Monthly Archives: January 2016

NEW ASSISTER STANDARD OPERATING PROCEDURES RELEASED

As you know, CMS, other federal agencies, and non-federal organizations have produced a number of resources to help you in your role as assisters. CMS has just released a new resource for assisters, The Assister’s Standard Operating Procedures Manual, to serve as an instructional guide for assisters. The Assister’s Standard Operating Procedures Manual is the latest “tool” CMS is releasing in the Assister’s Toolkit. The Assister’s Toolkit

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Marketplace Call Center vs. the IRS – Where to Refer Consumers with Tax-Related Questions

This chart below provides a reference on when consumers should contact the Marketplace Call Center or the IRS if they have questions about how their coverage status and/or Marketplace financial assistance will affect the tax filing process. Use this resource in your work with consumers to help route their questions accordingly.

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NEW Tax Tool Available on Healthcare.gov

On January 15, 2016, the Marketplace launched a new Tax Tool feature on Healthcare.gov. This year, the tool will streamline the consumer experience by combining last year’s second-lowest cost silver plan and lowest-cost bronze plan tools into one tool, which will support consumers in calculating amounts for both the premium tax credit (IRS form 8962) and the affordability exemption (IRS form 8965). In addition, the new tax tool will: Support consumers

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NEW Updated Spanish Translation of Model Form 1095-A

CMS recently updated its translation of the Spanish Form 1095-A and instructions for using the form. This resource is intended to help Spanish-speaking assisters and consumers understand the English Form 1095-A and instructions that will be mailed to consumers who had Marketplace coverage in 2015. Consumers will need the information on the mailed Form 1095-A to fill out their 2015 federal income tax forms. To view the instructions and model Form

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CAC Conference for CACs and CAC Managers set for March 9-10 in Omaha, details TBD

Save the dates of March 9-10, 2016 for the CAC Conference for CACs and CAC Managers to be held in Omaha, NE.  Details will be announced soon with registration information.

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Helping Consumers Resolve Data Matching Issues

The Friday, January 8, 2016 assister webinar included a presentation on helping consumers resolve data matching issues (DMIs). The presentation included an overview of DMIs, four complex case scenarios, and tips and resources for assisters. DMIs occur when consumers apply for Marketplace coverage but do not provide enough information to match information available to the Marketplace from trusted data sources, or provide information that does not

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TIPS ON TAXES: GETTING READY FOR TAX SEASON AND ASSISTER WEBINAR PRESENTATION SLIDES

1. Getting Ready for Tax Season Like last year, assisters can help consumers who enrolled in coverage through the Health Insurance Marketplaces and received advance payments of the premium tax credit (APTC) understand the Form 1095-A that they receive from the Marketplace. Consumers must use the Form 1095-A to complete Form 8962 when they file their taxes. These forms  allow consumers to reconcile the total APTC they received during 2015 with the

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Free CEUs available from George Washington University Cancer Institute: Cancer Survivorship E-learning Series for Primary Care Providers, 9 modules including breast cancer

Free CEUs available from George Washington University Cancer Institute: Cancer Survivorship E-learning Series for Primary Care Providers, 9 modules including breast cancer. PDF here, GW Cancer Center survivorship e-learning series for Primary Care Providers

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CMS Announces Accountable Health Communities Funding Opportunity to Improve Community Linkages to Address SDOH

The Accountable Health Communities Model is based on emerging evidence that addressing health-related socials needs through enhanced clinical-community linkages can improve health outcomes and reduce costs. Over a five-year period, the Centers for Medicare and Medicaid Innovation (CMMI) will implement and evaluate a three-track model based on promising service delivery approaches. Each track features interventions of varying intensity that link beneficiaries

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REMINDER: MARKETPLACE COVERAGE EFFECTIVE DATES

While the deadline to sign up for coverage effective January 1, 2016 has passed, consumers can come to the Marketplace to select a plan until Open Enrollment ends on January 31, 2016. Consumers can also return to select a different plan even if they have already selected a plan earlier during Open Enrollment. Click here to view a NEW HealthCare.gov blog that reminds consumers that they have until January 15, 2016 to enroll in or change plans for

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