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Sept. 9, 2019 Outreach and Enrollment News

Author: Amanda Tekely/Friday, September 06, 2019/Categories: Outreach News

PA Is a State-Based Exchange Using a Federal Platform for 2020

On July 2, Gov. Wolf signed House Bill 3 (now Act 42 of 2019) into law to create a state-based exchange (SBE) in Pennsylvania and begin a two-year transition from the current federally-facilitated Marketplace through Healthcare.gov to the SBE. Full transition to the SBE is slated for the 2021 Open Enrollment period and at that time the commonwealth will host its own website, navigator programs, call center and marketing and outreach. For this 2020 transition year, PACHC has been awarded sole state funding to operate the Navigator Program under the Pennsylvania Health Insurance Exchange Authority. Since implementation of the ACA in 2010, Pennsylvania has relied on the federal health insurance exchange. To cover costs, the federal government charged insurers a 3.5 percent fee on premiums paid by ACA enrollees each month, a projected $98 million for Pennsylvania insurers in 2019. This user fee is expected to be cut to 3% beginning in 2020, decreasing the amount to approximately $88 million. Pennsylvania will continue to use Healthcare.gov to enroll consumers for 2020 coverage, to calculate premium tax credits and to enroll consumers eligible for special enrollment periods. Questions? Contact Tia Whitaker, statewide director for outreach and enrollment.


2020 Assister Certification Training 

The Centers for Medicare and Medicaid Services (CMS) has released the 2020 MLMS Assister Certification Training Curriculum.  All new and returning enrollment assisters (Certified Application Counselors (CACs), Navigators and state-based exchange-federal platform assisters) will need to verify their identity on the CMS portal to access Assister Certification Training on the MLMS.  Current Navigators may use the same ID.  CAC and exchange assisters must use the ID issued from their health center after they completed the Certified Application Counselor Designated Organization (CDO) refresh.  All CAC and exchange assister numbers should begin with PACDOA or USCDOA.  This signifies your organization has completed the CDO refresh. When logging into HIOS to complete the training, the MLMS Assister Profile page will appear.  Select SBE-FP Assister and then State-Based Exchange using the Federal Platform Organization. Navigators, CACs and SBE-FP Assisters must complete eight courses and corresponding assessments with an 80% pass rate.  Returning Navigators must complete seven courses and corresponding assessments with an 80% pass rate.  There are additional optional courses and assessments available.  New users registering to complete the training, click here.  Existing users can login at: https://portal.cms.gov.


Public Charge and Open Enrollment Webinar 

The Center for Budget and Policy Priorities (CBPP) in conjunction with Young Invincibles is hosting a webinar focused on the final public charge rule and what it means for open enrollment on Wednesday, Sept. 11 at 2:00 pm.  This will be the first in a new series of trainings and updates leading up to open enrollment on Nov. 1. Register here.  The final public charge rule, scheduled to go into effect within 60 days, dramatically increases the government's ability to reject green cards for people who have used or are deemed likely to use any government programs such as food stamps, Medicaid, housing assistance, etc. Learn more by participating in the webinar.


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