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State Restrictions on Navigators and the New CMS Regulations

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If you have questions regarding restrictions that states are placing on navigators and other in-person assisters, be sure to check out the recent blog post from the Commonwealth Fund. There are currently 22 states which either have restrictions on navigators or are considering restrictions on navigators. This blog post written by Georgetown University’s Justin Giovannelli, Kevin Lucia […] Read More »

Resources on New Marketplace Regulations

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In case you weren’t aware, CMS issued final regulations on the 2015 Marketplace last month. Previously, we posted a blog post providing a summary of the new final rules for the 2015 Marketplace. More recently, CMS released a copy of their presentation on the new final regulations. To download that presentation, click here. Read More »

CMS Funding Opportunity for Navigators

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Today the Centers for Medicare & Medicaid Services (CMS) released the Funding Opportunity Announcement (FOA) for navigators in both the federally facilitated marketplace as well as the state partnership marketplaces. The deadline for applications is July 10, 2014. To read CMS’s press release on the FOA, click here. To go to the FOA on grants.gov, click […] Read More »

CMS Webinar on Health Insurance Literacy

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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

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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

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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

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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

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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 »

DC & Hawaii Extend Deadlines

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Previously, we reported that many of the states had extended the deadline for consumers to complete their application. Since then, two jurisdictions have provided additional extensions. Initially, DC Health Link was providing an extension until April 15, but they have since lengthened the extension to April 30. To read more, click here. Additionally, Hawaii gave no […] Read More »