Phase 4: Wave 4: everyone · Step 4.1
Enroll everyone remaining
Year 4, Day 1 · UHADiscuss this step
Every concrete action this step requires, who is responsible, and when it happens relative to enactment.
| # | Action | Owner | When | Trade-off |
|---|---|---|---|---|
| 4.1.1 | Enroll from IRS, SSA, and employer records; presumptive enrollment at point of care for anyone missed. | UHA | Day 1 | Record-based enrollment is efficient but misses people without records. |
| 4.1.2 | Targeted outreach to the hardest to reach: people experiencing homelessness, migrant farmworkers, and people without tax filings, through community health centers and shelters. | UHA / HRSA | Year 4 | Targeted outreach reaches the hardest groups but is costly per person enrolled. |