in rates of sexually transmitted infections (STIs) in the United States over the past six years. The STI National Strategic Plan 2021-2025 sets national goals, objectives, and strategies to respond to the STI epidemic. The plan will serve as a roadmap to help federal and non-federal stakeholders at all levels and in all sectors reverse the sharp upward trends in STI rates.
CDC Resources for Limited-English Proficient Populations:
Two recent CDC resources provide information that may be of interest for organizations serving populations with limited English proficiency, including migratory and seasonal agriculture workers (MSAWs).

CDC Report Highlights Health Center Efforts:
Authors from CDC and HRSA used data from the weekly health center COVID-19 survey in two articles recently published in CDC’s Morbidity and Mortality Weekly Report (MMWR):
  • Telehealth Practice among Health Centers during the COVID-19 Pandemic: This article describes health center telehealth service use over a one-week time period in July. Study results showed that almost all health centers that reported to the survey delivered at least some visits by telehealth. Findings underscore the importance of telehealth as a promising modality for expanding access and care delivery, while opportunities remain for further adoption.
  • Health Center Testing for SARS-CoV-2 during the COVID-19 Pandemic: The authors review SARS-CoV-2 testing figures and positive test results (PCR or antigen) by race, ethnicity, and state of residence. Study results highlight health centers as important access points for SARS-CoV-2 testing and suggest that health center efforts can reduce transmission of COVID-19 among racial and ethnic minority populations.
Learn more about the weekly health center COVID-19 survey or interact with dashboards about health center operational capacity data impacted by COVID-19 and current testing data broken down by race and ethnicity.
New HRSA Challenge Competition to Address Declining Vaccination Coverage and Well-Child Visits:
HRSA and MCHB officially launched the
Promoting Pediatric Primary Prevention (P4) Challenge competition this week to respond to declining rates of childhood vaccination coverage and well-child visits due to COVID-19. This challenge will award $1 million in prizes for innovative approaches to increase access to and use of well-child visits and/or immunization services within primary care settings. Partnerships with state and local organizations are encouraged, and submissions must include a primary care provider who delivers health services to children. We expect to select up to 50 Phase 1 winners and up to 20 Phase 2 winners. The submission period will open in January.
Implementing Opt-Out HIV Screening in Your Health Center:
In order to further Ending the HIV Epidemic, HRSA is focused on increasing the number of new and existing patients tested for HIV in highly impacted areas by expanding outreach within their communities and increasing routine and risk-based HIV testing of health center patients. A CDC-recommended strategy for increasing routine HIV testing it to implement opt-out HIV screening. This means informing patients that they will receive an HIV test as part of routine care, unless they choose to opt-out, decline, or defer testing. Implementing this often requires EHR and workflow changes, but also pays dividends in increased identification of people living with HIV, reducing community transmission, and increased performance on clinical quality measures.
Click here to read the post for more information. 
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