Delaware Health Insurance Marketplace Project Update

September 5, 2013

Delaware Health Care Commission Meeting

Dover, DE

Consumer Assistance

Marketplace Guide Program Ramp-up

•In July, the State finalized contracts with four organizations that will hire and deploy Marketplace Guides throughout Delaware

•The four organizations will collectively provide up to 68 FTE Guides to educate consumers about the Marketplace and facilitate enrollment in Qualified Health Plans

•Guides will assist all consumers in need of support to determine coverage options in the new healthcare landscape, including expanded Medicaid

Marketplace Guide Program Ramp-up

•Hiring of Marketplace Guides is well underway for Delaware’s four contracted organizations

•Individual Guides are now undergoing both State and Federally developed training on all aspects of providing assistance to consumers regarding the Marketplace

•Guides are also in the process of obtaining certification based on successful completion of the training and examination as well as state and federal background checks

•The four organizations will collectively provide up to 68 FTE Guides to educate consumers about the Marketplace and facilitate enrollment in Qualified Health Plans

Federal In-Person Assister Entities

• On August 15, the Center for Medicare and Medicaid Services announced awards for Navigator entities nationwide

• Chatman, LLC, a consulting firm based in Upper Marlboro, MD, was awarded approximately $500,000 in funding to serve as the sole Navigator organization for Delaware

• Navigators provide the same scope of services as the state’s Marketplace Guides but are contracted by the Federal government

Federal In-Person Assister Entities

• Chatman expects to employ 5-7 FTEs to provide in-person consumer assistance to individuals in Delaware

• Navigators will undergo the same screening and certification process as Marketplace Guides

• Their outreach efforts will be coordinated with those of the Guides to ensure a seamless consumer experience

• CMS has not made a formal announcement about organizations that have been approved to provide Certified Application Counselors

Plan Management

Qualified Health Plan Review Update

CMS Final QHP Certification Process/Timeline(September 2013)

• September 9th: CMS Notification to Issuers• CMS notification provides QHP Review findings for each plan

submitted. Notification will also include the QHP Issuer Agreement.

• September 11th: Issuer Confirmation/Agreements Due to CMS• QHP Issuers must send confirmation back to CMS indicating those

approved plans that it will offer on the Marketplace and those it wishes to withdraw from the certification process.

• Issuers sign and submit QHP Agreement to CMS

• Mid-Late September: CMS Final Certification Notification• CMS will conduct final review of Issuer confirmation and signed

Agreements.• CMS will sign Agreements and send notification to Issuers regarding

final certification status.• Once Issuers receive final certification, Issuers will begin marketing

plans that will be offered on the Marketplace.

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Communications & Outreach

Communications and Outreach: Roundtable Sessions

•Conducted 3 stakeholder roundtable sessions; one in each county with Sec. Landgraf, Commissioner Stewart and Sen. Carper

•Shared the status of the program, gathered input and answered questions

•136 people attended representing 58 organizations, businesses and agencies from across the state

Communications and Outreach: Media Kick-off Event

•Held a press conference on September 3rd

• Announced the media campaign launch• Introduced the 4 Marketplace Guide organizations• Highlighted a formerly uninsured person

•Received coverage from multiple media outlets including:

• The News Journal• WDEL• WDDE• WHYY• WMDT• NBC 10 (WCAU Philadelphia)• WGMD

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