Multiple avenues for consumer input on implementation can ensure that states hear from consumers on key issues. States may consider using websites or social media in addition to traditional mechanisms, such as in-person meetings, for gathering input.

*Milestone details:

*Full name: Create mechanisms for obtaining consumer input into all formal implementation processes.

*Relevance to the ACA:

The ACA requires or encourages consumer engagement in several aspects of the law. However, the act does not specify the mechanisms that states are to use in engaging consumers in formal implementation processes.

§1311 – Navigator organizations that will help consumers and employers use the exchange must demonstrate relationships with members of the public.

§2401 – Consumer feedback for approval of a state plan option for home and community-based attendant services and supports.

§5102 – Stakeholder involvement as a condition of awarding workforce development grants.