The Bexar County Community Health Collaborative(BCCHC) implemented The Health Collaborative Pathway to Coverage(THC-PC) Navigator Program August 2021 and is successfully completing Year 2. As of May 2023, we have reached more than 1,000,000 consumers through marketing and promotion activities; provided over 57,000 consumers with 1:1 navigator assistance, assisted more than 4,100 consumers understand their health coverage and use it, 1,900 consumers with QHP enrollment or re-enrollment and 450 consumers with Medicaid/CHIP applications and/or referrals. We have supported a staff of 19-full-time Navigators and 2 part-time Navigators. For Year 3, the program will continue to serve residents in the San Antonio-Bexar County area, home to an estimated 1,990,522 persons, and the surrounding counties. Specifically, the following 6 counties are served: Atascosa, Bexar, Dewitt, Karnes, Uvalde, and Wilson with the request to addBandera, Comal, Frio, Gonzales, Guadalupe, Hays, LiveOak, Maverick, McMullen, Medina, Webb and Zavala counties. The population of the regions, particularly the low-income and uninsured popuation is predominantly Hispanic/Latino with many residents speaking Spanish and/or having limited English proficiency. Approximately 228,000 persons in the proposed areas fall between 139%-400% of the FPL. Additionally, the program taregets uninsured children, pregnant womenm mothers, and young adults. BCCHC will continuye serving the expected increase in inquiries and enrollments due to the end of the Public Health Emergency-Medicaid Unwinding, to help ensure there are fewer gaps in health care coverage in our 18 counties.
BCCHC requests $2,045,182 in Year 3 to serve the following 18 counties in the State of Texas; Atascosa, Bandera, Bexar, Comal, DeWitt, Frio, Gonzales, Guadalupe, Hays, Karnes, LiveOak, Maverick, McMullen, Medina, Uvalde, Webb, Wilson and Zavala.
The # of active Navigator staff to be federally trained and certfied/recertified:
By 10/1/23 and throughout OEP which will end on 1/15/24 will be:
A:Total: 31 Navigators
B:Paid FT 100%: 25 Navigators
C: Paid PT: 0 Navigators
D: Volunteers/Not Paid: 6 Navigators
Post-OE, 1/16/24 to the end of the budget period on 8/26/24:
A:Total: 31 Navigators
B:Paid FT 100%: 25 Navigators
C: Paid PT: 0 Navigators
D: Volunteers/Not Paid: 6 Navigators
In Year 3, BCCHC Navigator Program will continue to deploy our successful outstationed Navigator model used to provide all navigator statutory programs including conducting public education activities to raise awareness about the exchange; facilitating selection of a QHP; providing information in a manner that is culturally and linguistically appropriate to the needs of the populations served by the exchange including individuals with LEP, and ensuring accessibility and usability of navigator tools and functions for individuals with disabilities; The program will continue collaborating with local leaders, community organizations, health departments and providing over the phone and in-person assistance; developing an increased social media presence; reach through TV, radio, phone bank, newspapers and being present at local centers, hospitals, clinics, schools and events. We will continue the referral process from internal programs such as our Grow Health Together Pathways Community HUB, health educators, and housing counselors.
