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, July 07, 2017

July 7, 2017 Outreach and Enrollment News

ICYMI: ACA vs. AHCA: State and County Comparisons Show Income and Geography's Effect on Insurance Premiums
The National Academy for State Health Policy (NASHP) released a series of documents including a mapbrief, and state fact sheets that outline the impact both geography and income have on health care premiums and premium support. The new materials compare 2020 consumer spending based on predicted differences between the tax credit structures of the Affordable Care Act (ACA) and the American Health Care Act (AHCA). View all the resources here.  

SEP Verification Phase 2 Coming Soon
The Centers for Medicare & Medicaid Services (CMS) has launched the pre-enrollment Special Enrollment Period (SEP) Verification process to verify SEP eligibility for consumers newly enrolling in Marketplace coverage. Under the process, the Marketplace will create a SEP Verification Issue, referred to as an SVI, for new Marketplace applicants who submit an application and attest to information that qualifies them for a SEP that's subject to pre-enrollment verification. These consumers will be required to submit documents to confirm their SEP eligibility before they can complete enrollment, make their first premium payment, and start using their Marketplace coverage.  In August 2017, CMS will start Phase 2 of pre-enrollment verification focused on marriage; gaining or becoming a dependent through adoption, placement for adoption, placement in foster care, or a child support or other court order; and Medicaid/CHIP denial after applying for Medicaid/CHIP during Open Enrollment, or after applying for Marketplace coverage during Open Enrollment or following another SEP qualifying event. For more information, check out To view sample SEP notices/letters click here.
O&E Immigrant Scenario Quiz
Teresa is a refugee.  She has been in the US for 2 years.  She is 25 and not pregnant.  She has a household income of 80% of the federal poverty level.  She lives in Central Pennsylvania. Where should she apply for coverage?  See next week's newsletter for the answer.

Special Webinar - Hitting the Mark for OE5: Planning Starts Now
Families USA will host an informative webinar Thursday, July 13 at 2:00 pm. With a shortened enrollment period and many unknowns, planning and strategizing for OE5 is more important now than ever.  Please join us for this webinar presented by Elizabeth Hagan and Heather Bates. Register here.
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PACHC Highlights

Philadelphia Primary Care Career Fair

Event date: 9/7/2017 5:30 PM - 8:00 PM