the arizona health insurance exchange and medicaid expansion

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The Arizona Health Insurance Exchange and Medicaid Expansion Linda Skinner Director Health Care Innovation Infrastructure Management Governor’s Office

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The Arizona Health Insurance Exchange and Medicaid Expansion. Linda Skinner Director Health Care Innovation Infrastructure Management Governor’s Office. Summarizing the HIX/Medicaid Expansion Project:. - PowerPoint PPT Presentation

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Page 1: The Arizona Health Insurance Exchange and Medicaid Expansion

The Arizona Health Insurance Exchange and Medicaid Expansion

Linda SkinnerDirectorHealth Care Innovation Infrastructure ManagementGovernor’s Office

Page 2: The Arizona Health Insurance Exchange and Medicaid Expansion

Summarizing the HIX/Medicaid Expansion Project:

ACA requires everyone under age 65, without Medicare, to have health insurance by 1/1/14, and every state to have an HIX in operation by 10/1/13 for open enrollment

ACA expands Medicaid to 133% FPL & adds childless adults While awaiting a decision from the US Supreme Court, Governor

Brewer wants to continue planning the HIX & Medicaid Expansion. Arizona plans to build its own HIX, leveraging its existing

infrastructure for eligibility and enrollment as the core of the HIX & Medicaid Expansion system, using the Health-e-Arizona system

Arizona plans to leverage the DOI SERFF system for plan management, including certification of QHPs

Arizona plans to purchase technology and services that cannot be leveraged easily from its current infrastructure

Page 3: The Arizona Health Insurance Exchange and Medicaid Expansion

On Track Since We Last Met . . .

Issued an RFP for commercial components of the HIX Evaluation of 5 proposals underway Engaged an IV&V Vendor for HIX/Medicaid Expansion

(netlogx) Received approval from CMS for enhanced Federal Financial

Participation for the Medicaid, CHIP, SNAP and TANF components of the project: 90% Federal Share for most development

IT planning nearly complete and ready to start development soon

Received approval from the Arizona ITAC for the IT project

Page 4: The Arizona Health Insurance Exchange and Medicaid Expansion

Next Steps

Eligibility and Enrollment: finalize planning and design work to begin 5/25 US Supreme Court issues ruling 6/30 Award contract & begin work on procured solutions 7/15 Finalize EHB 6/30 Apply for Level II Establishment Grant 11/1 Plan Management Live 1/13 Certification of the HIX 1/13 Open enrollment and system live 10/13

Page 5: The Arizona Health Insurance Exchange and Medicaid Expansion

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