Affordable Care Act and Medicaid Update Erin Richardson Nueva Luz Urban Resource Center Affordable Care Act Educator

Who Am I? 1 of 5 AmeriCorp Members serving Cleveland Affordable Care Act Educator at Nueva Luz Certified Applicator Counselor

Marketplace Overview RW is the payer of last resort. If a consumer is eligible for the Marketplace they are required to apply Tax credit review 138% FPL 400% FPL Medicaid Marketplace (tax credit) Marketplace

Marketplace Update Consumers are not enrolled until their first premium is paid! Removing and redoing applications Consumers with eligible immigration paper work

ODH Plan Selection Policy(11/30/13) If a consumer receives an advanced premium tax credit they need to use all of it up front RW Part B clients % FPL need to select a silver plan RW Part B clients % FPL need to select a gold plan

Plan and Provider Analysis Thank you to the Ohio AIDS Coalition! Plan Analysis- What HIV related medications that are not on plan formularies Provider Analysis - Find out which insurance providers are covering RW providers

Medicaid Update 1.Communication gap between Medicaid and the Insurance Marketplace 2.Apply through benefits.ohio.gov 3.30 day waiting period

PCIP (Pre-Existing Condition Insurance Program) Coverage has been extended until January 31st Consumers should enroll in the health Insurance marketplace by the 15th to receive coverage by February 1st.

MetroHealth Care Plus Plan Plan has been extended until April 31st Metro will be helping to transition consumers to Medicaid

Questions? Erin Richardson AmeriCorps Member Affordable Care Act Educator Phone: x