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Medicaid Eligibility Boot Camp: Cutting Through the Red Tape of Medicaid

Tennessee Justice Center is hosting our annual two-day virtual training event designed to provide healthcare providers and advocates with the knowledge, insights, and tools they need to successfully navigate the red tape maze of Medicaid.

Early Bird Pricing: $249 per person – Expires October 3rd

Registration Fee: $299 per person  

Understanding the complex nature of TennCare and CoverKids benefits continues to be a challenge for those healthcare providers and advocates looking to better serve their patients and clients. To address these challenges, the Tennessee Justice Center will be hosting a two-day virtual training event designed to provide attendees with the knowledge, insights, and tools they need to successfully navigate the red tape maze of Medicaid. Led by TJC’s knowledgeable legal team, you won’t want to miss this informative course featuring eligibility instruction, discussion groups, and a hands-on practice session designed to help you better understand Tennessee’s ever-shifting policies and practices.   

Register today and become a certified TJC Medicaid Boot Camp graduate! 

Register Here!

For more information or questions about registering for the Medicaid Eligibility Boot Camp, please email lbulls@tnjustice.org or call us at 1-877-608-1009. 

TRAINING AGENDA 

DAY ONE: Tuesday, October 25th

8:30AM – 8:45AM CST : Welcome 

With the public health emergency winding down, many health care professionals and advocates are wondering what is next, especially with many Tennesseans still struggling to access affordable healthcare. As we adjust to the new normal, Tennessee Justice Center remains on the frontline helping Tennesseans access coverage and advocating for change. To kick off our two-day event, Michele Johnson, Executive Director of Tennessee Justice Center, virtually welcomes attendees by sharing a glimpse into the work we are doing to help individuals and families get covered.  

 9:00 AM – 10:00AM CST : Untangling the 3 Medicaid Methodologies 

Almost all Medicaid categories use a combination of factors like the applicant’s age, health, living arrangement, and financial resources to determine eligibility.  To further complicate the process, each eligibility category utilizes one of three methodologies to evaluate these factors. While there are some similarities among the methodologies, there are some distinct and notable differences that advocates need to know. During this session, we will explain each methodology and teach you how to accurately identify members of the household, calculate countable income, and determine the effect, if any, that assets have on eligibility.   

11:00AM – 12:00PM CST : Coverage Pitfalls and Workarounds for Non-Disabled Adults

Not all medical situations are created equal making it even more difficult to determine which Medicaid category adults over 21 best qualify for. During this session, we will outline the myriad of category options available for non-disabled adults and how to navigate the most common obstacles advocates encounter when helping a person apply and enroll in health coverage. 

12:00-12:30 Lunch and Learn: Ask Us Anything! 

1:00PM – 2:00PM CST : Navigating Coverage Challenges for Individuals with Disabilities

During this session learn about the TennCare categories that cover individuals with disabilities focusing on the lesser-known categories for former SSI recipients. This session will also touch on the Katie Beckett waiver program, Employment and Community First (ECF) CHOICES, and the DIDD waiver programs for individuals with intellectual and developmental disabilities. During this session, we will explain each of these programs and share our best practices for enrolling applicants.   

3:00PM – 4:00PM CST : CHOICES: Understanding the Financial Requirements 

Navigating the processes and understanding the nuances of the CHOICES program tends to overwhelm most advocates. In this session, Pam Wright, a certified elder law attorney, will provide an overview of the financial requirements for getting an adult access to long-term care in a nursing facility or his/her own home.  Pam will cover the treatment of resources, creating a Qualified Income Trust (QIT), how the state recovery works, and applying for hardship waivers.  

 

DAY TWO: Wednesday, October 27th 

8:30AM – 8:45AM CST : Welcome Back 

Michele Johnson, Executive Director of the Tennessee Justice Center, welcomes back attendees to the Medicaid Eligibility Boot Camp.    

9:00 AM – 10:00AM CST : CHOICES: Understanding the Medical Requirements 

The start of day two continues with a focus on adults with an overview of the Pre-Admission Evaluation (PAE) process.  Pam will explain how the acuity scale is used to measure assistance with Activities of Daily Living (ADLs) including what constitutes a qualifying score.  She will also explain how a safety determination can be used to qualify for CHOICES when an applicant fails to score high enough on the PAE.   

11:00AM – 12:00PM CST : Coverage Options for Kids & Pregnant Women 

Healthy children are happy children, and ensuring they have access to healthcare from the womb to adulthood is essential. During this session, we will outline the coverage options and common barriers impacting children under 21 and pregnant women. This includes options for children losing coverage due to the annual renewal process also known as redetermination. In addition, we will explain how the TennCare III waiver expanded coverage for children and pregnant women. 

12:00-12:30 Lunch and Learn: Ask Us Anything! 

1:00PM – 2:00PM CST : Are You Ready for Redetermination?

Be prepared!  The public health emergency is ending, and those Tennesseans currently on Medicaid could see their benefits terminated during the renewal process known as redetermination. The impact of this event will undoubtedly produce of wave of uninsured people seeking assistance from healthcare providers and advocates. Understanding the applicable deadlines is key to helping enrollees keep TennCare or CoverKids without a coverage gap.  During this session, we will share tips and resources you can use to successfully ride the wave of redeterminations that is coming soon. 

3:00PM – 4:00PM CST : Let’s Practice! 

During this session, attendees will get the chance to practice what they have learned during the previous sessions.  Using a set of increasingly challenging practice scenarios, we will work together to solve application and enrollment problems that advocates are most likely to encounter in the coming year.