Health-e-Arizona Plus and Integration with the Federally Facilitated Marketplace
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1 Health-e-Arizona Plus and Integration with the Federally Facilitated Marketplace
2 Medicaid changes 1/1/14 Technology changes Eligibility determination methods Provide access to the Federally Facilitated Marketplace 10/01/13
3 2010 Social Interest Solutions Confidential and Proprietary Apply and renew eligibility Provide Online access Manage eligibility information for individuals to: Use Electronic matching for verification Citizenship and immigration, SSN, and Employment Other eligibility factors Simplify verification and submission of documents Digitization of documents System verification
4 Full Range of AHCCCS Benefits AHCCCS Health Insurance (Medicaid) ALTCS Freedom to Work (FTW) Breast and Cervical Cancer Treatment Program (BCCTP) Medicare Savings Programs (MSP) Other Federal and Local Programs Nutrition Assistance (SNAP or Food Stamps) Temporary Assistance for Needy Families (TANF) Clinic-based Sliding Fee Scale programs SFS) County-based Community Assistance Programs (CAP) Exchange Programs Premium Tax Credit Program Cost Sharing Reduction Program Private Insurance, No Subsidy Small Business Health Opportunities Program (SHOP) for employers of 50 employees or less
5 Arizona is Getting Ready
6 AHCCCS ACE DES AZTECS Health -e- Arizona Health-e-Arizona Plus
7 Apply for All Insurance Affordability Programs, plus More AHCCCS, KidsCare, Medicare Savings Programs & ALTCS Advanced Premium Tax Credits & Cost Sharing Reductions Nutrition Assistance, Cash Assistance and Community Discount Programs Robust online help tools Learn More FAQs Video More electronic communication tools Text Messaging Interactive Voice Response (IVR) Integration
8 Integration with Federal Hub Building a State Hub Electronic application transfer Goal = Real-time online eligibility
9 Eligibility Processing Choose programs to apply for in the beginning of the application New application questions New verification priority: 1 st - Electronic 2 nd - Attestation 3 rd - Documents Real-time eligibility, if possible Link to Federally Facilitated Marketplace for Advanced Premium Tax Credit and Cost Sharing Reduction eligibility Streamlined renewal process
10 New Electronic Features Screening tools to help applicants know whether to apply through HEAplus or the FFM Real-time verification: SSN US citizenship Immigration status Income Voice signatures Online real-time notices Text messages
11 Customer Support Public access to computers in state offices Phone operators Interactive Voice Response (IVR) Application Assistors throughout Arizona Customer can manage applications, renewals, changes, enrollment and more in Health-e- Arizona Plus
12 Application Options
13 Consumers Have a Wider Range of Program Options SNAP TANF Clinic SFS County CAP AHCCCS & KidsCare PTC CSR Private Insurance (No Subsidy) SHOP Insurance Affordability Programs SNAP = Supplemental Nutrition Assistance Program (Nutrition Assistance) TANF = Temporary Assistance for Needy Families (Cash Assistance) Clinic SFS = Clinic-based Sliding Fee Scale programs County CAP = County-based Community Assistance Programs (CAP)(Pima and Santa Cruz Counties) PTC = Premium Tax Credit Program CSR= Cost Sharing Reduction Program SHOP = Small Business Health Opportunities Program
14 Start Here Many Programs are Accessed Through Health-e-Arizona Plus Health-e-Arizona Plus FFM SNAP TANF Clinic SFS County CAP AHCCCS & KidsCare PTC CSR Private Insurance (No Subsidy) SHOP Apply for SNAP = Supplemental Nutrition Assistance Program (Nutrition Assistance) TANF = Temporary Assistance for Needy Families (Cash Assistance) Clinic SFS = Clinic-based Sliding Fee Scale programs County CAP = County-based Community Assistance Programs (CAP)(Pima and Santa Cruz Counties) PTC = Premium Tax Credit Program CSR= Cost Sharing Reduction Program SHOP = Small Business Health Opportunities Program
15 Start Here Many Programs are Accessed Through Health-e-Arizona Plus Health-e-Arizona Plus FFM SNAP TANF Clinic SFS County CAP AHCCCS & KidsCare PTC CSR Private Insurance (No Subsidy) SHOP Apply for Referral to FFM SNAP = Supplemental Nutrition Assistance Program (Nutrition Assistance) TANF = Temporary Assistance for Needy Families (Cash Assistance) Clinic SFS = Clinic-based Sliding Fee Scale programs County CAP = County-based Community Assistance Programs (CAP)(Pima and Santa Cruz Counties) PTC = Premium Tax Credit Program CSR= Cost Sharing Reduction Program SHOP = Small Business Health Opportunities Program
16 Start Here Many Programs are Accessed Through Health-e-Arizona Plus Health-e-Arizona Plus FFM SNAP TANF Clinic SFS County CAP AHCCCS & KidsCare PTC CSR Private Insurance (No Subsidy) SHOP Apply for Referral to FFM Link to FFM SNAP = Supplemental Nutrition Assistance Program (Nutrition Assistance) TANF = Temporary Assistance for Needy Families (Cash Assistance) Clinic SFS = Clinic-based Sliding Fee Scale programs County CAP = County-based Community Assistance Programs (CAP)(Pima and Santa Cruz Counties) PTC = Premium Tax Credit Program CSR= Cost Sharing Reduction Program SHOP = Small Business Health Opportunities Program
17 Applications started at the FFM Start Here Health-e-Arizona Plus FFM SNAP TANF Clinic SFS County CAP AHCCCS & KidsCare PTC CSR Private Insurance (No Subsidy) SHOP Apply for SNAP = Supplemental Nutrition Assistance Program (Nutrition Assistance) TANF = Temporary Assistance for Needy Families (Cash Assistance) Clinic SFS = Clinic-based Sliding Fee Scale programs County CAP = County-based Community Assistance Programs (CAP)(Pima and Santa Cruz Counties) PTC = Premium Tax Credit Program CSR= Cost Sharing Reduction Program SHOP = Small Business Health Opportunities Program
18 Applications started at the FFM Start Here Health-e-Arizona Plus FFM SNAP TANF Clinic SFS County CAP AHCCCS & KidsCare PTC CSR Private Insurance (No Subsidy) SHOP Assessment Apply for SNAP = Supplemental Nutrition Assistance Program (Nutrition Assistance) TANF = Temporary Assistance for Needy Families (Cash Assistance) Clinic SFS = Clinic-based Sliding Fee Scale programs County CAP = County-based Community Assistance Programs (CAP)(Pima and Santa Cruz Counties) PTC = Premium Tax Credit Program CSR= Cost Sharing Reduction Program SHOP = Small Business Health Opportunities Program
19 Applications Started at the FFM Start Here Health-e-Arizona Plus FFM SNAP TANF Clinic SFS County CAP AHCCCS & KidsCare PTC CSR Private Insurance (No Subsidy) SHOP No Access Assessment Apply for SNAP = Supplemental Nutrition Assistance Program (Nutrition Assistance) TANF = Temporary Assistance for Needy Families (Cash Assistance) Clinic SFS = Clinic-based Sliding Fee Scale programs County CAP = County-based Community Assistance Programs (CAP)(Pima and Santa Cruz Counties) PTC = Premium Tax Credit Program CSR= Cost Sharing Reduction Program SHOP = Small Business Health Opportunities Program
20 Arizona Federally Facilitated Marketplace
21 Application data will be transferred electronically. Arizona intends to transfer data to the FFM in real time. The FFM process is still in development.
22 Health-e-Arizona Plus Includes Self Service Consumer Assistance Screening Applications Automated Renewals Change Reporting On-line Verification On-line Notices Community Assistors
23 HEAplus??? Federally Facilitated Marketplace
24 The following features and capabilities will be offered in association with Health-e-Arizona Plus Community-Based Assistor Training and Support Consumer Supports such as: Interactive Voice Response (IVR) Call Center Frequently Asked Questions Help Text Learn More information links A system that generally will feel familiar to applicants and those who assist them as it is based on Health-e-Arizona
25 09/01/13 Consumer Support Line 01/01/14 Medicaid changes are effective QHP enrollment is effective 10/01/13 Health-e-Arizona Plus goes live QHP open enrollment begins
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