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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May 15, 2020 Outreach and Enrollment News

Author: Amanda Tekely/Monday, May 18, 2020/Categories: Outreach News

Assister Peer Networking Call

PACHC hosts a monthly Assister Networking call to provide a space for Navigators, Certified Application Counselors and enrollment assisters to gather information and exchange ideas for effective, efficient outreach and enrollment assistance. As we move through this new COVID-19 world, creating a place to reduce isolation and encourage collaboration is needed. Our next call is Wednesday, May 27, 2020 at 10:00 am. Call-In Number: 1-800-220-9875; Participant Code, 15072594#. Please mark your calendar and join us!

 

Pennsylvania Health Insurance Exchange Authority

The mission of the Pennsylvania Health Insurance Exchange Authority is to improve the accessibility and affordability of individual market health coverage for Pennsylvanians. The goal is to serve Pennsylvania's individual health insurance market customers without disruption, operate a state-based exchange and support the needs of consumers purchasing health insurance while ensuring the stability and affordability of the health and dental offerings available through the Exchange Authority. Board meeting agendas and slide decks are available to the public. The Exchange also convenes a Health Insurance Outreach and Education Workgroup which meets monthly to obtain feedback and answer questions from enrollment groups, like our health centers, about the State-Based Exchange. Feel free to submit your questions using this link.

 

In Case You Missed It - Online Marketplace Appeals

CMS presented an Assister Webinar on May 13. There were presentations on ending tobacco ratings for people 18-20-years old, a Medicaid and CHIP overview and a walkthrough of the online Marketplace appeal submission. Submissions of online appeals require submitters to use the Docusign platform to add an electronic signature, agree to all of the requirements for an electronic submittal and upload necessary attachments such as FORM 8962, letters from the Marketplace, and paystubs or tax forms in the PDF or JPG format. Consumers will begin the appeals process at Healthcare.gov and then be routed to an external webpage to complete the process.

 

CHIP Enrollments & Expenses Up

The Morning Call reported on May 11, 2020, that the Pennsylvania Children's Health Insurance Program (CHIP) saw an increase of more than 10,200 members from March to April 2020, roughly a 5 percent spike according to the state Department of Human Services. State officials are projecting enrollment numbers to continue to grow creating a funding challenge as tax revenues are down, and the federal match is set to decrease this fall. CHIP could see a shortfall of up to $31 million. Bipartisan federal lawmakers, Representatives Susan Wild (D-PA) and Brian Fitzpatrick (R-PA), have introduced legislation to prevent federal CHIP dollars from being reduced this fall. Read More.

 

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