Monthly Archives: February 2015

Accreditation and PCMH Recognition Initiative Webinar – Thursday, March 5, 2015, 9:30am – 11:00am, CT and 12:30pm – 2:00pm, CT

BPHC is hosting this webinar to discuss PAL 2015-02 “Accreditation and PCMH Recognition Initiative” (outlined in the “What’s New” section of the Digest) and the new notice of intent process. This is an important session for health centers interested in receiving HRSA support in pursuit of national quality recognition. View the webcast the day of the session. Connect to the audio line using 1-888-790-3418; Participant passcode: 9569850.

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Accreditation and Patient Centered Medical Home Recognition Initiative Program Assistance Letter (PAL) 2015-02

BPHC released PAL 2015-02 which describes the Accreditation and Patient Centered Medical Home Recognition Initiative, and outlines the process and requirements for applying for ambulatory health care accreditation and/or patient centered medical home (PCMH) recognition in 2015. View more information on PAL 2015-02.

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HRSA’s 340b Drug Pricing Program Recertification open through March 11, 2015

HRSA requires all 340b covered entities to annually recertify their program information in order to continue participation in the 340b Program. Recertification is open through March 11, 2015. It is critical that health centers recertify before the deadline in order to continue participating in the 340b Program. Recertify your health center's 340b information. View 340b Program resources. Contact the 340b Prime Vendor Program with any questions on

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What Consumers and Assisters Need to Know about Corrected Form 1095-A’s

Consumers who signed up for Marketplace coverage last year should have received a statement in the mail in February from the Marketplace called a Form 1095-A.  Most consumers can also download a copy of their 1095-A through their HealthCare.gov account.  This statement includes important information for consumers to complete and file their tax returns. One piece of information included in the 1095-A is the premium amount for the “second lowest

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CMS SEP Screener Tool

As assisters, you can help consumers seeking to take advantage of the special enrollment period (SEP). CMS launched the 2015 Special Enrollment Period (SEP) Screener Tool on February 16, 2015.  Assisters can use this tool to help consumers determine whether they are eligible for an SEP to enroll in 2015 health insurance coverage through the Marketplace or Medicaid/CHIP. For most people, the last day to enroll in a 2015 Marketplace plan was February

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SEP For Tax Season

Last Friday, February 20, 2015, CMS announced a special enrollment period (SEP) for individuals and families in states which use the Federally-facilitated Marketplaces (FFM) who did not have health coverage in 2014 and are subject to the fee or “shared responsibility payment” when they file their 2014 taxes. This SEP will allow individuals and families who were unaware or didn’t understand the implications of this new requirement to enroll

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By the Numbers: Open Enrollment for Health Insurance Fact Sheet

Since Open Enrollment for the Health Insurance Marketplace began on November 15, 2014, about 11.4 million people have explored their options, learned about the financial assistance available, and signed up for or renewed a health plan that meets their needs and fits their budget. This fact sheet, updated since last week, provides a point-in-time estimate as of February 15, 2015 of the many numbers behind the 2015 Open Enrollment Period.

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Consumers Who Don’t Receive Medicaid Denials Until After Open Enrollment May Be Eligible for a Special Enrollment Period

Like last year, consumers who apply for coverage through the Marketplace or with their state Medicaid agency during Open Enrollment, and are found ineligible for Medicaid or the Children’s Health Insurance Program (CHIP), may be eligible for a special enrollment period (SEP) which will allow them to enroll in coverage on the Marketplace after the Open Enrollment Period has passed. This includes both: Consumers who applied for coverage at the FFM

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Marketplace Updates: Guidance for “In line” consumers

As assisters you may have heard from or worked with consumers who were unable to enroll in coverage through the Federally-facilitated Marketplace (FFM) at the end of the current open enrollment period due to certain circumstances they experienced in the process. Certain circumstances across consumer enrollment channels (such as HealthCare.gov and the Marketplace Call Center) leading up to the February 15, 2015 deadline. These circumstances may have

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Special Enrollment Periods an Resources for the Uninsured webinar on Thurs., Mar. 12 at 12noon CT (11am MT)

Register for the webinar using this link | To Join By Phone Only:1 (562) 247-8321, Access Code: 172-763-629, Pin Number is the # key. The health care law has created special enrollment periods for those who experience special circumstances such as graduating from college and losing health insurance, getting married and needing coverage for a spouse, losing employer insurance or turning 26 and losing coverage on a parent’s health plan. Join this

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