Benefits Checkup

A Service of the National Council on Aging

Helping people with limited means to remain
healthy and improve the quality of their lives...

"One of the most effective ways to increase the number of eligible beneficiaries in needs-based benefits programs is for trusted local organizations to use a one-on-one, person-centered approach."

— Jim Firman, President & CEO National Council on Aging

Submit Your Promising Practice

Thank you for taking time to share your promising practices and strategies. After you submit this form, someone from the Center will contact you for more detailed information and determine whether the promising practice will be posted on the Center’s web site to share with other organizations. If so, we will verify the information with you to ensure you are comfortable with it prior to posting it online.

Select the areas of benefits outreach and enrollment that your promising practice addresses. (please select all that apply)

	Identification of Eligible Population [X] This focuses on the process for finding qualified leads within the target population through activities such as data mining, Census block analysis, culling client lists, working with other agencies to develop lists.
	Outreach and Connection [X] This area focuses on activities related to educating those people that are likely eligible about the benefit(s), persuading them to apply for benefit(s) and establishing a relationship of trust between client and intermediary. This includes: planning and administering outreach efforts recruiting, training and managing volunteers media efforts translation services partnership development and management increasing awareness educating potential eligibles
	Application Assistance [X] This area includes working with beneficiaries to complete and submit actual applications for benefits, including: filling in the blanks on a paper application working with individuals to gather personal information needed to complete the application entering information into an online application following up with clients to see if they actually received the benefit

Who was your target audience? (please select all that apply)

Community-based partner/potential partner organizations	Agencies that administer benefit programs
Benefit counselors/client advocate	Seniors
Family members or caregivers	People with disabilities
Specific cultural and ethnic groups	Media
Other:

Please tell us about your organization:

Type of organization (please select all that apply)

Aging and Disability Resource Center (ADRC)	Area Agency on Aging (AAA)
Disability organization	Legal services organization
State Health Insurance Program (SHIP)	State Unit on Aging (SUA)
Community-based organization	Other:

What type of population does your organization serve? (please select all that apply)

Urban	Rural
Suburban	Low Literacy
Specific cultural and ethnic groups	Low Income
Other:

What did you do?
Tell us briefly what you did

How do you know that your proposed promising practice worked?

We have data that prove it worked
We have anecdotal information that leads us to believe it worked
We are still in the process of verifying that it worked

Personal Contact Information

First Name *

Last Name *

E-mail address *

Organization *

Address

PO Box, Apt, Suite

City

State

Zip

Phone *

Website

(* indicates a required field)

Please add me to the Center's e-mail list

Do you have documents that support your promising practice that others may find helpful? If so, please attach the files here:
Please limit file sizes to 1.5Mb or smaller

File 1:

Add another file

Please type the characters you see in the picture above:
(Please note: the verification is case-sensitive)

Having difficulty completing this form?
Please contact us at centerforbenefits@ncoa.org.

By submitting your Promising Practice to us for review, you are giving us permission to edit and post it to the Center for Benefits Web site if we so choose.
If we do post it to the Center for Benefits Web site please be advised that we will include your contact information. We do not provide contact information to third party marketers without your permission. We share your information with other third parties only in limited circumstances where we believe such sharing is: 1) reasonably necessary to offer the service; 2) legally required, or; 3) permitted by you.