Last week, we referenced the new regulations that were released by the Centers for Medicare & Medicaid Services. Families USA has prepared a succinct explanation of how these roles impact navigators and enrollment specialists. Their explanation of the final regulations is as follows: Specifies several types of state requirements that would conflict with federal requirements […] Read More »
Archives for May 2014
Urban Institute Releases Report on New Enrollees
Yesterday, the Urban Institute’s Health Policy Center released a report which breaks down the statistics on the individuals who are now newly insured either through the Marketplace or through Medicaid and CHIP. To read the report, click here. Read More »
CMS Webinar on Health Insurance Literacy
The Centers for Medicare & Medicaid Services (CMS) Office of Communications is hosting a special webinar tomorrow on health insurance literacy. It is designed to provide the information navigators and enrollment specialists need to educate consumers who have limited knowledge on what health insurance terms mean and how it works. The information from CMS for the webinar […] Read More »
CMS Issues Final Rules for Marketplace
On Friday, the Centers for Medicare & Medicaid Services (CMS) issued final rules for the marketplace for 2015. The rules address areas like standardizing notices to consumers, procedures for consumers to get prescription drugs when not covered by the consumer’s plan, quality standards for QHPs and clarification on what state regulations conflict with the federal navigator […] Read More »
Individuals with Pre-Existing Conditions May Be Entitled to a SEP
Individuals who had pre-existing conditions and were enrolled in the Pre-Existing Condition Insurance Plan (PCIP) are now eligible for a special enrollment period (SEP). PCIP was a plan put in place by the Affordable Care Act for individuals who had pre-existing conditions and had previously been unable to obtain health insurance due to those pre-existing […] Read More »
CMS Issues Guidance on SEPs & COBRA
Today, the Centers for Medicare & Medicaid Services (CMS) issued guidance on special enrollment periods (SEP) when a consumer has coverage under COBRA. Specifically, CMS addressed the issue of what constitutes a “hardship” for purposes of receiving a SEP. Additionally, for consumers who are presently enrolled in a plan through COBRA, CMS has granted a SEP […] Read More »
HHS Releases Enrollment Data
Today, the Department of Health and Human Services (HHS) released the latest enrollment data through March 31 which was the official end of open enrollment. These numbers include enrollment from the federally facilitated marketplace as well as the numbers from the state-based marketplaces. To read the news release from HHS, click here. The specific reports […] Read More »
