Ryan White Affordable Care Enrollment (ACE) Technical Assistance (TA) Center

Dates: 2013-2016

Geographic Scope: Nationwide

Client(s): HRSA - HAB

Services: Health Communication, Training & Technical Assistance

Technical Expertise: Health Care Reform, HIV & Infectious Diseases, Health Disparities

Website: https://careacttarget.org/ace

The Affordable Care Enrollment Technical Assistance (ACE TA) Center is a cooperative agreement between JSI and the Health Resources and Services Administration, HIV/AIDS Bureau. The project is funded by the Secretary of Health and Human Services’ Minority AIDS Initiative.

The goal of the ACE TA Center is to help Ryan White HIV/AIDS Program (RWHAP) grantees and providers enroll diverse clients, especially people of color, in health coverage.

Under the Affordable Care Act, many RWHAP clients are now eligible for new health coverage options, including Medicaid and Marketplace plans. The ACE TA Center provides practical tools and resources for providers to use in helping clients enroll in health coverage, use their benefits, and maintain their coverage Our technical assistance and training is responsive to grantee and provider needs and informed by culturally competent best practices.

Activities to Date
JSI conducted an initial needs assessment in 2013 to inform the ACE TA Center’s national training and technical assistance (TA) strategy. We are currently conducting a follow-up assessment to refine our strategy. JSI also conducted a national scan to identify best practices for health insurance outreach and enrollment.

Since July 2014, the ACE TA Center has delivered 10 training webinars and developed almost 20 web-based tools and resources are available via the HRSA TARGET Center website (targethiv.org/ace).

ACE TA Center webinars and resources focus on a range of topics, including but not limited to:

  • Engaging clients in culturally competent conversations about enrollment
  • Helping clients choose a health plan
  • Enrollment resources for states that have not expanded Medicaid
  • Financial help for marketplace insurance, including tax credits and cost sharing
  • Plan renewals and re-enrollment
  • Access to health coverage for immigrants living with HIV
  • Helping clients use and maintain their new coverage
The ACE TA Center also builds enrollment capacity at the organizational level, including development of an outreach and enrollment self-assessment and an enrollment metrics toolkit, as well as tools to support navigators and other enrollment assisters who do not have experience enrolling people living with HIV (PLWH).

JSI is also implementing a targeted strategy to deliver training and TA to selected states and local jurisdictions where RWHAP grantees serving PLWH of color are in need of more intensive TA/T and tailored enrollment resources. In 2015, JSI selected two Part A programs, and conducted site visits and focus groups with clients and providers in both jurisdictions to assess the needs of each site. JSI is currently developing tailored training and TA resources for each location in multiple languages based on this formative assessment, and plans to scale up targeted TA activities for year three.


Related Resource