Urban Indian
Center of Salt
Lake
Mission: Preserve the
Heritage, Enhance the
Well Being and
Strengthen the Future
of the People
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Educating AI/AN clients about the ACA,
health insurance, Medicaid/CHIP, and
exemptions.
Explaining health insurance
Explaining benefits of being covered.
Enrolling AI/AN in Medicaid/CHIP
Enrolling AI/AN in the Federally Facilitated
Marketplace, one person who has been self
employed for 15+ years without health
coverage.
Created list of information to bring to apply
for Medicaid/CHIP and a list for the
Marketplace
Successes
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Marketplace:
www.healthcare.gov
*All information required for each person(s)/tax
household applying
Social security numbers
Employer information: name and address
Proof of income: paystubs, W-2 forms, wage and tax
statements
Info. about any job related health insurance available
Policy number for current health insurance and name
of company
Email account for main person applying
*If applying for exemption provide CIB and Social
Security #’s for each person*
Marketplace Info Sheet
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Medicaid/CHIP: jobs.utah.gov
*All information required for each person(s)/tax household
applying
Social Security numbers
ID: Driver’s license, state ID, or tribal ID
CIB
Bank Accounts: date opened (saving and checking) and
current amount
Date purchased vehicles and license plate numbers
Market value of assets: house, land, rental home, etc…
Employment: Proof of income last 30-60 day pay stubs
Date of hire & date of 1st paycheck
Last day worked & date of last paycheck
Facebook, Yahoo, Gmail, or Utah ID login in and password
*If applying for exemption provide CIB and Social Security
#’s for each person*
Medicaid/CHIP Info Sheet
Traveling to tribal lands regularly
Pow-wows
Setting up weekly at the Native American
Trading Post
 Attending Title VII (Indian Education)
parent meetings
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Successes: Outreach
Utah not expanding Medicaid has been
the biggest barrier.
 Advertisements on TV, radio, billboard,
etc… never talked about the ACA and the
special circumstances for AI/AN.
 AI/AN people don’t know they can still
sign up.
 Clients understanding basic insurance
terms, such as premiums, deductible, copay, co-insurance, and tax subsidies
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Barriers/Challenges
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Want to work with local tribes,
communication is not always the easiest as
often don’t hear back from some tribes
FFM call center employees are not always
helpful
Difficult: how to reach those who are
uninsured but qualify for the FFM
Demographics: most overwhelmed with other
things, survival, pay bills, etc…
Don’t need insurance: can come to UIC or
another I/T/U facility for services
Barriers/Challenges
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Ask questions regarding income and use
Medicaid/CHIP income limits table and Federal
Poverty guidelines table to determine which
programs client will most likely qualify for.
Ask client to make an appointment to come back
and apply on-line with Navigator assistance. Give
client list of items and information to bring to
complete application.
Inform client they will need an active e-mail
address for ACA and either Gmail, Facebook,
Utah ID #, or Yahoo account for Medicaid/CHIP.
Lessons Learned