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The California Health Benefit Exchange: Eligibility and Enrollment Individual Exchange Workgroup

The California Health Benefit Exchange: Eligibility and Enrollment Individual Exchange Workgroup. Webinar Friday, July 29, 2011. Agenda. Welcome Team Introductions Discussion: On-line Pathway to Enrollment Next Steps and Next Meeting. Welcome. Today’s discussion: Business Processes

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The California Health Benefit Exchange: Eligibility and Enrollment Individual Exchange Workgroup

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  1. The California Health Benefit Exchange: Eligibility and Enrollment Individual Exchange Workgroup Webinar Friday, July 29, 2011

  2. Agenda • Welcome • Team • Introductions • Discussion: On-line Pathway to Enrollment • Next Steps and Next Meeting

  3. Welcome Today’s discussion: Business Processes for On-line Enrollment

  4. Team Alex Kemper McCall-Policy Analyst (HBEX) Bill Obernesser-Information Technology Policy Advisor (HBEX) Bobbie Wunsch-Facilitator Ernesto Sanchez-Deputy Director (MRMIB) Irma Michel-Consultant (HBEX) Jim Suennen-Associate Secretary,Community Engagement (CHHS) Katie Marcellus-Assistant Secretary (CHHS) Len Finocchio-Associate Director (DHCS) Pat Powers-Interim Administrative Officer (HBEX) Rene Mollow-Chief, Medi-Cal Eligibility Division (DHCS) Yolanda Richardson-Consultant (HBEX) 4

  5. Introductions & Meeting Agreements Meeting Dates August 12 August 26 September 9 October 7 Public Participation Meeting Materials 5

  6. Discussion: On-line Services ACA mandates the Exchange maintain an up-to date Internet website that: • Allows for eligibility determination for Exchange, CHIP and Medicaid • Allows for enrollment in coverage • Provides standardized comparative information on each qualified health plan including: • Premium and cost sharing information including available subsidies • Summary of benefits coverage established • Identification of whether qualified health plan is bronze, silver or gold or platinum level • Results of enrollee satisfaction survey • Quality ratings • Medical loss ratio information • Provider directory • Makes available by electronic means a calculator to compare available qualified health plans • Is accessible to people with disabilities in accordance with ADA and provides meaningful access for persons with limited English proficiency • Provides applicants with information about Navigators and other consumer assistance services • Provides an electronic interface with administrative verifications (SSA, IRS, HLS)

  7. Question #1 Considering the requirements for on-line functions in the mandate, what specific functions would be helpful to consumers?

  8. Question #2 What are ways that we can increase on-line accessibility? (e.g., kiosks, PDA’s)

  9. Question #3 What type of assistive technologies could we consider that would help us meet the requirements of the mandate?

  10. Question #4 How can public trust be garnered to encourage on-line usage?

  11. Next Steps and Next Meeting Send feedback to: eestakeholdercomments@hbex.ca.gov Next Meeting: August 12, 2011 10:00pm-12:00pm

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