3. What is Text4baby?
A free mobile information service
designed to promote maternal and
child health.
An educational program of the National
Healthy Mothers, Healthy Babies
Coalition (HMHB).
A service that provides pregnant
women and new moms with information
to help them care for their health and
give their babies the best possible start
in life.
The largest national mobile health
initiative to date.
4. Donna Cohen Ross
Senior Policy Advisor
Office of the Center Director
Center for Medicaid and CHIP Services
5. The Connecting Kids to Coverage Challenge (2010):
Enroll the 5 million uninsured children who are currently
eligible for Medicaid or CHIP over the next five years
6. Stepping Up to the Challenge
More than 75 organizations have stepped up
www.chip.challenge.gov
Ways community organizations can meet the challenge:
Create opportunities to apply
Provide application assistance
Reach out to groups most likely to experience gaps in
coverage
Focus on retaining eligible children in coverage
Use technology to facilitate enrollment and renewal
12. Connecting Kids to Coverage &
Text4baby
What Your Organization/Agency Can Do
1. Incorporate information about Medicaid/CHIP & text4baby in printed outreach and enrollment materials.
2. Distribute free co-branded tearpads (40 sheets each) that have Medicaid/CHIP contact information and details on
the text4baby service for you to share with clients.
3. Place Insure Kids Now (http://insurekidsnow.gov/spreadtheword.html) and text4baby sign-up buttons
(http://www.text4baby.org/index.php/text4baby-enrollment-button-info) on your website.
4. Collaborate with agencies that have direct contact with new moms.
5. Include links to text4baby enrollment page (http://www.text4baby.org/index.php/sign-up) and Insure Kids Now
(http://www.insurekidsnow.gov/) in online Medicaid/CHIP enrollment forms.
6. Insert an automatic text4baby enrollment feature on Medicaid and CHIP online enrollment forms.
7. Incorporate text4baby enrollment into other online and printed forms like pregnancy risk assessment forms
completed by providers.
8. Feature Medicaid/CHIP & text4baby in newsletters, broadcast emails, and other communications.
9. Plan and host an enrollment drive in your community with the support of partners, elected officials, local
businesses, families, advocates, and local media.
10. Discuss text4baby and Medicaid/CHIP services within the programs/services offered at your facility.
11. Promote Medicaid/CHIP & text4baby through your organization’s social media platforms (Facebook, Twitter, etc.).
12. Get creative and share YOUR strategies for bringing together these two critical programs in supporting the health of
moms and families in your community. Email your dual promotional ideas and examples to info@text4baby.org to
be added to this list and featured in Text4baby Tuesday!
View the document, here:
http://text4baby.org/index.php/miscellaneous/188-2012
13. Donna Cohen Ross
Senior Policy Advisor
Office of the Center Director
Center for Medicaid and CHIP Services
14. Medicaid Enrollment: 3 days following text4baby enrollment
1, 3, or 4;
Private or Free msg: Thank you
1-Has Free msg: That's great! Military for the response. If
Health What type of health your situation
Insurance changes, you can
Insurance insurance do you
have? Reply 1 for always call
Employer/Union; 2- Medicaid/CHIP at 877-
Medicaid/CHIP; 3- 543-7669 or go to
Veterans/Military; 4- www.insurekidsnow.g
Other. ov/state
(1/2) Free msg: Text4baby wants
to share information about Free msg: Great! Don’t
free/low-cost health insurance forget to renew before
for you & your kids. It's called (1/2) Free msg: coverage runs out. Look
Medicaid/CHIP. Medicaid/CHIP pays for for renewal notices in
(2/2) Do you have health pregnancy check-ups & your mail. Have
insurance right now? Reply 1 for delivery. For kids who questions? Call 877-543-
Yes or 2 for No. qualify, it covers check- 7669.
ups, sick visits, medicine,
dentist visits & more.
2 User marked as
Medicaid/CHIP “Medicaid/CHIP
(2/2) You may qualify if recipient”
2-No your family (of 4) income
is below $46,100 (maybe
Health
more). Call 877-543-
Insurance 7669 or go to
www.insurekidsnow.gov
/state for info and to
sign up
User marked as
“Interested in
Medicaid/CHIP”
15. Follow up Message for Follow up for Interested in
Mom’s Interested in Medicaid/CHIP
Medicaid/CHIP On Tuesday in week 50 in
10 days after enrollment new baby protocol
1 (yes) Free msg: Great job keeping Send to users marked as
your family healthy, Mom! “Interested in Medicaid/CHIP”
Send to users marked as You should hear back soon. If or “Medicaid/CHIP recipient”
“Interested in Medicaid/CHIP” you haven’t heard in 30 days,
call 877-543-7669. Free msg: If you have
Medicaid/CHIP, don’t forget to
Free msg: Text4baby check in! Were User marked as renew before coverage runs out.
you able to apply for free/low-cost “Medicaid/CHIP recipient” Look for a renewal notice in the
health insurance called mail. Have questions? Call 877-
Medicaid/CHIP? Reply 1 for Yes or 2 543-7669.
for No. Free msg: Get peace of mind
that your kids are covered.
Call Medicaid/CHIP at 877-
543-7669 or go to
www.insurekidsnow.gov/state
2 (no)
to see if your family qualifies.
16. Outreach and Enrollment Grants
Together, CHIPRA and ACA allocated $140 million for
outreach and enrollment efforts:
$14 million for national activities
$126 million in grants to states, nonprofit CBOs
and providers, AI/AN and others
$90 million awarded to date
Last grant cycle still to be announced
17. Resources on InsureKidsNow.gov
For Consumers
Programs in your state
Find a dental provider
Mobile website
For Professionals
Beneficiary Satisfaction Survey
Outreach strategy guides, Customizable flyers
Outreach Video Library
Technology Fair – Promising Tools
19. Erin Kaleba
Director of Research Initiatives
Alliance of Community Health Centers
20. Alliance and Text4Baby
Alliance of Chicago Community Health Services
• HRSA-funded Health Center Controlled Network
• 32 CHCs
• all on the same EHR
• Alliance, with Illinois
Maternal and Child Health
Coalition, began
Text4Baby in Sept 2010
22. Alliance and Text4Baby
• Alliance created a custom data element field
within the EHR to identify clients interested in
enrolling in Text4Baby.
• Data element field added to updated pre-
natal patient education template in the EHR
in Feb 2011.
• Web link added in 2011
24. Clinical Data Being Tracked
EHR allows for additional data to be collected:
• Text4Baby Enrollment
• Missed appointments
• Smoking status and advised to quit
• Infant birth weight
• Post-partum check-up within six weeks
• Compliance with infant immunization schedule
• HIV tested
26. Erie Family Health Center
Erie Family Health Center
• Serves over 37,500 patients annually
• 12 clinical sites across Chicago
• 84% of Erie’s patients are Hispanic
• 62% are best served in Spanish
• 68% are female
• 46% are under the age of 19
• 34% are uninsured
• 86% come from households with incomes that
fall below the Federal Poverty Line
27. Erie and Text4Baby
• T4B went live March 2011
• Hundreds of women enrolled to date
• Enrolling women is routine part of prenatal
workflow, usually initiated by Prenatal
Educator, reinforced by OB or midwife
• Several Erie providers have signed themselves
up for T4B
28. Erie, Text4Baby, and Medicaid
• Potential for integration, but currently separate processes
Enrollment in Medicaid Reception Staff
Enrollment in Text 4 Baby Health Educator
• We sign up all our pregnant women for Medicaid on the spot
• However, that is at the reception area automatically when they check out
and found out they are pregnant.
• Health Educator explains Medicaid, and also takes all the prenatal hx, med
hx, and starts prenatal education; offers T4B
So they are separate from one another but both always offered to everyone
• Not everyone wants the T4B (eg, ambivalence about pregnancy) but
everyone wants help with the PA card
31. WESTSIDE FAMILY HEALTHCARE:
TEXT4BABY& MEDICAID/CHIP ENROLLMENT
PROCESS
Our We Deliver program is a comprehensive maternal child health program that provides prenatal
patients and new moms with a variety of support services and prenatal classes, including financial
aid assistance to enroll in Medicaid/CHIP, to ensure they have a healthy pregnancy and healthy
baby.
All prenatal patients are case managed by a prenatal nurse from the intake to postpartum
appointment.
Financial Aid Assistants meet with prenatal patients before the first prenatal intake
appointment. During the Financial Aid appointment, the Financial Aid Assistants coordinate
the Medicaid/CHIP enrollment forms for the mom’s labor/delivery and post delivery to assist
with the enrollment in eligible programs.
Text4Baby is also After delivery, new
Before the first prenatal intake Text4Baby reviewed during reviewed at all Text4Baby is moms meet with
appointment, prenatal patients meet nurse intake visit. Nurse Provider, Social discussed at Financial Aid
with the financial aid assistants who directs patient to make an Work, and childbirth, Assistants to ensure
coordinate Medicaid/CHIP appointment with the financial Breastfeeding Peer parenting, and social baby and mom are
enrollment forms aid assistant, if needed Counselor support classes. enrolled in all
Appointments. eligible programs
33. Connecting Kids to Coverage &
Text4baby
What Your Organization/Agency Can Do
1. Incorporate information about Medicaid/CHIP & text4baby in printed outreach and enrollment materials.
2. Distribute free co-branded tearpads (40 sheets each) that have Medicaid/CHIP contact information and details on
the text4baby service for you to share with clients.
3. Place Insure Kids Now (http://insurekidsnow.gov/spreadtheword.html) and text4baby sign-up buttons
(http://www.text4baby.org/index.php/text4baby-enrollment-button-info) on your website.
4. Collaborate with agencies that have direct contact with new moms.
5. Include links to text4baby enrollment page (http://www.text4baby.org/index.php/sign-up) and Insure Kids Now
(http://www.insurekidsnow.gov/) in online Medicaid/CHIP enrollment forms.
6. Insert an automatic text4baby enrollment feature on Medicaid and CHIP online enrollment forms.
7. Incorporate text4baby enrollment into other online and printed forms like pregnancy risk assessment forms
completed by providers.
8. Feature Medicaid/CHIP & text4baby in newsletters, broadcast emails, and other communications.
9. Plan and host an enrollment drive in your community with the support of partners, elected officials, local
businesses, families, advocates, and local media.
10. Discuss text4baby and Medicaid/CHIP services within the programs/services offered at your facility.
11. Promote Medicaid/CHIP & text4baby through your organization’s social media platforms (Facebook, Twitter, etc.).
12. Get creative and share YOUR strategies for bringing together these two critical programs in supporting the health of
moms and families in your community. Email your dual promotional ideas and examples to info@text4baby.org to
be added to this list and featured in Text4baby Tuesday!
View the document, here:
http://text4baby.org/index.php/miscellaneous/188-2012
