terms and definitions used by states reporting on affordable care act (aca) enrollment

8/10/2019 Terms and Definitions Used by States Reporting on Affordable Care Act (ACA) Enrollment

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Terms and De nitions used by States Reporting on Affordable Care Act (ACA) Enrollment


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Table of Contents

Overview and Purpose .............................................................................................................................................1

I. Enrollment otals ................................................................................................................................................1

II. Stages in the Enrollment Process .........................................................................................................................2

III. Demographics of Enrollees ................................................................................................................................3

IV. System & Process Information ...........................................................................................................................5

V. Characteristics of Selected Plans/Costs ................................................................................................................7

VI. Exchange Cost and Budgets ..............................................................................................................................8

Tis work represents a collaboration between the State Health Access Data Assistance Center (SHADAC) and the StateHealth Exchange Leadership Network (Network). A primary goal of SHADAC and the Network is to provide technicalsupport to states as they implement the ACA and manage ongoing operations of the exchange. In the course of this work, both organizations recognized the need for direct technical assistance related to data collection, analysis andreporting by state-based exchanges. In response, SHADAC and the Network have collaborated to provide support in thisarea. Tis work is supported by the State Health Reform Assistance Network (State Network), the National Academy for

State Health Policy (NASHP) and the Robert Wood Johnson Foundation (RWJF).

Authors

NASHP Abigail Arons

ess Shiras Anne Gauthier

amara KramerChristina Miller

SHADAC Jennifer RicardsElizabeth Lukanen Alexis RussellMary Cobb


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Overview and PurposeDuring the rst open enrollment period under the Affordable Care Act, the federal government and statesoperating state-based exchanges conducted various types of reporting on key indicators of interest topolicymakers and the public. Tere was variation in the denitions employed by different states, and thisis expected to continue into the future. As the second open enrollment period nears, several states haveexpressed interest in better understanding how their counterparts are dening and using key terms in publicreporting. Tis document is a compendium of those terms and denitions most commonly used in therst open enrollment period; it is hoped that this resource will be useful to states both for planning futurereporting and for facilitating cross-state understanding and comparison.

Troughout this document, hyperlinked state abbreviations provide examples of these terms and denitionsin use in actual state reports. Tese examples are not necessarily exhaustive of all states using each approachor denition. Due to the hyperlinked examples, the document is best viewed in electronic format. o viewthe document online, please visit SHADACs website at www.shadac.org or visit the NASHP website at www.stateexchangenetwork.org

I. Enrollment TotalsRegularly-updated enrollment gures are in high demand from state leaders, federal agencies, and thepublic, especially during busy open enrollment periods. It is critical to understand what the reportedenrollment gures might or might not include. Te approaches listed below are common in state andfederal reports.

Total Enrollment

otal enrollment in all reports includes Qualied Health Plan (QHP) enrollment (see QHPenrollment). It may also include other types of enrollments.

Most reports also include Medicaid enrollment (NV ), though some do not (RI, HI) (see Medicaidenrollment). States may also include Basic Health Plan enrollment (MN). Tis is clearly specied inreporting.

otal enrollment may include Small Business Health Opportunity Program (SHOP) enrollment (DC,U ). In many cases, it is unclear whether SHOP enrollment is included.

Stand-alone dental plan enrollment is not included in the total enrollment gure (KY ), though this canbe unclear. In lieu of a total enrollment gure, states may report multiple gures for QHP, Medicaid,and dental plan enrollment (OR ). States may also report net enrollment , which accounts forcancellations and terminations (OR ) or changes compared to previous coverage options (MA ).

QHP Enrollment

Most states and the federal government include people who at leastapplied, were found eligible,and selected a QHP (CA , ASPE). Several states do not specify which stage of the application andenrollment process constitutes an enrollment.
http://exchange.nv.gov/uploadedFiles/exchange.nv.gov/Content/Media/2014_04_2014_Enrollment.pdfhttp://www.healthsourceri.com/press-releases/healthsource-ri-releases-enrollment-demographic-and-volume-data-through-march-31/http://www.hawaiihealthconnector.com/hawaii-health-connector-signs-7861-continues-help-many/https://www.mnsure.org/news-room/news/news-detail.jsp?id=486-125432https://www.dchealthlink.com/node/1287http://www.avenueh.com/images/PDFs/dashboards/April%202014%20Dashboard.pdfhttp://migration.kentucky.gov/Newsroom/governor/20140410kynect.htmhttp://resources.coveroregon.com/Enrollment-update.htmlhttp://resources.coveroregon.com/Enrollment-update.htmlhttps://bettermahealthconnector.org/massachusetts-health-exchange-dashboard-for-april-10-2014/http://news.coveredca.com/2014/04/covered-californias-historic-first-open.htmlhttp://www.aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Mar2014/ib_2014mar_enrollment.pdfhttp://www.aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Mar2014/ib_2014mar_enrollment.pdfhttp://news.coveredca.com/2014/04/covered-californias-historic-first-open.htmlhttps://bettermahealthconnector.org/massachusetts-health-exchange-dashboard-for-april-10-2014/http://resources.coveroregon.com/Enrollment-update.htmlhttp://resources.coveroregon.com/Enrollment-update.htmlhttp://migration.kentucky.gov/Newsroom/governor/20140410kynect.htmhttp://www.avenueh.com/images/PDFs/dashboards/April%202014%20Dashboard.pdfhttps://www.dchealthlink.com/node/1287https://www.mnsure.org/news-room/news/news-detail.jsp?id=486-125432http://www.hawaiihealthconnector.com/hawaii-health-connector-signs-7861-continues-help-many/http://www.healthsourceri.com/press-releases/healthsource-ri-releases-enrollment-demographic-and-volume-data-through-march-31/http://exchange.nv.gov/uploadedFiles/exchange.nv.gov/Content/Media/2014_04_2014_Enrollment.pdf


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Alternately, states may use a stricter standard for QHP enrollment, reporting only those who applied, were found eligible, selected a QHP, and paid ( WA , NV ).

Medicaid Enrollment

Medicaid enrollment may include enrollment only from applications for Medicaid submitted throughan exchange ( ASPE, DC) or from applications for Medicaidsubmitted through either an exchange orthe Medicaid agency (CA , C ).

Te gure may include both Medicaid and CHIP (Child Health Insurance Program) enrollment( ASPE).

States may break out enrollment for people who arenewly eligible due to the Medicaid expansion(CO) and/or those who werealready eligible before the expansion and had not signed up ( WA ). Tegure may include all Medicaid enrollments (CMS) regardless of previous eligibility status. Many statesdo not specify.

Medicaid enrollment may include those who are newly eligible for full Medicaid and wereadministratively transitioned to Medicaid (such as people already enrolled in SNAP beingautomatically enrolled in Medicaid) (CA ) or those who were already in limited benet Medicaidprograms and were automatically transitioned to full Medicaid (CA , MD). Alternately, the gure couldexclude people who were administratively transitioned (V ).

II. Stages in the Enrollment ProcessIn addition to reporting total enrollment, some state-based exchanges and the federal government reportgures that reect applicants progression through some or all stages of the enrollment process. Te stagesbelow are commonly used in state and federal reports.

Applications Started

Tis gure is considered the start of the enrollment process. Te metric may be reported as Applications Started (NV ), Accounts Created (CO), Applications Initiated , including Medicaid(CA ), or Conducted Preliminary Screenings (KY ). Te meaning depends on the specic statesprocess.

Determined or Assessed as Eligible

Tis is the stage at which an application has been completed and an eligibility decision has been made.

Determined eligible for a QHP . ypically, this gure is a cumulative total of applicants who have beendetermined eligible for purchasing a QHP through the exchange. Te gure includes all applicantseligible to purchase a QHP, regardless of whether they are also eligible for subsidies. Some states providea sub-category of eligible individuals who qualify for subsidies (CA , KY ).
http://www.wahbexchange.org/news-resources/press-room/press-releases/april-1-enrollment-reporthttp://exchange.nv.gov/uploadedFiles/exchangenvgov/Content/Meetings/08_Enrollment_Statistics.pdfhttp://aspe.hhs.gov/health/reports/2014/marketplaceenrollment/mar2014/ib_2014mar_enrollment.pdfhttps://www.dchealthlink.com/node/1325http://news.coveredca.com/2014/04/covered-californias-historic-first-open.htmlhttp://articles.courant.com/2014-02-10/business/hc-access-health-ct-enrollment-goals-20140210_1_access-health-ct-ceo-kevin-counihan-enrollment-goalhttp://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Mar2014/ib_2014mar_enrollment.pdfhttp://www.colorado.gov/cs/Satellite?blobcol=urldata&blobheader=application%2Fpdf&blobkey=id&blobtable=MungoBlobs&blobwhere=1251960721751&ssbinary=truehttp://www.wahbexchange.org/news-resources/press-room/press-releases/april-1-enrollment-reporthttp://www.medicaid.gov/AffordableCareAct/Medicaid-Moving-Forward-2014/Downloads/February-2014-Enrollment-Report.pdfhttp://news.coveredca.com/2014/04/covered-california-executive-director.htmlhttp://news.coveredca.com/2014/04/covered-california-executive-director.htmlhttp://marylandhbe.com/wp-content/uploads/2014/04/MHC_UPDATE_040414.pdfhttp://vtdigger.org/2014/03/18/vermont-health-connect-hits-100000-enrollment-target-state-says/http://exchange.nv.gov/uploadedFiles/exchangenvgov/Content/Meetings/08_Enrollment_Statistics.pdfhttp://connectforhealthco.com/wp-content/uploads/2014/04/FINAL-data-open-enrollment-report-4-14-144.pdfhttp://news.coveredca.com/2014/04/covered-californias-historic-first-open.htmlhttp://migration.kentucky.gov/Newsroom/governor/20140410kynect.htmhttp://news.coveredca.com/2014/04/covered-californias-historic-first-open.htmlhttp://migration.kentucky.gov/Newsroom/governor/20140410kynect.htmhttp://migration.kentucky.gov/Newsroom/governor/20140410kynect.htmhttp://news.coveredca.com/2014/04/covered-californias-historic-first-open.htmlhttp://migration.kentucky.gov/Newsroom/governor/20140410kynect.htmhttp://news.coveredca.com/2014/04/covered-californias-historic-first-open.htmlhttp://connectforhealthco.com/wp-content/uploads/2014/04/FINAL-data-open-enrollment-report-4-14-144.pdfhttp://exchange.nv.gov/uploadedFiles/exchangenvgov/Content/Meetings/08_Enrollment_Statistics.pdfhttp://vtdigger.org/2014/03/18/vermont-health-connect-hits-100000-enrollment-target-state-says/http://marylandhbe.com/wp-content/uploads/2014/04/MHC_UPDATE_040414.pdfhttp://news.coveredca.com/2014/04/covered-california-executive-director.htmlhttp://news.coveredca.com/2014/04/covered-california-executive-director.htmlhttp://www.medicaid.gov/AffordableCareAct/Medicaid-Moving-Forward-2014/Downloads/February-2014-Enrollment-Report.pdfhttp://www.wahbexchange.org/news-resources/press-room/press-releases/april-1-enrollment-reporthttp://www.colorado.gov/cs/Satellite?blobcol=urldata&blobheader=application%2Fpdf&blobkey=id&blobtable=MungoBlobs&blobwhere=1251960721751&ssbinary=truehttp://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Mar2014/ib_2014mar_enrollment.pdfhttp://articles.courant.com/2014-02-10/business/hc-access-health-ct-enrollment-goals-20140210_1_access-health-ct-ceo-kevin-counihan-enrollment-goalhttp://news.coveredca.com/2014/04/covered-californias-historic-first-open.htmlhttps://www.dchealthlink.com/node/1325http://aspe.hhs.gov/health/reports/2014/marketplaceenrollment/mar2014/ib_2014mar_enrollment.pdfhttp://exchange.nv.gov/uploadedFiles/exchangenvgov/Content/Meetings/08_Enrollment_Statistics.pdfhttp://www.wahbexchange.org/news-resources/press-room/press-releases/april-1-enrollment-report


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Determined/assessed as eligible for Medicaid/CHIP . States Medicaid programs and processes vary,so this gure has different meanings. It may or may not reect people who have Medicaid coverageeffective. In addition to the variations discussed in Medicaid Enrollment, this gure could include:(1) people who have been determined eligible for Medicaid by the exchange but still need to be veriedas eligible by the Medicaid agency (MD); (2) people who may or may not have selected a plan (in states with Medicaid processes that involve plan selection) (NV ); and (3) people who have been assessed aseligible by the Exchange and referred to the state Medicaid agency for an official determination ( ASPE e.g., AZ).

Completed Enrollments or Fully Enrolled

Generally , the stage at which the health plan is selected is considered the end of the enrollment process

and feeds into the QHP Enrollment otal gure.Most states and the federal government consider a completed enrollment to be at the stage ofplanselection or pre-effectuated enrollments (i.e., before a premium payment has been made). Tus,completed enrollment numbers indicate a plan has been selected, though payment may or may nothave been received ( ASPE).

Some states further break out the number ofpaid enrollments from the total enrollments ( WA , NV ).Te term effectuated enrollment is used by ASPE for those who applied, were found eligible, and paidfor their rst months premium ( ASPE).

III. Demographics of EnrolleesTe breadth of publically reported demographic information on exchange enrollees varies greatly by state. Almost all states report basic demographic information such as age, but a subset of states provide additionaldetail on characteristics such as race and ethnicity, poverty, language, and geography. Within demographiccategories, there is also variation in how states report this information (particularly for race/ethnicity).

Age

Most states align their reported age categories with the federal governments categories (C , MN).Tese age categories are as follows: 0-17, 18-25, 26-34, 35-44, 45-54, 55-64, 65+ ( ASPE). A few stateshave slight variations on this reporting structure, including reporting the oldest age group as 55 andolder (RI) or providing the average age of enrollees (NV ). Similar to the federal enrollment reporting( ASPE), some states report data specically for the young adult category that includes people ages18-34 (NV , WA ).

Gender
http://marylandhbe.com/wp-content/uploads/2014/04/MHC_UPDATE_041114.pdfhttp://exchange.nv.gov/uploadedFiles/exchangenvgov/Content/Meetings/08_Enrollment_Statistics.pdfhttp://aspe.hhs.gov/health/reports/2014/marketplaceenrollment/mar2014/ib_2014mar_enrollment.pdfhttp://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Mar2014/ib_2014mar_enrollment.pdfhttp://www.wahbexchange.org/news-resources/press-room/press-releases/april-1-enrollment-reporthttp://exchange.nv.gov/uploadedFiles/exchangenvgov/Content/Meetings/08_Enrollment_Statistics.pdfhttp://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Mar2014/ib_2014mar_enrollment.pdfhttp://www.shadac.org/files/shadac/publications/Access%20Health%20CT_Board%20Meeting_6.19.14.pdfhttp://shadac.org/files/shadac/publications/MNsure_Metrics_4.16.14.pdfhttp://shadac.org/files/shadac/publications/ASPE%20Enrollment_April.pdfhttp://shadac.org/files/shadac/publications/HealthSourceRI_2.11.14.pdfhttp://shadac.org/files/shadac/publications/NV_3.13.14.pdfhttp://shadac.org/files/shadac/publications/ASPE_MarketPlaceEnrollment_Feb2014.pdfhttp://shadac.org/files/shadac/publications/NV_3.13.14.pdfhttp://www.shadac.org/files/shadac/publications/Washington%20Health%20Benefit%20Exchange%20-%206.1.14.pdfhttp://www.shadac.org/files/shadac/publications/Washington%20Health%20Benefit%20Exchange%20-%206.1.14.pdfhttp://shadac.org/files/shadac/publications/NV_3.13.14.pdfhttp://shadac.org/files/shadac/publications/ASPE_MarketPlaceEnrollment_Feb2014.pdfhttp://shadac.org/files/shadac/publications/NV_3.13.14.pdfhttp://shadac.org/files/shadac/publications/HealthSourceRI_2.11.14.pdfhttp://shadac.org/files/shadac/publications/ASPE%20Enrollment_April.pdfhttp://shadac.org/files/shadac/publications/MNsure_Metrics_4.16.14.pdfhttp://www.shadac.org/files/shadac/publications/Access%20Health%20CT_Board%20Meeting_6.19.14.pdfhttp://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Mar2014/ib_2014mar_enrollment.pdfhttp://exchange.nv.gov/uploadedFiles/exchangenvgov/Content/Meetings/08_Enrollment_Statistics.pdfhttp://www.wahbexchange.org/news-resources/press-room/press-releases/april-1-enrollment-reporthttp://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Mar2014/ib_2014mar_enrollment.pdfhttp://aspe.hhs.gov/health/reports/2014/marketplaceenrollment/mar2014/ib_2014mar_enrollment.pdfhttp://exchange.nv.gov/uploadedFiles/exchangenvgov/Content/Meetings/08_Enrollment_Statistics.pdfhttp://marylandhbe.com/wp-content/uploads/2014/04/MHC_UPDATE_041114.pdf


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Gender is a required element of the exchange application, and roughly half of the SBMs report thisinformation. Some states provide basic numbers or percentages by gender categories (MD, MN,OR ).Other states provide additional reporting breakouts for gender, such as public vs. private or subsidizedvs. unsubsidized coverage. ( WA , NY ).

Geographic Area

Several states report enrollment data bygeography . States vary in the level of geographic detail theyreport. While some states provide reports at theregion level (CA ), the majority report informationat the county level (CO, MD, KY , NY ). Examples of breakouts reported by geographic area includeprivate vs. public enrollment by county (NY ), and age category breakouts by county (KY ). One state

reports on enrollment by QHP service area 1 (NV ). Language

A few states report on the language preferences of applicants and enrollees. For some states, thisinformation is collected through the call center (please see Section VI for call center detail), so thatthe language spoken during the assistance calls is tracked and reported by the SBM ( WA ). For statesthat collect data on language during the enrollment process, some distinguish between thepreferredlanguage (NY ) and the spoken language (CA ).

Poverty Level

For enrollment purposes, thefederal poverty level (FPL) is used to determine whether an individualis eligible for public programs such as Medicaid or subsidies within the exchange such as AdvancePremium Tax Credits (AP C) or Cost Sharing Reductions (CSR). For example, those up to 400%of the FPL are eligible to receive AP Cs, and those up to 250% may receive assistance with out ofpocket costs. Some SBMs report information on enrollees FPL. Tose that do report usually provide abreakout of the number or percentage of enrollees by FPL categories that correspond with program orsubsidy cut-offs (NV , NY , WA ).

Race and Ethnicity

Race and Ethnicity are dened as self-reported categories that indicate which race(s) and ethnicitythe individual most closely identies with. Te federal guidelines for collecting information on race/ethnicity include two categories forethnicity (Hispanic or Latino; Not Hispanic or Latino) and sixcategories forrace (American Indian or Alaska Native; Asian; Black or African American; NativeHawaiian or Other Pacic Islander; White). Te federal ASPE reports were consistent with thefederal guidelines and included a multi-race category for those who selected more than one race. Approximately one-fourth of the state-based exchanges report data on race and/or ethnicity, with thereporting frequency and detail varying across states. State-reported information is sometimes presentedin categories that are less detailed than thefederal guidelines (NY ). However, some states that report

1 A service area is a geographic area where a health insurance plan accepts members, if it limits memberships based on where people live. Tis isan area where individuals can get routine (non-emergency) services.
http://www.shadac.org/files/shadac/publications/Maryland_Health_Connection_6.27.14.pdfhttp://www.shadac.org/files/shadac/publications/MNsure_BODDashboard7.10.14.pdfhttp://www.shadac.org/files/shadac/publications/CoverOR_6.11.14.pdfhttp://shadac.org/files/shadac/publications/Washinton%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part%201.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://www.shadac.org/files/shadac/publications/Covered_CA_5.7.14.pdfhttp://connectforhealthco.com/wp-content/uploads/2013/11/20140311-Enrollments-by-County-as-of-March-8-2014.pdfhttp://www.shadac.org/files/shadac/publications/Maryland_Health_Connection_6.27.14.pdfhttp://www.shadac.org/files/shadac/publications/Kynect_4.10.14_0.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://www.shadac.org/files/shadac/publications/Kynect_4.10.14_0.pdfhttp://shadac.org/files/shadac/publications/NV_5.8.14.pdfhttp://shadac.org/files/shadac/publications/Washinton%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part%201.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://shadac.org/files/shadac/publications/CoveredCalifornia_4.17.14.pdfhttp://shadac.org/files/shadac/publications/NV_5.8.14.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://shadac.org/files/shadac/publications/Washington%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part2.pdfhttp://shadac.org/files/shadac/publications/ASPE_MarketPlaceEnrollment_Feb2014.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://shadac.org/files/shadac/publications/ASPE_MarketPlaceEnrollment_Feb2014.pdfhttp://shadac.org/files/shadac/publications/Washington%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part2.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://shadac.org/files/shadac/publications/NV_5.8.14.pdfhttp://shadac.org/files/shadac/publications/CoveredCalifornia_4.17.14.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://shadac.org/files/shadac/publications/Washinton%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part%201.pdfhttp://shadac.org/files/shadac/publications/NV_5.8.14.pdfhttp://www.shadac.org/files/shadac/publications/Kynect_4.10.14_0.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://www.shadac.org/files/shadac/publications/Kynect_4.10.14_0.pdfhttp://www.shadac.org/files/shadac/publications/Maryland_Health_Connection_6.27.14.pdfhttp://connectforhealthco.com/wp-content/uploads/2013/11/20140311-Enrollments-by-County-as-of-March-8-2014.pdfhttp://www.shadac.org/files/shadac/publications/Covered_CA_5.7.14.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://shadac.org/files/shadac/publications/Washinton%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part%201.pdfhttp://www.shadac.org/files/shadac/publications/CoverOR_6.11.14.pdfhttp://www.shadac.org/files/shadac/publications/MNsure_BODDashboard7.10.14.pdfhttp://www.shadac.org/files/shadac/publications/Maryland_Health_Connection_6.27.14.pdf


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race/ethnicity information include additional categories beyond the federal guidelines, such as mixedrace (CA ) or additional races that represent the demographics in their state (NV , WA ).

Beyond reporting simply on the number or percentage of enrollees by race/ethnicity, some statespresent other breakouts by race/ethnicity. For example, enrollment in QHPs versus Medicaid by race/ethnicity (NY , WA ), or subsidy eligibility by race/ethnicity (CA , NY ).

Federal guidelines require that questions related to race/ethnicity be optional responses. As such,applicants may choose not to provide information about their race/ethnicity . Some states providedata on the number or percentage of applicants/enrollees that did not provide this information (NY , WA ).

IV. System & Process InformationMany states release information describing the traffic and functionality for their exchange systems. Teseadvisories include information about call centers, websites, and in-person consumer assistance.

Call Centers

Call center volume. Tis gure is the number of telephone calls a states call center receives, such ascalls from consumers needing assistance and troubleshooting calls from brokers and other consumerassistance providers. Generally, states report thetotal number of calls received by the center, thoughstates vary on the time frames (e.g., daily, monthly, full open enrollment period). For example, somestates and the federal government report the total number of calls cumulatively over the entire openenrollment period (KY , HI, ASPE) while others report a weekly total (CA ). Some states specify thatthese are thenumber of calls answered (C , NY , WA ). Some exchanges also report theirpeak call volume statistics; these gures are commonly released when call volume is particularly high, such asduring the nal days of open enrollment (DC, NY , MA , HI).

Call center functionality. Since many call centers experienced unexpectedly high volume during therst open enrollment period, some states report on how well the call center is functioning. Several statesreport on wait time . Tis could be the weekly (CA ), monthly, or cumulative average wait times ( WA ).Other frequent statistics includecall abandonment rates (MA ), number of calls deferred ( WA ), orthe number of voicemails received (C ). Several states data incorporatesaverage call length (NY ,CA ).

Outbound outreach. In addition to incoming calls, some states indicate the number of outbound calls,emails, or letters that call center customer service representatives sent to consumers. States doing thisreport a daily average (HI) or a total number (CO).

Other call center reporting. Some states report other information about their call centers. Forexample, WA identies the number of Spanish-speaking calls as well as calls in other languages.CO reports consumers most frequently asked questions via phone or chat. NY breaks out call center calls
http://shadac.org/files/shadac/publications/CoveredCalifornia_4.17.14.pdfhttp://shadac.org/files/shadac/publications/NV_4.10.14.pdfhttp://shadac.org/files/shadac/publications/Washington%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part2.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://shadac.org/files/shadac/publications/Washington%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part2.pdfhttp://shadac.org/files/shadac/publications/CoveredCalifornia_4.17.14.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://shadac.org/files/shadac/publications/Washington%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part2.pdfhttp://migration.kentucky.gov/Newsroom/governor/20140410kynect.htmhttp://www.hawaiihealthconnector.com/connector-updates-april-12-2014/http://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Apr2014/ib_2014Apr_enrollment.pdfhttp://news.coveredca.com/2014/04/covered-california-releases-statistics_8.htmlhttp://4155l2gg5ga3d1m572z1uo2qov.wpengine.netdna-cdn.com/wp-content/uploads/2013/02/AHCT_final_numbers_pressrelease.pdfhttp://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report.pdfhttp://www.wahbexchange.org/files/2713/9888/1218/WAHBE_End_of_Open_Enrollment_Data_Report_FINAL.pdfhttps://www.dchealthlink.com/node/1354http://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report.pdfhttps://bettermahealthconnector.org/massachusetts-health-exchange-dashboard-for-april-10-2014/http://www.hawaiihealthconnector.com/connector-updates-april-12-2014/http://news.coveredca.com/2014/04/covered-california-releases-statistics_8.htmlhttp://www.wahbexchange.org/files/2713/9888/1218/WAHBE_End_of_Open_Enrollment_Data_Report_FINAL.pdfhttps://bettermahealthconnector.org/massachusetts-health-exchange-dashboard-for-march-27-2014/http://www.wahbexchange.org/files/2713/9888/1218/WAHBE_End_of_Open_Enrollment_Data_Report_FINAL.pdfhttp://4155l2gg5ga3d1m572z1uo2qov.wpengine.netdna-cdn.com/wp-content/uploads/2013/02/AHCT_final_numbers_pressrelease.pdfhttp://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report.pdfhttp://news.coveredca.com/2014/04/covered-california-releases-statistics_8.htmlhttp://www.hawaiihealthconnector.com/hawaii-health-connector-signs-7861-continues-help-many/http://connectforhealthco.com/wp-content/uploads/2014/04/FINAL-data-open-enrollment-report-4-14-144.pdfhttp://www.wahbexchange.org/files/2713/9888/1218/WAHBE_End_of_Open_Enrollment_Data_Report_FINAL.pdfhttp://connectforhealthco.com/wp-content/uploads/2014/04/FINAL-data-open-enrollment-report-4-14-144.pdfhttp://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report.pdfhttp://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report.pdfhttp://connectforhealthco.com/wp-content/uploads/2014/04/FINAL-data-open-enrollment-report-4-14-144.pdfhttp://www.wahbexchange.org/files/2713/9888/1218/WAHBE_End_of_Open_Enrollment_Data_Report_FINAL.pdfhttp://connectforhealthco.com/wp-content/uploads/2014/04/FINAL-data-open-enrollment-report-4-14-144.pdfhttp://www.hawaiihealthconnector.com/hawaii-health-connector-signs-7861-continues-help-many/http://news.coveredca.com/2014/04/covered-california-releases-statistics_8.htmlhttp://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report.pdfhttp://4155l2gg5ga3d1m572z1uo2qov.wpengine.netdna-cdn.com/wp-content/uploads/2013/02/AHCT_final_numbers_pressrelease.pdfhttp://www.wahbexchange.org/files/2713/9888/1218/WAHBE_End_of_Open_Enrollment_Data_Report_FINAL.pdfhttps://bettermahealthconnector.org/massachusetts-health-exchange-dashboard-for-march-27-2014/http://www.wahbexchange.org/files/2713/9888/1218/WAHBE_End_of_Open_Enrollment_Data_Report_FINAL.pdfhttp://news.coveredca.com/2014/04/covered-california-releases-statistics_8.htmlhttp://www.hawaiihealthconnector.com/connector-updates-april-12-2014/https://bettermahealthconnector.org/massachusetts-health-exchange-dashboard-for-april-10-2014/http://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report.pdfhttps://www.dchealthlink.com/node/1354http://www.wahbexchange.org/files/2713/9888/1218/WAHBE_End_of_Open_Enrollment_Data_Report_FINAL.pdfhttp://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report.pdfhttp://4155l2gg5ga3d1m572z1uo2qov.wpengine.netdna-cdn.com/wp-content/uploads/2013/02/AHCT_final_numbers_pressrelease.pdfhttp://news.coveredca.com/2014/04/covered-california-releases-statistics_8.htmlhttp://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Apr2014/ib_2014Apr_enrollment.pdfhttp://www.hawaiihealthconnector.com/connector-updates-april-12-2014/http://migration.kentucky.gov/Newsroom/governor/20140410kynect.htmhttp://shadac.org/files/shadac/publications/Washington%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part2.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://shadac.org/files/shadac/publications/CoveredCalifornia_4.17.14.pdfhttp://shadac.org/files/shadac/publications/Washington%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part2.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://shadac.org/files/shadac/publications/Washington%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part2.pdfhttp://shadac.org/files/shadac/publications/NV_4.10.14.pdfhttp://shadac.org/files/shadac/publications/CoveredCalifornia_4.17.14.pdf


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into 1) calls to complete an application over the phone with nancial assistance 2) calls to complete anapplication over the phone without nancial assistance, and 3) calls for general inquiries.

Exchange Websites

Website volume. Tis gure represents the traffic of visitors to exchange websites. Commonly reportedexchange website statistics include the number of total web visitors (DC, RI), and/or the numberof unique web visitors (KY , RI), meaning each computer accessing the website was counted onlyonce, regardless of how many times that computer visited the site. In addition to statistics on theentire website, some states report ontotal page views and unique page views, counting each page onthe exchanges website that a visitor opened ( WA ). Like call center data, some states and the federalgovernment report this cumulatively over the open enrollment period ( ASPE), while others report a

daily average, or peak statistics on particular days.NY s analysis includes thenumber of concurrent visitors per hour, highlighting times of peak website interest compared to the average.

Website functionality. Some states include theaverage time for a web page to load (NY ) or thepercent of web pages serviced within ve seconds (CO).

Consumer Assistance

Availability of consumer assistance . Tese gures report on the availability of in-person consumerassistance providers such as brokers, navigators, and In-Person Assisters (IPAs). Several states detail thetype and number of consumer assistance representatives in their state (HI, CO, CA , and NY ). CA also shows the number and type of assistance representatives that have certication in progress.

Use of consumer assistance. Some states report on consumers path to enrollment, such as using aservice center representative, a broker, an IPA, or the website to self-enroll (CA , NY , WA ). NY furtherbreaks out this statistic by the percentage of those people who enroll for Medicaid, a QHP with asubsidy, or a QHP without a subsidy.

Other consumer assistance reporting . CO reports the number of consumer assistance events hostedby the state, the hours of training for assistance certication by type of assister, thenumber ofmiles driven by Connect for Health Colorado to provide outreach across the state, and thenumberof languages requested for translation services, including languages most requested.NY reports thenumber of people in the state following the Exchange on Facebook or witter, as well as the number ofcenter responses to consumers via social media.RI also states their total number of walk-in visits to thecall center.

V. Characteristics of Selected Plans/CostsIn addition to enrollee demographic and exchange system information, SBMs also publically report oninformation related to health plans. Tis varies from information on carriers offering plans through theexchange, to plan metal levels selected, to subsidies to help reduce the cost of plans for eligible applicants. Afew states also report on information related to the plan costs to consumers (see below for examples).

Carriers
https://www.dchealthlink.com/node/1354http://www.healthsourceri.com/press-releases/healthsource-ri-releases-enrollment-demographic-and-volume-data-through-march-31/http://migration.kentucky.gov/Newsroom/governor/20140410kynect.htmhttp://www.healthsourceri.com/press-releases/healthsource-ri-releases-enrollment-demographic-and-volume-data-through-march-31/http://www.wahbexchange.org/files/2713/9888/1218/WAHBE_End_of_Open_Enrollment_Data_Report_FINAL.pdfhttp://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Apr2014/ib_2014Apr_enrollment.pdfhttp://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report.pdfhttp://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report.pdfhttp://connectforhealthco.com/wp-content/uploads/2014/04/FINAL-data-open-enrollment-report-4-14-144.pdfhttp://www.hawaiihealthconnector.com/hawaii-health-connector-signs-7861-continues-help-many/http://connectforhealthco.com/wp-content/uploads/2014/04/FINAL-data-open-enrollment-report-4-14-144.pdfhttp://news.coveredca.com/2014/04/covered-california-releases-statistics_8.htmlhttp://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report.pdfhttp://news.coveredca.com/2014/04/covered-california-releases-statistics_8.htmlhttp://news.coveredca.com/2014/04/covered-californias-historic-first-open.htmlhttp://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report.pdfhttp://www.wahbexchange.org/files/2713/9888/1218/WAHBE_End_of_Open_Enrollment_Data_Report_FINAL.pdfhttp://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report.pdfhttp://connectforhealthco.com/wp-content/uploads/2014/04/FINAL-data-open-enrollment-report-4-14-144.pdfhttp://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report.pdfhttp://www.healthsourceri.com/press-releases/healthsource-ri-releases-enrollment-demographic-and-volume-data-through-march-31/http://www.healthsourceri.com/press-releases/healthsource-ri-releases-enrollment-demographic-and-volume-data-through-march-31/http://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report.pdfhttp://connectforhealthco.com/wp-content/uploads/2014/04/FINAL-data-open-enrollment-report-4-14-144.pdfhttp://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report.pdfhttp://www.wahbexchange.org/files/2713/9888/1218/WAHBE_End_of_Open_Enrollment_Data_Report_FINAL.pdfhttp://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report.pdfhttp://news.coveredca.com/2014/04/covered-californias-historic-first-open.htmlhttp://news.coveredca.com/2014/04/covered-california-releases-statistics_8.htmlhttp://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report.pdfhttp://news.coveredca.com/2014/04/covered-california-releases-statistics_8.htmlhttp://connectforhealthco.com/wp-content/uploads/2014/04/FINAL-data-open-enrollment-report-4-14-144.pdfhttp://www.hawaiihealthconnector.com/hawaii-health-connector-signs-7861-continues-help-many/http://connectforhealthco.com/wp-content/uploads/2014/04/FINAL-data-open-enrollment-report-4-14-144.pdfhttp://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report.pdfhttp://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report.pdfhttp://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Apr2014/ib_2014Apr_enrollment.pdfhttp://www.wahbexchange.org/files/2713/9888/1218/WAHBE_End_of_Open_Enrollment_Data_Report_FINAL.pdfhttp://www.healthsourceri.com/press-releases/healthsource-ri-releases-enrollment-demographic-and-volume-data-through-march-31/http://migration.kentucky.gov/Newsroom/governor/20140410kynect.htmhttp://www.healthsourceri.com/press-releases/healthsource-ri-releases-enrollment-demographic-and-volume-data-through-march-31/https://www.dchealthlink.com/node/1354


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Most state based exchanges report how many people enrolled with a specichealth plan carrier (e.g.,Blue Cross Blue Shield, United Healthcare). In most cases this is reported as a percentage of enrolleesby carrier (CA , NV , NY , OR ), while some states report the actual number of enrollees that chosea carrier (RI, WA ). States do not drill down to the plan selected within a carrier, so the number orpercentage of enrollees within a carrier does not suggest that all enrollees have the same type of coverage(e.g., some may be enrolled in a bronze level plan, others with the same carrier may be enrolled ina silver level plan). Some states provided more detailed breakout information by carrier, such as thepercentage of enrollees who are eligible for subsides (CA ). New York provides total number of enrolleesand percentage of those enrolled within each county by carrier (NY ).

Metal Levels

Metal levels represent the different levels of benets offered through the exchange. Te metal levels(also known asmetal tiers ) were created to allow consumers to easily compare benets across plans.From lowest to highest benets, the metal levels arebronze, silver, gold and platinum . Catastrophicplans have the lowest benet levels, and were made available only to those granted hardship exemptionsand to those under age 30. Data regarding plan metal level is determined when the consumer is foundeligible and then selects a plan.

Metal levels reported. A majority of SBMs report on metal level during open enrollment. Mostprovide this information as the percentage or number enrolled by metal level (DC, RI, WA ). Somestates also report on the number or percent enrolled in catastrophic plans (MD, MN, NY ).

Common breakouts. States often reported the metal levels with cost and subsidy information. Forexample, breakouts for the level of cost sharing reductions (NY ), the number of people who wereeligible for subsidies (CA ), and the average cost of metal levels and catastrophic plans by eligibility fornancial assistance (CO).

Plan Costs

Only a few states report on costs associated with plans offered through the exchange. Washingtonreports on average tax credit amount and average cost of a plan on the exchange with nancial help( WA ). Colorado reports on the average cost of a plan by metal tier level and subsidy status (CO).

Subsidies

Many of the SBMs report on the number or percentage of enrollees who would receive subsidiesto assist with the costs associated with coverage. Te most commonly reported where the advancedpremium tax credits and cost sharing reductions.

Advanced Premium Tax Credits (APTCs). AP Cs are credits that qualied enrollees can useimmediately toward the cost of their premiums, thus increasing the affordability of plans offeredthrough the exchange. AP Cs are available for enrollees up to 400% of the federal poverty level
http://shadac.org/files/shadac/publications/CoveredCalifornia_4.17.14.pdfhttp://shadac.org/files/shadac/publications/NV_5.8.14.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://shadac.org/files/shadac/publications/CoverOR_3.13.14.pdfhttp://shadac.org/files/shadac/publications/Washington%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part2.pdfhttp://shadac.org/files/shadac/publications/Washington%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part2.pdfhttp://shadac.org/files/shadac/publications/CoveredCalifornia_4.17.14.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://shadac.org/files/shadac/publications/HealthBenefitExchange_DC_5.2.14.pdfhttp://shadac.org/files/shadac/publications/HealthSourceRI_3.11.14.pdfhttp://shadac.org/files/shadac/publications/Washinton%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part%201.pdfhttp://www.shadac.org/files/shadac/publications/Maryland_Health_Connection_6.27.14.pdfhttp://www.shadac.org/files/shadac/publications/MNsure_BODDashboard7.10.14.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://4.bp.blogspot.com/-wpZa0JOivdI/Uz2dGqrL7tI/AAAAAAAAAXg/Gt4mh9Oo6p4/s1600/img01.jpghttp://www.shadac.org/files/shadac/publications/CO%20Metric%20Dashboard_5.31.14.pdfhttp://shadac.org/files/shadac/publications/Washington%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part2.pdfhttp://www.shadac.org/files/shadac/publications/Connect_for_health_Colorado_6.30.14_0.pdfhttp://www.shadac.org/files/shadac/publications/Connect_for_health_Colorado_6.30.14_0.pdfhttp://shadac.org/files/shadac/publications/Washington%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part2.pdfhttp://www.shadac.org/files/shadac/publications/CO%20Metric%20Dashboard_5.31.14.pdfhttp://4.bp.blogspot.com/-wpZa0JOivdI/Uz2dGqrL7tI/AAAAAAAAAXg/Gt4mh9Oo6p4/s1600/img01.jpghttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://www.shadac.org/files/shadac/publications/MNsure_BODDashboard7.10.14.pdfhttp://www.shadac.org/files/shadac/publications/Maryland_Health_Connection_6.27.14.pdfhttp://shadac.org/files/shadac/publications/Washinton%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part%201.pdfhttp://shadac.org/files/shadac/publications/HealthSourceRI_3.11.14.pdfhttp://shadac.org/files/shadac/publications/HealthBenefitExchange_DC_5.2.14.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://shadac.org/files/shadac/publications/CoveredCalifornia_4.17.14.pdfhttp://shadac.org/files/shadac/publications/Washington%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part2.pdfhttp://shadac.org/files/shadac/publications/CoverOR_3.13.14.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://shadac.org/files/shadac/publications/NV_5.8.14.pdfhttp://shadac.org/files/shadac/publications/CoveredCalifornia_4.17.14.pdf


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(FPL). Approximately half of the SBMs report information on AP Cs. Most report basic numbers orpercentages of enrollees who were eligible to receive AP Cs (CO, NY , WA ). Some states report thisinformation for individuals who have been found eligible for subsidies, but who have not yet selected aplan (KY ).

Cost sharing reductions. Cost sharing reductions (CSR) lowers out-of-pocket amounts fordeductibles, coinsurance, and copayments for qualied enrollees who select silver plan (up to 250%FPL). Of the states that report on AP C, a majority also report some level of information on CSR.Most states report on individuals utilizing AP C with CSR (CO, RI).

VI. Exchange Cost and BudgetsMost information related to Exchange costs and budgets is publically reported through Exchange Boardmeeting documents, enacted budgets, or presentations to state legislatures. Budget categories can varysignicantly between states based on how each state chooses to classify certain Exchange expenditures.Because of this variation, it is not possible to make accurate line-to-line comparisons of spending betweenstates.

Personnel

Almost all states allocate funding for exchange staff and contracted personnel in separate sections oftheir budgets (MA , RI, NV ).

Information Technology

States have a wide variety of expenditures included in their FY2015 Information echnology lineitem. RIs I budget includes purchased I services, whileDCs includes only I consultants. HI includes design, development, implementation, and maintenance of effort in this budget line.MNs Ibudget only covers I support.

Maintenance and Operation (M&O)

IT Vendors and Consultants. While several states include both their I vendor and their I consultingcosts in budgeting for maintenance and operations (C , DC, V ), other states only include their

vendor costs in the M&O line item. For the latter states, consultant costs are covered in a separate areaof the budget. In CO, for example, the separate I consultant expenditures can be found under itscustomer service management & consulting line item.

One states budget for M&O (HI) also contains funding for the maintenance of its contact center.

Contact Center

Vendor Cost, Rent, and Other Expenses. Most states include the cost paid to vendors, rent, and other
http://www.shadac.org/files/shadac/publications/CO%20Metric%20Dashboard_5.31.14.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://shadac.org/files/shadac/publications/Washington%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part2.pdfhttp://www.shadac.org/files/shadac/publications/Kynect_4.10.14_0.pdfhttp://www.shadac.org/files/shadac/publications/Kynect_4.10.14_0.pdfhttp://www.shadac.org/files/shadac/publications/Kynect_4.10.14_0.pdfhttp://www.shadac.org/files/shadac/publications/Connect_for_health_Colorado_6.30.14_0.pdfhttp://shadac.org/files/shadac/publications/HealthSourceRI_3.11.14.pdfhttps://www.mahealthconnector.org/HomePortal/content/conn/UCM/path/Contribution%20Folders/Content%20Folders%20for%20Connector/About/Leadership/Board_Meetings/2014/2014-07-10/AdminBudget_071014.pdfhttp://www.budget.ri.gov/Documents/CurrentFY/BudgetVolumeI/0_Volume%20I%20-%20General%20Government,%20Quasi-Public%20Agencies.pdfhttp://exchange.nv.gov/uploadedFiles/exchangenvgov/Content/Meetings/09-_PMPM_Budget_for_CY_2015.pdfhttp://www.budget.ri.gov/Documents/CurrentFY/BudgetVolumeI/0_Volume%20I%20-%20General%20Government,%20Quasi-Public%20Agencies.pdfhttp://dc.gov/node/808822http://www.hawaiihealthconnector.com/wp-content/uploads/2014/08/140409-FY-2015-Budget-and-Forecast-Presentation-for-Hearing-.pdfhttps://www.mnsure.org/images/2014-04-16-budget-report.pdfhttp://www.ct.gov/hix/lib/hix/140501_2015_AHCT_Fiscal_Year_Budget_0502sjs1_0506.pdfhttp://dc.gov/node/808822http://www.leg.state.vt.us/jfo/appropriations/fy_2015/Department%20Budgets/DVHA%20-%20FY15%20Health%20Connect%20Operating.pdfhttp://connectforhealthco.com/wp-content/uploads/2013/04/20140609-FY2015-Aggregate-Budget-Details1.pdfhttp://www.hawaiihealthconnector.com/wp-content/uploads/2014/08/140409-FY-2015-Budget-and-Forecast-Presentation-for-Hearing-.pdfhttp://www.hawaiihealthconnector.com/wp-content/uploads/2014/08/140409-FY-2015-Budget-and-Forecast-Presentation-for-Hearing-.pdfhttp://connectforhealthco.com/wp-content/uploads/2013/04/20140609-FY2015-Aggregate-Budget-Details1.pdfhttp://www.leg.state.vt.us/jfo/appropriations/fy_2015/Department%20Budgets/DVHA%20-%20FY15%20Health%20Connect%20Operating.pdfhttp://dc.gov/node/808822http://www.ct.gov/hix/lib/hix/140501_2015_AHCT_Fiscal_Year_Budget_0502sjs1_0506.pdfhttps://www.mnsure.org/images/2014-04-16-budget-report.pdfhttp://www.hawaiihealthconnector.com/wp-content/uploads/2014/08/140409-FY-2015-Budget-and-Forecast-Presentation-for-Hearing-.pdfhttp://dc.gov/node/808822http://www.budget.ri.gov/Documents/CurrentFY/BudgetVolumeI/0_Volume%20I%20-%20General%20Government,%20Quasi-Public%20Agencies.pdfhttp://exchange.nv.gov/uploadedFiles/exchangenvgov/Content/Meetings/09-_PMPM_Budget_for_CY_2015.pdfhttp://www.budget.ri.gov/Documents/CurrentFY/BudgetVolumeI/0_Volume%20I%20-%20General%20Government,%20Quasi-Public%20Agencies.pdfhttps://www.mahealthconnector.org/HomePortal/content/conn/UCM/path/Contribution%20Folders/Content%20Folders%20for%20Connector/About/Leadership/Board_Meetings/2014/2014-07-10/AdminBudget_071014.pdfhttp://shadac.org/files/shadac/publications/HealthSourceRI_3.11.14.pdfhttp://www.shadac.org/files/shadac/publications/Connect_for_health_Colorado_6.30.14_0.pdfhttp://www.shadac.org/files/shadac/publications/Kynect_4.10.14_0.pdfhttp://shadac.org/files/shadac/publications/Washington%20Health%20Benefit%20Exchange%20Final%20Enrollment%20Report_Part2.pdfhttp://www.shadac.org/files/shadac/publications/NY_StateofHealth_JuneEnrollmentReport.pdfhttp://www.shadac.org/files/shadac/publications/CO%20Metric%20Dashboard_5.31.14.pdf


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related expenses (e.g. hardware, office furniture) in their FY2015 contact center budgets (CO, WA ).HI has two line items for its contact center, one that covers design, development, and implementationand a second that covers maintenance and operation.MN has a single line item that covers customerservice operations.

Marketing and Outreach

Marketing. Several states have a line item for marketing but no specic line item for consumeroutreach. (C , MN).

Alternate names. CA has an Enrollment Activities line item that includes marketing, outreach andenrollment assistance, agent support, eligibility administration, communications, and public relations.

DC has a budget line item that is for Consumer Education & Outreach Support Services.Allocations To and From Other Agencies

State Medicaid Agency. Federal policy and practice requires that all health coverage programs mustcontribute to shared costs in instances where Exchange services and functions overlap with the statesMedicaid and/or the Childrens Health Insurance Program (CHIP). In budgeting for FY2015, themajority of states include projected allocations from its states Medicaid agency (MN, V ). Similarly,many states projected allocations from the Exchange to the state Medicaid agency to cover sharedexpenses (HI, WA ).
http://connectforhealthco.com/wp-content/uploads/2013/04/20140609-FY2015-Aggregate-Budget-Details1.pdfhttp://www.wahbexchange.org/files/2613/8748/6735/HBE_OC_131114_2014__2015_Operating_Plan_and_Budget.pdfhttp://www.hawaiihealthconnector.com/wp-content/uploads/2014/08/140409-FY-2015-Budget-and-Forecast-Presentation-for-Hearing-.pdfhttps://www.mnsure.org/images/2014-04-16-budget-report.pdfhttp://www.ct.gov/hix/lib/hix/FINAL05222014_AHCT_Board_Meeting_Ppt_MASTERII.pdfhttps://www.mnsure.org/images/2014-04-16-budget-report.pdfhttp://board.coveredca.com/meetings/2014/4-17/PDFs/PPT%20-%20Covered%20California%20Policy%20and%20Action%20Items_April%202014.pdfhttp://dc.gov/node/808822https://www.mnsure.org/images/2014-04-16-budget-report.pdfhttp://www.leg.state.vt.us/jfo/appropriations/fy_2015/Department%20Budgets/DVHA%20-%20FY15%20Health%20Connect%20Operating.pdfhttp://www.hawaiihealthconnector.com/wp-content/uploads/2014/08/140409-FY-2015-Budget-and-Forecast-Presentation-for-Hearing-.pdfhttp://www.wahbexchange.org/files/2613/8748/6735/HBE_OC_131114_2014__2015_Operating_Plan_and_Budget.pdfhttp://www.wahbexchange.org/files/2613/8748/6735/HBE_OC_131114_2014__2015_Operating_Plan_and_Budget.pdfhttp://www.hawaiihealthconnector.com/wp-content/uploads/2014/08/140409-FY-2015-Budget-and-Forecast-Presentation-for-Hearing-.pdfhttp://www.leg.state.vt.us/jfo/appropriations/fy_2015/Department%20Budgets/DVHA%20-%20FY15%20Health%20Connect%20Operating.pdfhttps://www.mnsure.org/images/2014-04-16-budget-report.pdfhttp://dc.gov/node/808822http://board.coveredca.com/meetings/2014/4-17/PDFs/PPT%20-%20Covered%20California%20Policy%20and%20Action%20Items_April%202014.pdfhttps://www.mnsure.org/images/2014-04-16-budget-report.pdfhttp://www.ct.gov/hix/lib/hix/FINAL05222014_AHCT_Board_Meeting_Ppt_MASTERII.pdfhttps://www.mnsure.org/images/2014-04-16-budget-report.pdfhttp://www.hawaiihealthconnector.com/wp-content/uploads/2014/08/140409-FY-2015-Budget-and-Forecast-Presentation-for-Hearing-.pdfhttp://www.wahbexchange.org/files/2613/8748/6735/HBE_OC_131114_2014__2015_Operating_Plan_and_Budget.pdfhttp://connectforhealthco.com/wp-content/uploads/2013/04/20140609-FY2015-Aggregate-Budget-Details1.pdf


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Te State Health Data Assistance Center (SHADAC) is a health policy research center within the University ofMinnesotas School Of Public Health whose faculty and staff are recognized as national experts on the collection and useof health policy data. SHADAC health economists and policy analysts cover the full range of technical, research andpolicy expertise involved in using federal and state data to inform health policy, while leveraging hands-on experience working in state government. SHADAC specializes in issues related to health insurance access, use, cost and quality with a particular focus on state implementation of health reform.

Te State Health Exchange Leadership Network (informally known as Te Network) is a community of state officialsand health insurance exchange staff. Since its inception in January 2011, the Network has grown to include over 400members representing all 50 states and the District of Columbia. Te project was developed by NASHP and is guidedby a Steering Committee of exchange leaders representing a diverse group of 11 states from all exchange models (state-based, partnership, and federally-facilitated).

Te State Health Reform Assistance Network (State Network) is a Robert Wood Johnson Foundation (RWJF) fundedprogram dedicated to providing technical assistance to states in order to maximize coverage expansion under the Affordable Care Act (ACA). Te program and the dissemination of models and lessons learned from this work are keyelements of RWJFs goal of ensuring that nearly all Americans have health coverage by 2020. Te State Network ismanaged at Princeton Universitys Woodrow Wilson School of Public and International Affairs with signicant supportfrom State Coverage Initiatives (SCI), also an RWJF national program, housed at AcademyHealth.

Te National Academy for State Health Policy (NASHP) is an independent academy of state health policymakers.NASHP is dedicated to helping states achieve excellence in health policy and practice. A non-prot and non-partisanorganization, NASHP provides a forum for constructive work across branches and agencies of state government oncritical health issues.

Te Robert Wood Johnson Foundation is the nations largest philanthropy devoted solely to the publics health. Formore than 40 years, the Robert Wood Johnson Foundation has worked to improve the health and health care of all Americans. RWJF know that health is inuenced greatly by education, housing, income and numerous other factors outside of the health care we receive. Tis acknowledgement drives their work to build a national Culture of Health that will enable all Americans to live longer and healthier lives, now and for generations to come.
http://www.shadac.org/MinnesotaCoverageReporthttp://www.rwjf.org/http://www.statenetwork.org/http://www.nashp.org/state-health-exchange-leadership-networkhttp://www.rwjf.org/http://www.rwjf.org/http://www.nashp.org/state-health-exchange-leadership-networkhttp://www.statenetwork.org/http://www.rwjf.org/http://www.shadac.org/MinnesotaCoverageReport