Monthly Archives: June 2015

How to Use Data to Make Decisions & Drive Agency Performance webinar on Tues., June 30 at 2pm CT (1pm MT)

In the new landscape of care, electronic documentation is becoming critical to any agency’s survival, but a common fear of administrators is that the transition required would disrupt service delivery and take time away from clients. This session will demonstrate the contrary by focusing on the best practices of Project Renewal, which is a multi-service organization serving mentally ill and/or addicted adults in New York City, and an Organizational

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Center on Budget and Policy Priorities (CBPP) Guide to Special Enrollment Period Triggers and Timing

Many external organizations have developed tools, tips, materials, or training sessions that assisters can use.  We are sharing those resources through this weekly newsletter and by posting them on Marketplace.cms.gov. If you would like to recommend other helpful resources, please email CACQuestions@cms.hhs.gov.We will be limited to sharing resources that are (1) applicable to assisters facilitating enrollment in the Federally-facilitated Marketplaces

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External Analysis Examines How Gaining Health Coverage Affects People’s Lives

KEY TAKEAWAY: A new analysis from the Kaiser Family Foundation offers insight into the impact that having health insurance has on adults who recently gain coverage. Its results indicate that the newly insured are more likely to have a regular source of care and are less likely to worry about their ability to afford future care than their uninsured counterparts. However, the analysis also indicates that  the newly insured continue to need help 

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NEW Slides from Complex Case Scenario – Preventing Gaps in Health Care Coverage Mini-Series: Transitioning from Employer-Sponsored Coverage to Other Health Coverage Webinar Presentation

The Friday, June 5, 2015 assister webinar included a presentation on transitioning from employer-sponsored coverage to other types of health coverage. The complex cases included in this presentation addressed how to avoid a gap in coverage and reviewed health coverage options available such as COBRA, Marketplace coverage, and Medicaid or CHIP coverage. The presentation went over some of the important details of these coverage options, including the

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NEW Answers to Assister Questions from “An Assister’s Guide to Working with Agents and Brokers” Webinar Presentation

On Friday, April 10, 2015, the assister webinar featured a presentation on how and when assisters can work with and/or inform consumers about the services of agents and brokers. The presentation was based on this CMS tip sheet, which was released last February 2015. The April 14 assister newsletter included a summary of this presentation, along with answers to assisters’ questions addressed during the webinar. Presentation slides from this presentation

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NEW Slides from Complex Case Scenario – Preventing Gaps in Health Care Coverage Mini-Series: Transitioning from Employer-Sponsored Coverage to Other Health Coverage Webinar Presentation

The Friday, June 5, 2015 assister webinar included a presentation on transitioning from employer-sponsored coverage to other types of health coverage. The complex cases included in this presentation addressed how to avoid a gap in coverage and reviewed health coverage options available such as COBRA, Marketplace coverage, and Medicaid or CHIP coverage. The presentation went over some of the important details of these coverage options, including the

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NEW Slides from “2016 Redetermination and Re-enrollment Basics” Webinar Presentation

The Friday, June 5, 2015 assister webinar included a presentation on 2016 redetermination and re-enrollment basics. A summary of this presentation, along with answers to assisters’ questions from this presentation, was included in last week’s assister newsletter. Click here to view slides from the “2016 Redetermination and Reenrollment Basics” presentation; you can also view them here along with other resources on eligibility and enrollment.

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Public Review of Proposed Health Insurance Rate Increases for the 2016 Coverage Year

KEY TAKEAWAY: Earlier this month, CMS publicly posted rate increases for health insurance companies with proposed increases of 10 percent or more for the 2016 coverage year. These proposed increases were submitted by health insurance companies for plans inside and outside the Health Insurance Marketplaces in all states using the HealthCare.gov Marketplace enrollment platform and some State-based Marketplaces. Assisters who are interested can use

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Summary of Benefits and Coverage Final Rule

KEY TAKEAWAY: A new regulation has been issued on the Summary of Benefits and Coverage (SBC) requirements for Health Insurance Issuers. The SBC tool is an easy-to-read summary of health insurance plan benefits and cost-sharing requirements that allows consumers to compare different health insurance plans (See a definition for SBC on HealthCare.gov). This new regulation includes several improvements to the SBC requirements that assisters should be

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Important Change for Health Centers with a Budget Period Start Date of December 1

Starting in Fiscal Year 2016, to ensure that all health centers have sufficient opportunity to prepare and submit their Service Area Competition and Budget Period Progress Report applications, Health Center Program grants will no longer be assigned December 1 budget period start dates.  To facilitate this transition, existing grants with a budget period end date of November 30, 2015 will receive a budget period extension for up to five months. Impacted

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