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    Exchange Federal-State Partnership

    States have options about how much responsibility to take on in running health insurance exchanges. States may undertake some functions while delegating others to the federal government.

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    In Person Assistor Training

    We are working with UIC School of Public Health on the training of In Person Counselors in Illinois. I'm wondering if any other federal state partnership exchanges have developed their training programs yet? Thanks!

    replyMay 15th, '13
    Jackie LeGrand
    District of Columbia
    Re: In Person Assistor Training
    Hi Stephani, I asked a few state officials and this was the response.... read more

    Hi Stephani, I asked a few state officials and this was the response.
    Colorado, which has a state based exchange, has created a training plan and has a curriculum outlined.
    I didn't hear from any partnership states, but I could put you in touch with the person in CO who is working on this if that will help.

    Lisa Young
    Illinois
    Fiscal Allocations
    With all the budget issues at the state and at the federal level, I was wondering how funding will be allocated. I understand monies from the PPACA fees and taxes will be used but has it been determined which option ( such as partnership, federal) would... read more

    With all the budget issues at the state and at the federal level, I was wondering how funding will be allocated. I understand monies from the PPACA fees and taxes will be used but has it been determined which option ( such as partnership, federal) would offer the best coverage or benefit, or most costly overall?

    replyMar 11th, '13
    Rachel Dolan
    District of Columbia
    Re: Fiscal Allocations
    Hi Lisa- Both partnership and federal (FFE) exchanges will use federal eligibility and enrollment services and will have a 3.5% user fee. Before 2015, both partnership and FFE states can apply for and use Level 1 Establishment grant funding to help fund... read more

    Hi Lisa- Both partnership and federal (FFE) exchanges will use federal eligibility and enrollment services and will have a 3.5% user fee. Before 2015, both partnership and FFE states can apply for and use Level 1 Establishment grant funding to help fund the state's activities but after that it is unclear if there will be further funding opportunities or if it will fall to the state to fund their activities.

    In terms of benefits, plans in all exchanges will have to offer at least the essential health benefits package (EHB), including benefits specified by the ACA. EHB benchmark plans may vary slightly by state, but they must cover the 10 areas listed in the ACA and the EHB package is not dependent on the state's exchange model. For more on EHB you can read here:http://www.statereforum.org/weekly-insight/states-take-a-first-step-on-p... and see our chart of what states have chosen here: http://statereforum.org/analyses/state-progress-on-essential-health-bene...

    Mar 13th, '13
    Rachel Dolan
    District of Columbia
    Guidance on the Partnership Exchange

    On January 3, 2013, HHS released additional information on the partnership exchange. The guidance is attached.

    replyJan 3rd, '13
    Re: Guidance on the Partnership Exchange

    State Refor(u)m community: how will this guidance shape your state's role in exchange policies and operations, whether you're a partnership state, or strictly an FFE state? Share your ideas here, using the "reply" button above.

    Jan 10th, '13
    Rachel Dolan
    District of Columbia
    Delaware Partnership Exchange Declaration Letter and Approval

    On November 14, 2012, Delaware Gov. Markell submitted a letter officially declaring the state as participating in a partnership exchange. The exchange was conditionally approved on December 20, 2012

    replyDec 20th, '12
    Rachel Dolan
    District of Columbia
    IA Gov Submits Letter Declaring Partnership

    On December 14, 2012, IA Gov. Terry Branstad submitted a letter to HHS reversing his previous intention to create a state-based exchange and to instead set up a partnership exchange.

    replyDec 14th, '12
    Rachel Dolan
    District of Columbia
    West Virginia plans Partnership Exchange

    West Virginia has tentatively decided to pursue a partnership exchange.

    replyDec 10th, '12
    Rachel Dolan
    District of Columbia
    State Tasks for Partnership Exchange

    As part of the State Health Reform Assistance Network, Manatt Health Solutions released a high level summary of tasks for states pursuing the partnership model.

    replyDec 4th, '12
    Fed/State Exchange Partnership

    Does anyone know where to find out how the partnerships will operate administratively? Are they merely sponsored by the feds while the logistics will be set by each state?

    replyNov 19th, '12
    Jade Christie-Maples
    District of Columbia
    Re: Fed/State Exchange Partnership
    Hello Craig. Thank you for your question. ... read more

    Hello Craig. Thank you for your question.

    Ultimately, a partnership exchange will be a form of the federally-facilitated exchange (FFE) where administrative authority resides with the FFE. Under this model, the state will have the option to run the plan management functions, in-person consumer assistance functions or both, but the FFE must approve states to perform these functions. Plan management will include the development of certification, recertification and decertification processes within parameters set by the FFE, as well as data collection and issuer accreditation. Consumer assistance functions include supporting and administering the navigator program and providing other in person assistance. States are responsible for designating the agency that will carry out partnership functions. The FFE will be responsible for the more centralized functions of the partnership, including the call center and web site. Click here for more information on these responsibilities.

    CCIIO has indicated that it intends to release further guidance on the FFE, which may shed more light on the administrative operations of a partnership exchange.

    Nov 26th, '12
    Rachel Dolan
    District of Columbia
    NC Governor Chooses Partnership Exchange

    NC Governor Bev Perdue announced November 15, 2012, that North Carolina would pursue a partnership exchange.

    replyNov 15th, '12
    Rachel Dolan
    District of Columbia
    NAIC Health Reform Regulatory Alternatives Working Group Questions
    The National Association of Insurance Commissioners Health Care Reform Regulatory Alternatives Working Group—a group of commissioners from states that have decided not to create a state exchange—recently released a list of questions for the federal... read more

    The National Association of Insurance Commissioners Health Care Reform Regulatory Alternatives Working Group—a group of commissioners from states that have decided not to create a state exchange—recently released a list of questions for the federal government about the federal exchange, partnership exchange and related issues.

    replyNov 9th, '12
    Rachel Dolan
    District of Columbia
    Illinois Partnership Exchange Letter

    On October 16, 2012, Illinois Gov. Pat Quinn submitted a letter to CCIIO indicating that Illinois will participate in a partnership exchange. The state will pursue both plan management and consumer assistance functions.

    replyOct 24th, '12
    Rachel Dolan
    District of Columbia
    PA Questions to HHS

    This letter from Pennsylvania's Insurance Commissioner includes 26 questions to HHS on a range of topics, including: FFE Partnership Exchange, MAGI and the federal data hub.

    replySep 4th, '12
    Michigan Federal State Partnership model

    Does anyone know what functions the State of Michigan is choosing to assume under the partnership model, i.e., is it the Plan Management route or the Consumer Assistance "only" route?

    replyAug 29th, '12
    Rachel Dolan
    District of Columbia
    Re: Michigan Federal State Partnership model
    Hi Christine- We have not heard which partnership functions Michigan has chosen- I don't think they've announced that publicly yet. As soon as we do hear, we'll be sure to post an update here. If other users have more information, please feel free to... read more

    Hi Christine- We have not heard which partnership functions Michigan has chosen- I don't think they've announced that publicly yet. As soon as we do hear, we'll be sure to post an update here. If other users have more information, please feel free to post below.

    Sep 5th, '12
    Federal & State Partnership Model
    Regarding the guidance--it is unclear if the FFE would be a seperate "Entity" much like a state HIX would be, or if there is one Federal HIX. We question this, because from a carrier perspective we need to be clear on how many "Connections" we will need... read more

    Regarding the guidance--it is unclear if the FFE would be a seperate "Entity" much like a state HIX would be, or if there is one Federal HIX. We question this, because from a carrier perspective we need to be clear on how many "Connections" we will need to make. If a carrier is in 10 states, 5 are state HIX, 2 are the partnership model and 3 are defaulting to Federal, it is the assumption that we would have 8 connectors based on the plural terms used in the guidance--is this a correct thought?

    replyMay 21st, '12

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