Monthly Archives: April 2015

Presentation Slides from “Tips for Submitting Supporting Documents to the Health Insurance Marketplace” Webinar

The March 20, 2015 assister webinar featured an updated presentation on “Tips for Submitting Supporting Documents to the Health Insurance Marketplace.” Consumers may need to submit documentation to the Marketplace to (1) Verify their identity for identity (ID) proofing purposes; or (2) Resolve application inconsistencies. ID proofing is one of the first steps for consumers to set up their online Marketplace account, and it must be completed for

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NEW GUIDANCE on Annual Eligibility Redeterminations and Re-enrollments for Marketplace Coverage for 2016

On April 22, 2015, CMS released guidance on annual eligibility redeterminations and re-enrollments for Marketplace coverage for 2016. This guidance builds on the procedures that were provided in similar guidance for benefit year 2015, as well as the FFM’s experience in implementing that guidance. Like the guidance for benefit year 2015, the procedures described in this year’s guidance ensure that most enrollees do not have to take action to retain

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IRS Tax Tip: Start Planning Now for Next Year’s Taxes

A new IRS Tax Tip highlights the importance of planning ahead for next year’s tax filing process in a variety of ways, including taking action when life changes occur, staying informed, and keeping important records safe. Assisters may find some of these tips useful for talking with consumers about the importance of reporting life changes to the Marketplace. Consumers should report these changes as soon as possible to ensure that their health coverage

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FY15 Announcement of Availability of Funds to Enroll Family Planning Clients into Health Insurance Programs

KEY TAKEAWAY: The Office of Population Affairs (OPA) released a funding opportunity announcement (FOA) to fund existing Title X grantees to initiate or expand enrollment assistance activities and facilitate enrollment of eligible clients into affordable health insurance coverage through the Health Insurance Marketplace, Medicaid, the Children’s Health Insurance Program (CHIP), or other local programs.  On March 17, 2015 the Office of Population

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NEW SEPs Available to Consumers

Individuals may qualify for SEPs outside of Open Enrollment if they experience certain events. We wanted to highlight a couple of the SEPs finalized in the recently published Final Notice of Benefit and Payment Parameters for 2016 (“Payment Notice”). Some information on these SEPs were also included in the April 14th Newsletter, and we wanted to summarize the information below. New or amended SEPs that are available to consumers starting on April

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UPDATE to System Fix Affecting Certain Immigrants Below 100% FPL now allows for a Prospective and Retroactive SEP

KEY TAKEAWAY: CMS has resolved a system issue in which not all applicants who were eligible for APTC based on an income under 100% of the Federal Poverty Level (FPL) and ineligibility for Medicaid due to immigration status received APTC.  Consumers affected by this issue can now change their applications to receive an updated APTC determination. The consumers impacted by this system issue now can qualify for a prospective or retroactive special

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Navigator Funding Opportunity Announcement (FOA) Released

The Department of Health and Human Services (HHS) announced a funding opportunity for organizations and individuals to operate as Navigators in Federally-facilitated Marketplaces (FFMs), including State Partnership Marketplaces (SPMs).  As they did have done over the past two years, and as they are doing now, Navigators will continue to assist consumers in various ways, including providing information about available coverage options through the

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FTCA: New Compliance Requirements Set to Apply to 2016 Deeming Applications

Under PAL 2015-03, HRSA established new expectations for governing board approval of specific policies and procedures. In addition, HRSA established a strict "one time only" policy to correct an incomplete deeming application. These, among other requirements, will apply to CY2016 deeming applications, due to HRSA on or before May 26, 2015. Grantees may submit their deeming application through the HRSA Electronic Handbook (EHB) as early as April 13,

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Supplemental Webinar: Addressing the Healthcare Needs of the Transgender Patient – HHS Health Resources and Services Administration (HRSA)

Thursday, April 30, 2015 | 1:00 pm EDT – 2:00 pm EDT: To register, please click here (registration in advance is required to attend). For more information, please contact Valerie Gallo at 415-437-8095 or vgallo@hrsa.gov. This webinar aims to build competency in addressing the clinical needs of transgender patients in a culturally appropriate manner and will feature promising practices of HRSA grantees in Region IX—some of which specialize in

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NEW CMS Resource! Hospital Compare Star Ratings Based on Patient Satisfaction

Last week, CMS introduced star ratings on Hospital Compare, the agency’s public information website, to make it easier for consumers to choose a hospital and understand the quality of care they deliver. This initiative builds on a larger effort across HHS to build a health care system that delivers better care, spends health care dollars more wisely, and results in healthier people. As assisters, we wanted to share this resource in hopes that you

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