Do you have questions about MAGI calculation for eligibility determinations? We recently added new resources to assist navigators and enrollment specialists understand MAGI and its effect on eligibility determinations for Medicaid, CHIP and Premium Tax Credits. CMS has released two flowcharts to assist with these determinations and they can be accessed here and here. Additionally, the […] Read More »
Summary of Final Rules for 2015 Marketplace
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 »
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 »
Churning – What is It & What Do I Need to Know?
Now that the open enrollment period has closed completely, it’s time to discuss the circumstances of individuals that will come up during the year that will affect their eligibility for special enrollment periods (SEPs). One of the more unique situations that can occur is referred to as “churning.” This is when an individual’s income fluctuates […] Read More »
Healthcare.gov Extension until April 15
What Does It Mean for the State-Based Marketplaces? Before the March 31 enrollment deadline, HHS had announced that consumers who started or attempted to start an enrollment application by the deadline would be given an extension of time to complete it. Last week, we posted an update on the specifics of that extension – that […] Read More »
Can Consumers Still Enroll?
Now that March 31 has come and gone, it would seem that enrollment would come to an end. However, the administration had announced prior to the deadline that there would be an extension of time for individuals who had begun the process prior to March 31 but were unable to complete it due to technical […] Read More »
Tips for Navigators Working with Individuals with Autism
by: Stuart Spielman, Autism Speaks Autism is the fastest growing developmental disability in the country and affects millions of Americans. An estimated 1 in 88 children—including 1 in 54 boys—has an autism spectrum disorder (also known as autism). The number of adults with autism is less certain. We do not know what causes autism, but […] Read More »
NDNRC Releases Two New Fact Sheets
“Prescription Medication Benefits” & “Supporting Collaborations between Navigators, Connectors and Assisters, and Local Disability and Affinity Organizations” The American Association on Health and Disability (AAHD) is pleased to announce the publication of two new fact sheets for the National Disability Navigator Resource Collaborative (NDNRC). “Prescription Medication Benefits” is designed to help navigators answer specific questions […] Read More »
Spread the Word! Open Enrollment Ends March 31
Open Enrollment is Almost Over. Here’s How to Get Involved in the Final Push by: Rachel Patterson, Association of University Centers on Disabilities As we approach the end of open enrollment on March 31, it is time for a final push to help as many uninsured Americans as possible gain access to health coverage. According […] Read More »
New Tool: Financial Help for Health
Do you know that nearly 60 percent of the uninsured don’t know that financial help is available to pay for health insurance? And if they received financial help, more than 8 in 10 would be likely to enroll. With just a few weeks left until the open enrollment deadline, now is the time to spread […] Read More »
