Joint Cover AZ Coalition Call Wednesday February 17, 2016

 Greetings  David Sayen, Regional Adiministrator  ABCs of Premium Tax Credits  Sherry Saucerman, IRS  Helping Mixed Families  Betzabel Estudillo, California Immigrant Policy Center Agenda

 Story banking  Airrion Andrews, Families USA  CMS updates – Kaihe Akahane, CMS  DMI Issues  Complaint vs Appeals  SEPs Agenda

David Sayen CMS Regional Administrator

Cover AZ Day

 As of January 31, about 12.7 million plan selections  9.6 million on the Healthcare.gov platform  3.1 million through the state-based Marketplaces  Of the 9.6 million on the Healthcare.gov platform  4 million were new consumers Enrollment

 In Arizona, 203,066 plan selections  144,196 in the Phoenix/Prescott area  34,382 in the Tucson area  4,467 in the Yuma area  21% rate of enrollment growth Enrollment

 Third Party Representatives for non-English speaking consumers  DMI Issues  Appeals vs Complaints  SEPs CMS Updates

Third Party Representatives for Non- English Speaking Consumers  Assisters can serve as interpreters  Consumer must authorize the assister as a third party representative in his/her own language  Call the call center to request an interpreter  give verbal authorization to the interpreter  interpreter will translate authorization to call center representative  once authorization is provided  authorization can last for up to 365 days

 DMI Issues  Questions about notices  review on-line account  contact the Marketplace call center Data Match Issues

 Marketplace appeals  eligibility determinations  Questions about status  Marketplace Appeals Center  call Appeals

 AZ DOI  Issuer denials of services or payment  contact Consumer Services  call (within the Phoenix area)  call (outside of the Phoenix area) Appeals

 consumers complaining about issues not related to  a decision made by Marketplace or issuer  these decisions are considered appeals  complaints about issuers  referred to AZDOI  complaints about Marketplace in general  referred to Marketplace Call Center Complaints

 Special Enrollment Period  Meritus SEP ends Tuesday March 1, 2016

Wednesday March 16, 2016 from 10 – 11:30 am Next Meeting