Resources & Links

State Disability Resources

Enrollment Resources – Disability Specific

• Administration for Community Living (ACL) – Overview of Assisting People with Disabilities in the Marketplace
• National Council on Disability – Implementing the Affordable Care Act: A Roadmap for People with Disabilities (1/19/16)
• National Council on Disability – The Impact of the Affordable Care Act: A 2015 Status Report (1/26/16)
• National Council on Disability – Monitoring and Enforcing the Affordable Care Act (ACA) for People with Disabilities (2/2/16)
• American Occupational Therapy Association – Analysis of Rehabilitation and Habilitation Benefits in Qualified Health Plans (2019)
• American Occupational Therapy Association – Draft Questions on Rehabilitation and Habilitation benefits
• American Public Human Services Association – Disability Benefits 101
• Association of University Centers on Disabilities – ACA Implementation Update (9/24/13)
• Autism Speaks – The Affordable Care Act and Autism
• Autistic Self Advocacy Network – A Self-Advocate’s Guide to the Affordable Care Act (web version/PDF version)
• Autistic Self Advocacy Network – A Self-Advocate’s Guide to Medicaid: (web version/PDF version)
• Autistic Self Advocacy Network – Transition to Adulthood: A Health Care Guide: (web version/PDF version)
• Catalyst Center – Your Child’s Health Care and the ACA: Habilitative Services
• National Health Law Program (NHeLP) – Marketplace Accessibility for Individuals with Disabilities
• The Arc – Toolkit
• University of Kansas Research and Training Center on Independent Living – The Affordable Care Act and Disability

Enrollment Resources – Mental Health and Behavioral Health

• Bazelon Center for Mental Health Law – Making the Connection: Meeting Requirements to Enroll People with Mental Illness
• Health Affairs – Policy Brief on Mental Health Parity (4/3/14)
• Mental Health America – Guide to Health Insurance
• Mental Health America – Qualified Health Plan Worksheet
• Mental Health America – Fact Sheet on “How Insurance Works”
• Mental Health America – Fact Sheet on “How to Use Health Insurance”
• NAMI – Out-of-Network, Out-of-Pocket, Out-of-Options: The Unfulfilled Promise of Parity (11/16)
• NAMI – A Long Road Ahead: Achieving True Parity in Mental Health and Substance Use Care
• National Council for Behavioral Health – ABCs of Enrollment (10/31/13)
• HHS Office of the Assistant Secretary for Planning and Evaluation (ASPE) – Mental Health Parity in Large Employer & Group Health Plans
• SAMHSA – Enrollment Readiness Webinar (2/28/13)
• SAMHSA – Know Your Rights: Parity for Mental Health and Substance Use Disorder Benefits

Enrollment Resources – Populations with Special Health Care Needs

• American Heart Association – Cover All Americans Toolkit
• Kaiser Family Foundation – Issue Brief: Marketplace Health Plan Options for People with HIV Under the ACA (1/28/16)
• National Health Council – Preparing Staff and Patients for Exchange Enrollment (7/17/13)
• National Health Council – Application Checklist
• Cancer Insurance Checklist
• Guía de cobertura médica para personas con cáncer

Enrollment Resources – ACA Marketplace and Medicare

• Centers for Medicare & Medicaid Services (CMS) – Medicare & the Health Insurance Marketplace (12/13)
• Healthcare.gov – What if I have a Marketplace plan but will be eligible for Medicare soon?
• The Commonwealth Fund – The ACA and Medicare (6/15)
• National Senior Citizens Law Center – The Affordable Care Act and What It Means for Seniors (11/6/13)

Enrollment Resources – ACA Marketplace and Medicaid

• Centers for Medicare & Medicaid Services (CMS) – Flowcharts to Determine Eligibility
• Centers for Medicare & Medicaid Services (CMS) – MAGI-Based Eligibility Group Hierarchy Flowchart
• Centers for Medicare & Medicaid Services (CMS) – Informational Bulletin on Implementation of Hospital Presumptive Eligibility (1/24/14)
• Healthcare.gov – Medicaid Expansion & What It Means for You
• Robert Wood Johnson Foundation – Measuring Medicaid/CHIP Enrollment Progress (6/14)
• Catalyst Center – Health Insurance Marketplace and Medicaid Coverage for Children with Disabilities
• Catalyst Center – Families of Medicaid Enrolled Children with Disabilities and the Marketplace
• Center for Health Care Strategies, Inc. – Alternative Medicaid Expansion Models (2/14)
• Center for Health Care Strategies, Inc. – Minimizing Care Gaps with Churning (1/14)
• Commonwealth Fund – Medicaid Benefit Designs for Newly Eligible Adults: State Approaches (5/15)
• Commonwealth Fund – Mitigating the Effects of Churning (6/14)
• Georgetown University Health Policy Institute – Renewing Medicaid and CHIP Under the Affordable Care Act
• Health Affairs – Health Policy Brief on Hospital Presumptive Eligibility (1/9/14)
• Kaiser Family Foundation – 50-State Survey: Medicaid and CHIP Eligibility, Enrollment, Renewal, and Cost Sharing Policies (1/2017)
• Kaiser Family Foundation – Medicaid Financial Eligibility for Seniors and People with Disabilities (3/2016)
• Kaiser Family Foundation – Facilitating Enrollment of Eligible People into the Medicaid Expansion
• National Academy for State Health Policy (NASHP) – Presentation on State Approaches to Medicaid Expansion (1/27/14)
• National Academy for State Health Policy (NASHP) – Medicaid Training for Assisters in Federally Facilitated Marketplace States (1/14)
• National Academy for State Health Policy (NASHP) – Maximizing Enrollment Report (12/13)
• National Health Law Program (NHeLP) – The Advocate’s Guide to MAGI
• National Health Law Program (NHeLP) – Issue Brief on Medicaid Premiums and Cost Sharing (3/26/14)
• National Institute for Health Care Management (NIHCM) – Presentation on Early Expansion (1/31/14)
• National Institute for Health Care Management (NIHCM) – Presentation on Alternative Approaches to Implementing Medicaid Expansion (1/31/14)
• National Institute for Health Care Management (NIHCM) – Presentation on Costs of States not Expanding Medicaid (1/31/14)

Enrollment Resources – Overview

• Georgetown University Center on Health Insurance Reforms – Navigator Resource Guide (3/14) – PDF Version
• Georgetown University Center on Health Insurance Reforms – Navigator Resource Guide – Online version
• Georgetown University Center on Health Insurance Reforms – Compilation of FAQs in Open Enrollment Year 2
• Georgetown University Center on Health Insurance Reforms – Report on 1st Year Navigator Experience (10/14)
• Centers for Medicare & Medicaid Services (CMS) – Special Enrollment Periods for the Health Insurance Marketplace (5/16)
• Centers for Medicare & Medicaid Services (CMS) – Pamphlets for Outreach
  • The Health Insurance Marketplace (English | Spanish)
• Centers for Medicare & Medicaid Services (CMS) – Fact Sheet on Obtaining Personally Identifiable Information (PII)
• Centers for Medicare & Medicaid Services (CMS) – Screening tool to assist with SEP eligibility
• Centers for Medicare & Medicaid Services (CMS) – Transitioning from Employer Sponsored Coverage to Other Health Coverage – COBRA (6/5/15)
• Centers for Medicare & Medicaid Services (CMS) – Tip Sheet for Dealing with Agents & Brokers (2/10/15)
• Centers for Medicare & Medicaid Services (CMS) – Special Enrollment Periods for Limited Circumstances (8/4/14)
• Centers for Medicare & Medicaid Services (CMS) – Tips to Resolve Outstanding Data Inconsistencies (6/26/14)
• Centers for Medicare & Medicaid Services (CMS) – Flowcharts to Determine Eligibility
• Centers for Medicare & Medicaid Services (CMS) – Helping Consumers Report a Life Event or Change in Circumstance after Open Enrollment
• Centers for Medicare & Medicaid Services (CMS) – Helping Consumers Enroll through Limited Circumstances or Qualifying Life Event Special Enrollment Periods
• Centers for Medicare & Medicaid Services (CMS) – Special Enrollment Periods for Complex Cases (3/14)
• Centers for Medicare & Medicaid Services (CMS) – Helping Consumers with Casework (1/14)
• Centers for Medicare & Medicaid Services (CMS) – Guidance on SEPs and COBRA (5/2/14)
• Centers for Medicare & Medicaid Services (CMS) – Guidance on Coverage of Preventive Services (5/11/15)
• HHS Office of the Assistant Secretary for Planning and Evaluation (ASPE) – Enrollment Lessons Learned (7/11/14)
• Robert Wood Johnson Foundation – Essential Health Benefits: 50 State Variations
• Robert Wood Johnson Foundation – Specialty Tier Pharmacy Benefit Designs (8/14)
• Robert Wood Johnson Foundation – Report on Premiums, Cost Sharing and Benefit Design (5/14)
• Robert Wood Johnson Foundation – Consumer Assistance Guide on Minimal Essential Coverage (2/14)
• Robert Wood Johnson Foundation – Consumer Assistance Guide on Household Composition Eligibility Rules (2/14)
• Robert Wood Johnson Foundation – Consumer Assistance Guide on MAGI Household Income Eligibility Rules (2/14)
• Robert Wood Johnson Foundation – Consumer Assistance Guide on Immigrant Eligibility (2/14)
• Action for Health Justice – Improving the Road to ACA Coverage
• Alliance for Health Reform and Robert Wood Johnson Foundations – Marketplace Enrollment Helpers
• Alliance for Health Reform – The ABCs of the ACA
• Avalere – Analysis of Benefit Design in Silver Plan Variations (6/14)
• Center on Budget and Policy Priorities – Determining Households and Income for PTC and Medicaid: Video Recording | Slides (Oct. 2019)
• Center on Budget and Policy Priorities – Premium Tax Credits: Video Recording | Slides (Oct. 2019)
• Center on Budget and Policy Priorities – Auto-Renewal Process for 2020 in Healthcare.gov: Video Recording | Slides (Oct. 2019)
• Center on Budget and Policy Priorities – Preventing & Resolving Data Matching Issues: Video Recording | Slides (Oct. 2019)
• Center on Budget and Policy Priorities – Plan Design: Video Recording | Slides (Oct. 2019)
• Center on Budget and Policy Priorities – Plan Selection Strategies: Video Recording | Slides (Oct. 2019)
• Center on Budget and Policy Priorities – Immigrant Eligibility for Health Coverage Programs: Video Recording | Slides (Oct. 2019)
• Center on Budget and Policy Priorities – Working with Immigrants: What Consumer Enrollment Assistance Providers Need to Know Now: Video Recording | Slides (Oct. 2019)
• Center on Budget and Policy Priorities – Guide to Special Enrollment Periods (chart)
• Center on Budget and Policy Priorities – Webinar Presentation: Special Enrollment Periods (2/9/17)
• Center on Budget and Policy Priorities – Webinar Presentation: Marketplace Appeals (3/24/16)
• Center on Budget and Policy Priorities – Webinar Presentation Part I: COBRA Coverage Options (2/26/14)
• Center on Budget and Policy Priorities – Webinar Presentation Part II: Coverage for Young Adults & Students (2/26/14)
• Center on Budget and Policy Priorities – Webinar Presentation Part III: Reporting Changes in Circumstances (2/26/14)
• Families USA –  Webinar on Marketplace Appeals (3/2016)
• Families USA – Fact Sheet on Providing Family Information
• Families USA – Fact Sheet on Providing Income Information
• Families USA – Fact Sheet on Financial Help Available
• First Focus – Lessons from CHIP on ACA Implementation: Outreach & Enrollment (5/14)
• Get America Covered: Open Enrollment Toolkit
• Kaiser Family Foundation – Health Reform Frequently Asked Questions (FAQs)
• Kaiser Family Foundation – Survey of Health Insurance Marketplace Assister Programs and Brokers (8/6/15)
• Kaiser Family Foundation – An Overview of Assister Programs (8/5/14)
• Kaiser Family Foundation – Survey of Health Insurance Marketplace Assister Programs – Presentation (8/5/14)
• Kaiser Family Foundation –  Survey of Health Insurance Marketplace Assister Programs – Report (7/15/14)
• Kaiser Family Foundation –  Outreach and Enrollment Overview (9/24/13)
• Kaiser Family Foundation – Look at Consumer Assistance Programs (9/24/13)
• Kaiser Family Foundation – What Consumers Need to Know (8/28/13)
• Mental Health America – Guide to Health Insurance
• Mental Health America – Fact Sheet on “How Insurance Works”
• Mental Health America – Fact Sheet on “How to Use Health Insurance”
• Milliman – Implications for the Proposed Federal Exchange Auto-Enrollment Process (7/14)
• National Academy for State Health Policy (NASHP) – Terms & Definitions Used by States in ACA Enrollment
• National Academy for State Health Policy (NASHP) – Measuring State Health Coverage System Performance (4/14)
• National Academy for State Health Policy (NASHP) – Early State Experiences with Open Enrollment (1/14)
• National Academy for State Health Policy (NASHP) – Issue Brief on Shared Responsibility in Consumer Assistance (1/14)
• National Academy for State Health Policy (NASHP) – Overview of State Consumer Assistance Options (9/11/13)
• National Academy for State Health Policy – Engaging Safety Net Providers in Expanded Coverage
• National Association of Counties – Enrolling Eligible Individuals in County Jails in Health Coverage
• National Health Council – Chart on Making Health Coverage More Affordable for Families
• National Health Council – Chart on Making Health Coverage More Affordable for Individuals
• National Health Council – Summary of Benefits Guide
• National Health Council – Presentation on Putting Patients First Website (1/14)
• National Health Council – Enrollment Assistance Programs
• National Health Law Program (NHeLP) – Re-determination Flowchart
• National Health Law Program (NHeLP) – Update on FFM Appeals (7/1/14)
• National Health Law Program (NHeLP) – The Advocate’s Guide to MAGI
• National Health Law Program (NHeLP) – The World According to MAGI (1/14)
• New England Journal of Medicine – Health Reform and Changes in Health Insurance Coverage (7/14)
• Urban Institute – “Who Are the Remaining Uninsured, and What Do Their Characteristics Tell Us about How to Reach Them?” (3/2016)
• Urban Institute – Six State Experiences with Marketplace Renewals (7/15)
• Urban Institute – Special Enrollment Periods in 2014
• Urban Institute – Six-State Case Study on Network Adequacy (9/14)
• Urban Institute – Promising Practices for Integrating and Coordinating Eligibility, Enrollment and Retention (7/21/14)
• Urban Institute – Taking Stock of ACA Data (7/29/14)
• Young Invincibles – SEP Pre-Enrollment Verification Webinar: Slides | Recording (7/18)

Affordable Care Act (ACA) Resources – Government

• healthcare.gov
• Glossary of Terms – www.healthcare.gov/glossary
• Healthcare.gov – Screener for coverage during closed enrollment
• Healthcare.gov – Medicaid Expansion & What It Means for You
• Healthcare.gov – Coverage to Care Toolkit
• Find Local Help (healthcare.gov)
• Centers for Medicare & Medicaid Services (CMS) – Spanish Version of Marketplace 101 (12/13)
• Centers for Medicare & Medicaid Services (CMS) – Roadmap to Better Care
• Health Resources and Services Administration (HRSA) – Navigating the Health Center Program for American Indian/Alaska Native Communities

Affordable Care Act (ACA) Enrollment Resources

• Families USA
  • Families USA – Using Volunteers in Navigator and Assister Programs
  • Families USA – Designing Silver Health Plans with Affordable Out-of-Pocket Costs for Lower and Moderate-Income Consumers
  • Families USA – Enrollment Momentum: 10 Recommendations for Future Enrollment Periods
  • Families USA – Fact Sheet on Providing Family Information
  • Families USA – Fact Sheet on Providing Income Information
  • Families USA – Fact Sheet on Financial Help Available
  • Enroll America & Families USA – Report on Fast Tracking Medicaid Enrollment (6/14)
• Enroll America
  • Enroll America – Get Covered Plan Explorer (for presentation demonstrating this tool, click here
  • Enroll America – Get Covered Calculator
  • Enroll America – Get Covered Connector
  • Enroll America – State of Enrollment (2/15)
  • Enroll America – A Framework on Health Insurance Literacy for the Outreach and Enrollment Community
  • Enroll America – Making the Connection: How Centralized Scheduling Benefits Consumers, Assisters & the Enrollment Community
  • Enroll America – How to Hold a Successful Outreach Event
  • Enroll America – Certified Application Counselor Organization Toolkit
  • Enroll America – Presentations from the State of Enrollment: Getting America Covered 2014 Conference
  • Enroll America – State of Enrollment Report (6/14)
  • Enroll America – Certified Application Counselor Program: Early Lessons (6/14)
  • Enroll America & Families USA – Report on Fast Tracking Medicaid Enrollment (6/14)
  • Enroll America – Grassroots Campaign and Early Lessons Learned
  • Enroll America – Post-Enrollment Landscape (4/23/14)
• Get Covered America
• Community Catalyst
  • Community Catalyst – Consumer Complaints Toolkit
  • Community Catalyst – Connecting Consumers to Coverage (6/14)
• Commonwealth Fund
  • Commonwealth Fund – The ACA and Medicare (6/15)
  • Commonwealth Fund – Revisiting the ACA’s Essential Health Benefits Requirements (10/14)
  • Commonwealth Fund – Findings from ACA Tracking Survey (7/11/14)
  • Commonwealth Fund – State Action on Quality Improvement in State Based Marketplaces (7/14)
  • Commonwealth Fund – Mitigating the Effects of Churning (6/14)
• Kaiser Family Foundation Medicaid Eligibility & Enrollment Policies
• The Alliance for Health Reform – Covering Health Issues: A Sourcebook for Journalists

RWJF Partners

Organizations partnering with the Robert Wood Johnson Foundation to assist potential health insurance enrollees.

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The Disability and Health Journal (DHJO) is the official journal of the American Association on Health and Disability (AAHD). The Journal is a scientific, scholarly, and multidisciplinary journal and is indexed on Medline and PsycINFO. The DHJO is published quarterly by Elsevier. Learn more about the Disability and Health Journal at http://www.aahd.us/disability-and-health-journal/