Why Medicaid

In May 2018, the Virginia General Assembly voted to approve Medicaid expansion, providing Medicaid coverage to up to 400,000 adults living in Virginia with income below 138% of the Federal Poverty Level. Medicaid expansion will go into effect on January 1, 2019. CrossOver will continue to serve the uninsured, and beginning January 1, 2019, we will also serve patients enrolled in Medicaid. 

This past year, CrossOver served 5,592 uninsured patients in our medical clinics. We estimate that 30% of our current patients will be eligible for Medicaid. CrossOver has elected to participate in Medicaid because we believe that our patients should have the option to continue receiving compassionate and comprehensive care from a medical home that they know and trust. The decision to serve patients with Medicaid stems from our mission to provide high quality healthcare to people in need and our belief that the newly Medicaid eligible will have difficulty finding a new medical home. 

CrossOver’s decision to participate in Medicaid will not affect our current and ongoing need for volunteers and the financial support of our donors. Medicaid will only account for 6% of CrossOver’s 2019 revenue. This will not cover the cost of providing care to Medicaid patients. We will need the continued financial support of our donors. 

Medicaid expansion has provided us with an opportunity to expand our outreach to Medicaid patients, while continuing to serve the uninsured. We want to thank our volunteers, donors, and stakeholders for expanding their hearts with us, as we expand our outreach to those in need in our local community. 

Medicaid Overview FAQ

What is the mission and impact of CrossOver Healthcare Ministry?
We are called to provide high-quality healthcare, promote wellness, and connect community talents and resources with people in need in the name of Jesus Christ. Last year alone, CrossOver provided comprehensive medical care to 5,592 uninsured clinic patients.

What is Medicaid expansion and when does it go into effect?
In May 2018, the Virginia General Assembly voted to approve Medicaid expansion, providing Medicaid coverage to up to 400,000 adults living in Virginia with income below 138% of the Federal Poverty Level. Medicaid expansion will go into effect on January 1, 2019.

Who will be eligible for Medicaid once Medicaid expansion goes into effect?
Effective January 1, 2019, Virginia residents between the ages of 19 and 64 with income below 138% of the Federal Poverty Level may be eligible for Medicaid. These individuals must not be enrolled in or eligible for Medicare. Under the new guidelines, a single adult making at or below $16,750 annually may be eligible. A parent in a family of three with a household income at or below $28,700 may also qualify.

Why is CrossOver participating in Medicaid?
The decision to serve Medicaid patients, beginning January 1, 2019, stems from our mission to provide high quality healthcare to people in need and our belief that the newly Medicaid eligible will have difficulty finding a new medical home, as there is a shortage of Medicaid providers in Virginia. We believe that our patients should have the option to continue receiving compassionate and comprehensive care from a medical home that they know and trust.

How many of CrossOver’s current patients are Medicaid eligible?
This past year, CrossOver provided comprehensive medical care to 5,592 uninsured clinic patients. We estimate that 30% of our current patients will be eligible for Medicaid, as a result of Medicaid expansion.

Will CrossOver be accepting new patients that are enrolled in Medicaid?
CrossOver will continue to provide care for the uninsured, and for our current patients and their immediate family members who are enrolled in Medicaid. Initially, CrossOver will not be accepting new Medicaid patients. CrossOver will continue to accept new uninsured patients.

Why does having healthcare coverage through Medicaid benefit our patients?
CrossOver will continue to provide care for the uninsured, and for our current patients and their immediate family members who are eligible for, and enroll in, Medicaid. CrossOver will not be accepting new patients that are Medicaid eligible or enrolled. CrossOver will continue to accept new uninsured patients.

How will participating in Medicaid affect our volunteers?
CrossOver’s participation in Medicaid does not mean that our need for dedicated volunteers will decrease – we need our volunteers. Our goal is to ensure the same volunteer experience that volunteers currently have. Volunteers will only provide services to uninsured patients – they will not see Medicaid patients. Medicaid patients will only be seen by CrossOver staff.

How will participating in Medicaid impact our need for funding?
Medicaid will only account for 6% of CrossOver’s 2019 revenue. This will not cover the cost of providing care to Medicaid patients. We will need the continued financial support of our donors. Despite the significant costs that CrossOver will have in changing our business model to serve Medicaid patients, we feel compelled by our mission and values to expand our outreach to provide care for not only the uninsured, but for those enrolled in Medicaid. By participating in Medicaid we can ensure that current CrossOver patients who are Medicaid eligible, and enroll in Medicaid, will have a medical home as there is currently a shortage of Medicaid providers in Virginia.

Did we have to participate in Medicaid?
No, we did not have to participate in Medicaid. We elected to participate to ensure a medical home for the estimated 30% of current CrossOver patients that will be Medicaid eligible.

Did all free clinics in Virginia elect to participate?
No, all free clinics in Virginia will not be participating in Medicaid.

Why are we participating in Medicaid when other free clinics are not?
While changing our business model to participate in Medicaid will be challenging, we believe that we have the infrastructure, expertise, and commitment to be successful. With an estimated 30% of current CrossOver patients being Medicaid eligible, and with a shortage of Medicaid providers in Virginia, we want to ensure that our current patients continue to have a medical home.

Why do we think we can be successful billing Medicaid?
We are fully aware that changing our business model to include participation in Medicaid will be challenging. However, we also believe we have all of the ingredients in place to successfully take on this project. First, we have a strong core of employed clinicians that have been with CrossOver for many years. Our clinicians are experienced and are committed to our mission. Second, we are fully engaged in eClinical Works and have maintained electronic health records for the past four years. We have a strong partnership with the Community Care Network of Virginia (CCNV) which provides us with training and technical support for eClinical. Our participation in Medicaid enhances this partnership with CCNV, which will be providing credentialing and third party billing. Third, CrossOver has many skilled and dedicated volunteers serving on our Board of Directors and our Medicaid Steering Committee. These individuals have the expertise and commitment to ensure that we are successful. Lastly, we have a solid staff team, including our leadership team. Our CEO, Julie Bilodeau, has been with CrossOver for 15 years and holds an MBA from the Darden School of Business. Dr. Mike Murchie, Medical Director, has been with CrossOver for 10 years, providing primary care to our uninsured patients. Zara Morgan, Director of Nursing and Operations, has more than 20 years of nursing experience including experience billing Medicaid. Megan Mann, Director of Resource Development and Communications, has 10 years of experience in fundraising and marketing in the non-profit sector. Our team of experienced and dedicated clinicians, staff, and volunteers, combined with our knowledge and extensive use of eClinical Works, are the ingredients which we believe will enable CrossOver to successfully bill Medicaid.

About Us

At CrossOver Healthcare Ministry, we are called to provide high quality healthcare, promote wellness, and connect community talents and resources with people in need in the name of Jesus Christ. We believe in a healthy, vibrant community where every person is restored by the compassionate, healing love of God. Last year, CrossOver served 5,592 uninsured patients in our medical clinics. Effective January 1, 2019, CrossOver will be expanding its outreach to serve patients enrolled in Medicaid, while continuing to serve the uninsured.

Testimonials

For years, Margaret, age 50, has dealt with the debilitating effects of rheumatoid arthritis. As a CNA at a local nursing home, her job requires her to lift patients and perform other physical tasks. As her arthritis progressed over time, she had to reduce her hours from full-time employment to part-time, losing her health insurance in the process.

As a result of her arthritis, high cholesterol, and diabetes, and lack of health insurance, Margaret often ended up in the emergency room for care and was unable to afford her medications and hospital bills. Luckily, the hospital referred her to CrossOver. Now Margaret has fewer visits to the hospital, as she now sees a primary care doctor, rheumatology specialist, ophthalmologist, and gynecologist, all at CrossOver. Additionally, she receives all ten of her essential life-sustaining medications through CrossOver’s pharmacy program.

Margaret is one of an estimated 2,000 CrossOver patients that will be eligible for Medicaid, as a result of Medicaid expansion, on January 1, 2019. With a lack of Medicaid providers in Virginia, it is important that CrossOver provides care to Medicaid patients so that we can continue being a medical home for Margaret, and so many others.

Margaret

Rheumatoid Arthritis

When Andrew found CrossOver a year ago, his diabetes management was not under control. After years without health insurance he was unable to afford the costly insulin injections needed to manage his diabetes. While receiving primary care, mental health care, and additional services through our social work team, Andrew was referred to CrossOver’s PharmD program. Through the PharmD partnership with VCU Health, Andrew received in-depth education and medication counseling specific to his diabetes from VCU School of Pharmacy residents and students, right here at CrossOver.

As a result of years without insurance and proper diabetes management, Andrew is unable to drive and relies on a bicycle for transportation. Luckily, CrossOver offers all of our services under one roof, allowing Andrew to take care of multiple appointments in one visit. This is a huge relief for him and helps him to keep appointments, which leads to him staying healthier. Beginning January 1, 2019, Andrew will be eligible for Medicaid as a result of Medicaid expansion. It’s important that Andrew remains with his medical home, CrossOver, to ensure that the services he needs are all under one roof.

Andrew

Diabetes

Samir

Gestationl Diabetes

Samir, a 29 year-old mother of three, was forced by war to flee her home in South Sudan several years ago. In a refugee camp and pregnant with her third child, she developed gestational diabetes. After arriving in the United States she had Medicaid for a time, but when her eligibility expired she was unable to afford the medications that she needed to manage her diabetes.

By the time she found CrossOver, Samir’s blood sugar levels were literally off the charts. As a result of her diabetes, Samir is at high risk of complications were she to become pregnant again. CrossOver’s Women’s Health Team was able to provide her with a secure form of birth control, and our PharmD team was able to provide education and medication management to bring her diabetes under control. With the expansion of Medicaid, Samir will be eligible for Medicaid effective January 1, 2019. CrossOver will be participating in Medicaid because we want to ensure that Samir continues to have a medical home. With a lack of Medicaid providers in Virginia, it is vital that Samir have a medical home to turn to for continued management of her diabetes, so that she can focus on staying healthy for her three children.

About Us

At CrossOver Healthcare Ministry, we are called to provide high quality healthcare, promote wellness, and connect community talents and resources with people in need in the name of Jesus Christ. We believe in a healthy, vibrant community where every person is restored by the compassionate, healing love of God. Last year, CrossOver served 5,592 uninsured patients in our medical clinics. Effective January 1, 2019, CrossOver will be expanding its outreach to serve patients enrolled in Medicaid, while continuing to serve the uninsured.

If this is a medical emergency, please call 911 immediately!

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Contact Us

If you are a current CrossOver patient please refer to the above Patient FAQ. Initially CrossOver will not be accepting new patients who are enrolled in Medicaid. If you have additional questions, please call us at (804) 622-0749 or fill out the form below for more information.

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