Grant Partners

Family Health Center of Worcester will focus insurance outreach and enrollment efforts towards refugee, immigrant, and asylee populations through targeted clinics and community events with an emphasis on dispelling misinformation, myths, and fears related to public charge. It will proactively outreach to patients who are newly uninsured as a result of a change in life circumstances and will hold new patient education sessions monthly in languages other than English. Family Health Center of Worcester will also conduct ongoing reviews of information collected from Health Insurance Literacy surveys and provide group learning opportunities for its navigators to identify and address themes and content for staff training. 

Caring Health Center, which serves a community with a high rate of uninsurance, will provide culturally competent insurance enrollment assistance and education to patients, including insurance eligibility, applications, enrollment, policies, subsidies and tax credits, plan selection, and assistance in maintaining coverage. Caring Health Center will increase health insurance literacy through culturally and linguistically appropriate education and community outreach, including to programs serving jobseekers, unemployed persons, students, and community members who need support outside of the health center. It will also implement extensive media and grassroots community outreach campaigns. Through 2021, specific grant plans may be adjusted to meet the current health and safety guidelines to protect the wellbeing of clients, patients, and staff.

Massachusetts Association for Mental Health (MAMH) will focus on expanding the number of mental health professionals participating in MassHealth and commercial insurance, ensuring continued access to telehealth, and working with partners to advise policymakers on comprehensive parity implementation. It will continue to lead the Children’s Mental Health Campaign’s efforts to promote an effective pediatric behavioral health urgent care system. Additionally, MAMH will continue to work with the Community Behavioral Health Promotion and Prevention Commission to promote early intervention and the integration of behavioral health and pediatric primary care, and mental health education in schools to increase awareness, resiliency, and help-seeking behaviors. Additionally, MBMH will continue to support efforts to address disparities in the justice system and ensure that police reform includes meaningful efforts to support people with mental health conditions more effectively.

Boston Health Care for the Homeless Program will bridge gaps in care for homeless immigrant and non-English speaking patients by enhancing and expanding outreach and health insurance enrollment services at key locations, including shelter sites, where it sees a large volume of patients with limited English language proficiency. It will also expand access to enrollment services at its Oasis Clinic, a dedicated clinic that incorporates a variety of services to meet the needs of immigrants and patients with limited English proficiency. At the clinic, it will inform patients about their health coverage, the requirements for retaining benefits, and provide advice for overcoming logistical barriers that homelessness brings in maintaining coverage. It will also include enrollment services on its outreach van in East Boston, which serves primarily immigrant and uninsured patients. Through 2021, specific grant plans may be adjusted to meet the current health and safety guidelines to protect the wellbeing of clients, patients, and staff.

Cambridge Economic Opportunity Committee (CEOC), which serves several communities with high rates of uninsured residents, will work to reduce barriers to obtaining insurance enrollment assistance by co-locating enrollment services where individuals live, or where they receive other services. CEOC will focus on locations where individuals who are more likely to be uninsured may frequent, such as food pantries, homeless shelters, single-room occupancy residences, English as a Second Language programs, cultural organizations, and job and career service programs. It will also bundle insurance enrollment assistance with its other programs, including the food pantry, Supplemental Nutrition Assistance Program (SNAP) enrollment, free tax preparation, as well as housing stabilization services.

The Dimock Center will hire a second community outreach coordinator to expand its reach in communities with high rates of uninsurance, developing relationships with community organizations, and supporting consumers to enroll in and maintain health insurance coverage. It will expand hours at its financial counseling office during the week and increase technological capacity to further aid patients in filing electronic documents. The Dimock Center will expand its efforts to reach specific populations, including seniors who may have additional barriers to enrolling in coverage, and it will continue to participate in community events, including the Latino Family Festival, Boston Public Schools Back to School festivals, and local farmers’ markets.

The Dimock Center, which serves a community with a high rate of uninsurance, will strengthen its capacity to provide health insurance outreach and enrollment services, ensuring that its clients gain knowledge about coverage options as well as how to access and navigate the health care system. The Dimock Center will focus on clients with substance use disorder, specifically those seeking to and who are currently accessing services at its inpatient detox and residential recovery homes. These clients are often disconnected from the health care system, including health insurance coverage, therefore the Dimock Center will enhance its services to ensure that clients interested or participating in these programs are connected with financial counselors to enroll in, maintain coverage. Through 2021, specific grant plans may be adjusted to meet the current health and safety guidelines to protect the wellbeing of clients, patients, and staff.

Brockton Neighborhood Health Center, which serves a community with one of the state’s highest number of uninsured residents, will partner with local organizations to expand its reach to specific populations, including immigrants, recently or chronically unemployed, residents recovering from substance use disorder, probationers and parolees. It will position its certified application counselor in the community five days a week and work with consumers post-enrollment to ensure that they maintain coverage and have access to care.

Cambridge Economic Opportunity Committee will leverage partnerships with local community organizations; staff tables at cultural festivals, community fairs, faith-based organizations, and housing developments; disseminate flyers, door hangers, and utilize social media; provide education on the payment system through the Health Connector; provide post-enrollment assistance by educating about choosing a plan, making appointments, how to read medical bills, and questioning charges; and offer financial coaching in light of addressing premium payments. 

Disability Policy Consortium (DPC) will connect disability advocacy communities across the state and amplify the voices of these groups in conversations with state and federal policymakers. In so doing, DPC seeks to re-frame disability as a social rather than medical condition and to shift the focus within disability-related health care from payment to ethics. DPC will serve as a hub for cross-disability advocacy through community-based participatory action research, their co-leadership of DAAHR, and an expanded social media presence.

The Massachusetts League of Community Health Centers (the League) will serve as a source of accurate and timely information related to health care coverage issues. The League will conduct policy analyses regarding state and federal issues and disseminates their learnings to policymakers, state agencies, member organizations, and other advocacy groups. Additional priorities will include increasing the League’s capacity for grassroots advocacy work and improving health literacy among patients at community health centers.

Health Law Advocates (HLA) will focus on improving health care access for vulnerable populations by providing direct legal services and advocating to state policymakers. Their direct legal service work will inform community outreach efforts, education programs, policy analyses, and legislative proposals. In their advocacy work, HLA will pay particular attention to children with disabilities, immigrants, and transgender individuals, and to issues related to behavioral health care access. Additionally, they will defend MassHealth members against federal Medicaid changes and ensure access to services for ACO-enrolled MassHealth members.

Lowell Community Health Center will institute a “triage” system to improve efficiencies in how patients are provided with enrollment assistance; extend enrollment hours at the health center; provide educational workshops for clinic and agency staff; develop a reminder checklist on the importance of reviewing correspondence from state offices and completing the re-determination form to avoid gaps in coverage; establish a tracking system that enables staff to reach clients with timeline reminders about renewal dates and post-enrollment issues; develop a comprehensive, multilingual patient education flyer with key insurance information; participate in local community health events to promote insurance counseling and enrollment; create a multilingual brochure listing available health insurance options; and offer quarterly onsite educational sessions for providers, front-line staff, and community agencies on health insurance topics.

Massachusetts Immigrant and Refugee Advocacy (MIRA) will work to defend and expand funding and access to health coverage for immigrant and refugee populations in Massachusetts. In addition to advocacy regarding state-level policies, MIRA will work with national partners to expand health access to all immigrants. To this end, MIRA aims to initiate a long-term campaign in partnership with the National Immigration Law Center. They will also work with additional coalition partners to end restrictions to coverage for DACA grantees.

Massachusetts Association for Community Health Workers (MACHW) will focus on professionalizing the community health worker (CHW) workforce by advocating for statewide standardization of practices, the development of a certification process, and the promulgation of a code of ethics. Additionally, MACHW will work to increase CHW participation in medical decision-making and encourage delivery organizations to raise CHWs’ wages. They will also develop metrics capturing the impact of CHWs on social determinants of health, for consideration by MassHealth.