Milestone: Establish a service, program or system for assisting individuals and families in completing the application process
While the ACA requires states to create a simple, consumer-friendly application process, it also recognizes that some individuals may need assistance with the system. The ACA includes requirements and resources for states to meet this need.
*Milestone details:
*Full name: Establish a service, program or system for assisting individuals and families in completing the application process.
*Relevance to the ACA:
The ACA aims to achieve a consumer-friendly application process, but recognizes that some individuals and families, particularly vulnerable and underserved populations, will need additional assistance to complete it. Provisions relevant to consumer assistance include:
§1002 – Grants to establish or expand offices of health insurance consumer assistance or health insurance ombudsman programs.
§1311 – Grants to support navigators who will engage in public education, disseminate information, and assist in enrollment.
§2201 – Requires states to establish procedures for conducting outreach to and enrolling vulnerable and underserved populations.
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District of Columbia
These three presentations from New York's March 14, 2012 Exchange Stakeholder Meeting discuss the roles of navigators in the Exchange.
California
This report, produced by the New York Department of Health, describes the state’s plan to transition the current locally-based administration of its Medicaid program, to a state-based administration system. The report broadly outlines how the state plans to accomplish this transition by the April 1, 2016 target date set by state legislation enacted in June. Access the report here: http://www.statereforum.org/sites/default/files/ny_adminreport2010.pdf