Federal Priorities in Paving a Health Coverage Enrollment Superhighway
NASHP National Briefing: Paving a Health Coverage Enrollment Superhighway Joel Ario, Director Office of Health Insurance Exchanges Center for Consumer Information and Insurance Oversight February 3, 2011
Vision for Eligibility and Enrollment Partnership with States Continued partnership with states to identify best practices and challenges to developing seamless eligibility and enrollment systems Seamless, coordinated process Single, streamlined application for all coverage programs Centralized system which integrates eligibility and enrollment functions for Medicaid, CHIP, Basic Health Program and the Exchange Real-time verification of applicant information Customer-centric Presents clear, accurate information on coverage options to support informed choices Easy to navigate Access to affordable health coverage options Lowers barriers to financial assistance for coverage and ensures accurate determinations of eligibility
Vision for Eligibility and Enrollment Strong consumer protections Secure data systems to collect and verify applicant information Accurate eligibility determinations and enrollment Feasibility Policy and guidance that reflects available resources and leverages current systems where appropriate but promotes greater system efficiency Minimal consumer burden Simplified eligibility requirements across coverage programs Coordination between coverage programs Uses existing and new data systems to verify enrollment and eligibility in real-time with minimal paperwork
Grant Opportunities for States Planning Grants - Awarded in September 2010 Funding to States for planning activities related to establishing Exchanges HHS has already awarded $49 million of this funding to 48 States and DC Early Innovator IT Grants – FOA released October 2010 Funding to develop the key supporting capabilities for the Exchange and build universally essential components for state Exchange IT systems Establishment Grants – FOA released January 2011 Funding to help states continue work on building their Exchanges
Guidance and Technical Assistance Regulations and guidance forthcoming Facilitating state-to-state peer learning through grantee conferences and other strategies Exchange Planning Grantee Meeting- Dec 2010 Technical Working Groups
Moving Toward 2014 Priority on modernizing the Medicaid program and integrating eligibility and enrollment functions Integration has many incentives and benefits States lead the way in implementation States have a wealth of experience in eligibility and enrollment Looking for best practices to share with federal, state, local partners Help us identify key issues and pitfalls regarding implementation
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