Pennsylvania Association of

Community Health Centers

Supporting Pennsylvania's health centers in increasing access to quality primary health care for all

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Friday, February 09, 2018

Feb. 9, 2018 Outreach and Enrollment News

HealthChoices February Webinar

PA Enrollment Services is launching their 2018 Webinar Series and will host the first webinar topic, Heating Assistance/LIHEAP, on Wednesday, Feb. 28, 2018 at 10:00 am.   The Low-Income Home Energy Assistance Program, also known as LIHEAP, helps low-income families pay their heating bills. LIHEAP is a grant that offers assistance in the form of a cash grant sent directly to the utility company or a crisis grant for households in immediate danger of being without heat. This webinar will explain what LIHEAP is, how to apply, and when to apply. For more information check out www.enrollnow.net

 

REGISTER NOW - O& E Regional Debriefing & Training Sessions

PACHC will host our annual Open Enrollment Regional Debrief and Training sessions for all navigators, certified application counselors (CACs) and outreach and enrollment staff on Monday, March 5 at the Pittsburgh Marriott North in Cranberry Township, PA and Thursday, March 8, at the Crowne Plaza Philadelphia, King of Prussia from 8:30 am to 3:00 pm. Lunch will be provided. Click here to RegisterYou must create an online member account to register. Questions, contact Tia Whitaker, statewide director, outreach and enrollment. Topics for discussion: 

  • What Went Well and What Didn't - Open Enrollment 5
  • What's Happening with Community HealthChoices
  • Medicaid Eligibility Beyond Expansion - A deep dive into categories
  • Know It, Speak It, Market It - A lesson on power presentations
  • ... and much more

New Medicare Cards to be Mailed in April

The Centers for Medicare & Medicaid Services is required to remove Social Security numbers from all Medicare cards by April 2019. A new, unique Medicare Number will replace the SSN number on each new Medicare card. Beginning in April, CMS will mail new Medicare cards to all Medicare beneficiaries in Pennsylvania, Delaware, District of Columbia, Maryland, Virginia and West Virginia.  Also, starting in April 2018, people with Medicare will be able to check the status of card mailings in their area on Medicare.gov.  This is to help prevent fraud, fight identity theft and protect essential program funding and the private healthcare and financial information of Medicare beneficiaries.

 

It's Getting Harder to Enroll 

On top of the already cumbersome Special Enrollment Period (SEP) pre-enrollment verification process, IntegriGuard, a medical record review company, was awarded a contract from the Centers for Medicare and Medicaid Services (CMS) to add an additional step to the Health Insurance Marketplace SEP process.  The $18 million-dollar contract was awarded to monitor enrollment controls, which some say allow high risk, sicker and more expensive enrollees into health plans outside of Open Enrollment. The contract was not awarded through the normal competitive bid process; CMS found IntegriGuard to be the only company with the database resources and expertise to do the needed work.  Read more here
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