Soon, there will be new health coverage that offers comprehensive, low-cost, quality, services. Beginning January 1, 2019, this coverage will be available to approximately 400,000 adults, including many people who work in retail, construction, childcare, landscaping, food service and other jobs that don't provide health insurance.
The new coverage will include doctor visits, prescriptions, preventive care, hospital stays, mental health services and more.
Under the new guidelines, a single adult making $16,750 or below annually may be eligible. A parent in a family of three with a household income of $28,700 or below may also qualify. An applicant must be 19 to 64 years old and cannot receive or be eligible for Medicare. Additional criteria apply.
You can find more information about the new coverage for adults at
The website also has a screening tool and Frequently Asked Questions. CoverVA is updated regularly, so check back often for new information.
Meanwhile, spread the word! Feel free to include this article in your newsletter or social media interactions!
How You Can Quickly Identify Your TPC Patients Who Will Be Income Eligible for Medicaid
To help identify patients you currently assist with medications through TPC who may be income eligible for Medicaid when it expands in January, a report called Patient by Income Level can be generated from the Patient Report category. This report displays patients names with the medication request count, Average Wholesale Price (AWP) and Average Retail Price (ARP) of request for patients, grouped by percent of poverty level based on specified date range. The Federal Poverty Level (FPL) ranges include: 0-138%, 139 - 200%, 201 - 300%, 301 - 400% and 401+ (plus). Those in the 0-138% range are income eligible for Medicaid when it expands.
New TPC Enhancements Coming Soon
Development of TPC enhancements is underway and new features and functionalities will be available late summer/early fall. Highlights of some of the new features include: tracking patient enrollment in Medicaid once the expansion is effective, ability to manually set the number of refills remaining on medication requests, ability to multi-select and process reorder messages including call-in reorders all at once, ability to multi-select and process the receipt of medications all at once, ability to track time spent helping patients with other programs, report updates and more! We need your help to test the new features once they are available. Stay tuned to your email for the full list of enhancements and more information about testing!
Trauma and Resilience Webinar Now Available
It is likely that many of the patients you assist have experienced trauma as children and/or adults that can affect their behavior in regular interactions. Interested in deepening your understanding of the impact that trauma and resilience have on your patients? A 5 part on-demand webinar series is now available on VHCF's website! Altogether, it takes about 3 hours to watch. Learn about trauma's impact on the brain, body, and health behaviors and how to address it by building individual and community resilience. The webinar features a recorded live presentation and resources from Dr. Allison Jackson, a national leader in trauma informed care practices. She shares information and insights that benefit viewers at every level of the trauma informed care journey. Learn more about trauma informed care here
National Diabetes Prevention Program
The National Diabetes Prevention Program (National DPP) is a partnership of private and public organizations working to prevent or delay type 2 diabetes. In addition to medications for diabetes, there are hundreds of national lifestyle change programs that could help cut the risk of type 2 diabetes in half. Find out if you, your patients or someone you know is at risk for prediabetes and type 2 diabetes. Take this online quiz or print off a prediabetes screening test.
If you or someone you know are at high risk, talk to a healthcare professional about getting a blood sugar test. If you or someone you know has prediabetes, join a CDC-recognized lifestyle change program. Visit the
Find a Program
section to find a local or online CDC-recognized lifestyle change program that works for you.
Highlights of Important PAP Updates & Resources
Lilly Cares Foundation Patient Assistance Program will discontinue Effient (a Cardiovascular product) availability through the program as of December 2018. Patients currently enrolled in Lilly Cares will continue to receive Effient until their enrollment period expires or the end of 2018, whichever occurs first. As of July 1, 2018, new applications will no longer be accepted for Effient. Effective September 1, 2018, re-enrollment applications will no longer be accepted. All refill requests must be submitted by the prescriber by November 1, 2018 in order to process the request and provide medication before availability is discontinued. Check out the TPC mobile medication app
for alternative options.
Lilly now offers a new eService option that allows a patient application to be submitted online. Applications can also still be printed from TPC with information pre-populated and faxed or mailed. Patient and provider information must be manually entered into the online application. Electronic copies of supporting documentation can be uploaded to the site along with an electronic signature to complete and submit the information. Learn more about the eService
GSK's Patient Assistance Program
Arnuity Ellipta 50mcg
as of July 1, 2018. Arnuity Ellipta is also currently available on the program in 100mcg and 200mcg.
Have you tried GSK's ePAP? This new electronic determination functionality known as ePAP was launched in April. This function determines patient eligibility instantly after online submission, allowing advocates to inform the patient of his/her status while generating and tracking the request through TPC. Provide your feedback about use of the ePAP to TPC staff.
Check out other recent PAP Program Changes in the Research section of TPC