Monthly Archives: May 2015

Unresolved Income Data Matching Issues

Q: Are there certain situations where a consumer with an expired income data matching issue would have their APTC reverted to $0? A: Yes, a consumer with an income data matching issue could have his or her APTC and cost sharing reductions revert to $0 if he or she did not provide a Social Security Number (SSN) for every member of the household, or if the IRS does not have data on file for everyone in the enrollment group. Additionally, if the income

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Best Practices for Submitting Documents to the Marketplace

Q: If a consumer includes the barcode when they submit their documents do they also need to include their name and app ID on each document? A: If a consumer chooses to mail in documents, we have previously shared that he or she should be sure to include the page from the eligibility notice or the warning notice from the Marketplace which includes a barcode unique to his or her application OR if the consumer does not have the barcode, he or she can

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MARKETPLACE UPDATE: Special Enrollment Period (SEP) For Immigrants with Incomes Below 100% FPL is time limited

KEY TAKEAWAY: As CMS shared in the March 28 and April 28, 2015 Assister newsletters, consumers who did not receive advanced payments of the premium tax credit (APTC) due to the systems issue affecting immigrants with incomes below 100% of the Federal Poverty Level (FPL) can now change their applications to receive an updated APTC determination and qualify for a prospective or retroactive special enrollment period (SEP). This clarification is to inform

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Plan events early in order to invite Congresspeople who recess in August

Congresspeople are in recess during the month of August, but usually use that time to connect with people and events in their districts.  Since they plan their travels during recess several weeks ahead of time, be sure to plan your event, contact Robbie Adams, HCAN Communications Manager about it at radams@hcanebraska.org and add it to the calendar of national events at http://www.healthcenterweek.com/submit-your-event.cfm .

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ECDHD/Good Neighbor awarded $200K in Rural Health Grant funding from the Federal Office of Rural Health Policy

The Federal Office of Rural Health Policy (FORHP) is pleased to announce the 60 new awardees for the 2015 Rural Health Care Services Outreach (Outreach) grant program. Each grantee will receive up to $200,000 a year to implement three-year projects, which will help create innovative solutions to benefit the community and address its needs. These grantees will be working with a consortium of local health care providers to expand and enhance the rural

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Facing Challenges and Opportunities in Asthma Control webinar on Wed., May 20 at 11am CT (10am MT)

When: Wednesday, May 20, 2015, 12:00pm ET Register at: http://bit.ly/1GKKbiS Presented by: Zalika Shani, Vatsala Ramprasad MD, Crozer-Keystone Health System; Rachael Greenberg, National Nursing Centers Consortium Content: May is National Asthma Awareness Month and the National Nursing Centers Consortium, Community Health Partners for Sustainability, and their partners are holding a webinar to support primary care providers concerning: Pediatric asthma

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National Survey: Consumer satisfaction with Marketplace Enrollment Process Improves during the Second Year of Open Enrollment

KEY TAKEAWAY: Consumers who bought coverage through the Marketplace are just as satisfied as those with other types of insurance, according to a new national survey. Additionally, consumers’ satisfaction with the enrollment process has increased since the first year of Open Enrollment! A new survey of more than 3,000 healthcare consumers conducted by consumer research firm J.D. Power offers the first comprehensive look at efforts to improve the

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Special Enrollment Period (SEP) for Victims and Survivors of Domestic Violence or Spousal Abandonment

Key Takeaway: As of April 29, 2015, an SEP is once again available to eligible consumers who are survivors or victims of domestic violence or spousal abandonment so that they may enroll in a QHP through the Marketplace with advanced payments of the premium tax credit (APTC) and cost-sharing reductions (CSRs), if eligible. This SEP is now available through the Marketplace Call Center. As an assister, you may be in a position to help a survivor of

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Special Enrollment Periods for Consumers who Move

Language on HealthCare.gov has been updated to address assister questions about what triggers the “permanent move” special enrollment period (SEP).  This SEP is triggered when consumers gain access to a new qualified health plan (QHP) as a result of a permanent move, even if they remain in their current plan service area. Therefore, even if the consumer is still in his or her current plan coverage area after his or her permanent move, he or

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