Pennsylvania Association of

Community Health Centers

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


Latest News

Friday, May 04, 2018

May 4, 2018 Outreach and Enrollment News

Survey Shows Some ACA Gains Lost

The coverage gains made under Affordable Care Act (ACA) appear to be slowly eroding, a new study by the Commonwealth Fund shows. The number of uninsured adults between ages 19 and 64 grew by 2.8 percentage points from 2016 to March of this year, the study shows, representing an additional 4 million uninsured American adults in that time period. Read more here.

 

Error with Exceptional Circumstance SEP Eligibility

The Centers for Medicare & Medicaid Services (CMS) has identified consumers who were wrongly denied access to the Exceptional Circumstance Special Enrollment Period (SEP) and are notifying these consumers of eligibility for another SEP due to the error or misrepresentation of the Marketplace. These consumers will be able to select a 2018 Marketplace plan or make changes to their existing 2018 plan by May 24, 2018. Coverage accessed with this SEP will begin June 1 or July 1, depending on the date the consumer selects their plan.  Consumers who want to get coverage prior to June 1 must file an appeal within 90 days of the date of SEP Eligibility Notice. CMS has identified the population eligible for this SEP within Marketplace systems so that they can be easily identified by the Marketplace Call Center representatives and other CMS officials. Anyone eligible for this SEP will receive a hard copy notice in the mail. CMS will not require any documentation to prove eligibility for this SEP.  See the original guidance.

 

Short-Term Limited Duration Health Plans

Insurance Commissioner Jessica Altman submitted comments to CMS about the harmful effects of short-term, limited duration health plans. These plans provide temporary health coverage to consumers who have coverage gaps due to unexpected issues or need health care for a brief period. Generally, these plans have low premiums but also very limited coverage. The proposed rule on Short-Term Limited Duration Health Plans issued last year and released on February 20, would not prohibit health insurers from discriminating based on a consumer's medical history and pre-existing conditions because short-term plans are not subject to ACA consumer protections. See Commissioner Altman's comments.

Print
0 Comments
Rate this article:
No rating

Categories: Outreach NewsNumber of views: 40

Tags:

Please login or register to post comments.

x

PACHC Highlights

New PACHC Preferred Service Recovers Lost Revenue

On June 6, 2017, at the recommendation of our Membership Committee, PACHC finalized a contract for a PACHC Preferred relationship with Fix Healthcare Technology.

The Intersection Between Hunger And Health

The USDA defines food insecurity(FI) as a household-level economic and social condition of limited or uncertain access to adequate food.  For your patients, being food insecure means they do NOT have access to the foods they need for a healthy, active life.

Register Today for FTCA University in PA

Registration is now open for Federal Torts Claims Act (FTCA) University on June 7-8, 2018 in Harrisburg, PA.

Annual Conference Call for Presentations Now Open

This is your opportunity to help mold and shape the program for our 2018 Annual Conference & Clinical Summit, Oct. 9 - 11 at the Lancaster Marriott Hotel & Conference Center. Speakers gain recognition with health center leaders from across Pennsylvania and have an opportunity to network with more than 500 conference attendees.

Deadline to Register for PACHC-HRSA FTCA University May 23

PACHC is being held to a hard registration deadline for Federal Tort Claims Act University (FTCAU), an innovative and new training conference organized by the FTCA Division of the HRSA Bureau of Primary Health Care (BPHC) and the Pennsylvania Association of Community Health Centers and offered to members of the health center community.

1234