March 14, 2014 Call in: Meeting Number: Mute *6 Issues:

Call in: Mute *6 Issues: Welcome – Nancy Moradian HIX/ConneCT – True E Harmony It’s not magic; it’s MAGI Individual Responsibility Payments – I Fought the Law & the Law Won Not That You Have Issues, But… New Issue Resolution Process Overview Q & A

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Call in: Mute *6 Issues: Be Prepared: Integrates ConneCT and HIX sytstems’ security designs so the same login can be used to access both applications Scheduled for March 19 This is the expected outcome Review in advance of the release date to be ready for consumer questions and to help minimize input and procedural errors.

Call in: Mute *6 Issues: Objectives: Demonstrate how to create a single sign-on account Review the steps consumers will follow to navigate between the HIX and ConneCT systems Recognize when a single sign-on account is not possible

Call in: Mute *6 Issues: On March 19 th, consumers will be able to enroll on the Access Health CT website for Health Care Coverage, then navigate to ConneCT to apply for additional services (or vice-versa). This access gives consumers the convenience of quickly applying for health coverage and/or DSS programs with a single log on.

Call in: Mute *6 Issues: If a client currently has a user ID and password on ConneCT (but not on AHCT) If a client currently has a user ID & password on AHCT (but not on ConneCT) If a client has both a user ID and password on ConneCT and a User ID and Password on AHCT The same user ID and password will be used on AHCT. On 3/19/14 both systems will interface. Users can access either system with a single sign on. The same user ID and password will be used on ConneCT. On 3/19/14 both systems will interface. User can access either system with a single sign on. The user will need to continue to use each user ID and password separately for each system. The data will not be connected. The 2 scenarios below will work with new single sign-on: The scenario below will not link the Connect & Access Health single sign-on.

Call in: Mute *6 Issues: A consumer with a ConneCT User ID and password can take the following steps to apply for health coverage on the Access Health CT Consumer Portal: Step 1: Navigate to the ConneCT homepage and click [Access Now] under the My Account section (If client already has an account on ConneCT)

Call in: Mute *6 Issues: Step 2: Enter User ID then click [Submit].

Call in: Mute *6 Issues: Step 3: If forced to reset password, enter User ID and Password, then click [LOGIN].

Call in: Mute *6 Issues: Step 4: Enter Old Password, enter New Password, Re-type New Password, then click [Submit].

Call in: Mute *6 Issues: Step 5a: Some consumers have existing EMS (Eligibility Management System) accounts. To associate the case, enter Last Four (4) of SSN, enter client ID, enter Four-Digit Birth Year, then click [ASSOCIATE CASE].

Call in: Mute *6 Issues: Step 5b: If a consumer has not applied for services in the past, they can start a new ConnectCT application by clicking [Apply].

Call in: Mute *6 Issues: Step 6: To apply for health coverage with Access Health CT, the consumer must select the checkbox to indicate that they would like to apply for Medical Benefits/ Health Care coverage. Selected

Call in: Mute *6 Issues: Step 7: When prompted, the consumer must indicate No for the question “Is everyone in your household above 64 years of age or on Medicare?”, then click [Next].

Call in: Mute *6 Issues: Step 8: To apply for Health Care Coverage through Access Health, the consumer must click [Go to Access Health]. Step 9: After being directed to the Access Health CT Homepage, the consumer must click [Start New Application].

Call in: Mute *6 Issues: Step 11: After navigating through the application, the consumer must click [Confirm] on the final Confirmation page. Step 10: To pre-populate an Access Health CT application, the consumer must click [Yes].

Call in: Mute *6Issues: Step 12: If the consumer wishes to shop for Adult Dental they may click [Shop for Adult Dental Coverage]. Otherwise, they must click [Next]. Step 13: To return to the ConneCT website and apply for additional services, the consumer must click [Proceed to ConneCT].

Call in: Mute *6Issues: Step 15: The consumer will return to the ConneCT website where they can now view a summary of the Access Health CT application & apply for additional services. Step 14: The consumer must click [Next] on the exit disclaimer module.

A consumer with an Access Health CT User ID and password may complete an application and then use the following steps to apply for other DSS programs on ConneCT Call in: Mute *6 Issues: Step 1: Click Sign In

Call in: Mute *6 Issues: Step 2: Input AHCT User ID and Password to enter account

Call in: Mute *6 Issues: Step 3: Select Start New Application under Quick Links and complete the application process

Call in: Mute *6 Issues: Step 4: When the application process is finished, this screen displays to accommodate the single sign on process. Select CLICK HERE to review the programs available through ConneCT or directly go to the website by selecting Proceed to ConneCT

Call in: Mute *6 Issues: Step 5: A pop-up confirmation screen will request verification that the user wants to leave the AHCT website. Click Next.

Call in: Mute *6 Issues: Step 6: You are now in the ConneCT system. Complete the three required data fields: Last four numbers of the Social Security #, Social Services Client ID, and Birth Year. Once completed, select ASSOCIATE CASE

Call in: Mute *6 Issues: Step 7: AHCT account is now linked to ConneCT and you can apply for services through DSS.

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There is currently no way today to link currently established accounts in either Access Health CT or ConneCT to each other If a client has a user ID and password on ConneCT as well as a User ID and Password on AHCT then the user will need to continue to use each user ID and password separately for each system. The data will not be connected. Call in: Mute *6 Issues:

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Call in: Mute *6 Issues: Issue: If a consumer completed an initial application with the Call Center and now is connecting to AHCT website, rather than clicking Start an application, the consumer needs to click “Complete an Existing application. “ Resolution: The following steps will link an application to their user ID & password

Call in: Mute *6 Issues: Note: Consumer will need their application number The information entered into the website through these steps must be entered EXACTLY as it was entered into the worker portal by the Call Center Representative (i.e., Rd versus Road, Jane Smith versus Jane W. Smith, etc.)

Call in: Mute *6 Issues: Step 1: Consumer selects Add Existing Application under the Quick Links Section.

Call in: Mute *6 Issues: Step 2: Consumer enters First Name, Last Name, Date of Birth, SSN, Address, City, State, Zip Code, and Application ID, EXACTLY (Including spelling, upper case, lower case, punctuation, abbreviations) the same way as it was entered by the call center then clicks [Submit].

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Issues: Ongoing confusion as to what MAGI is Requests for “one place” to find how to determine MAGI Determining when MAGI plays a role in determining eligibility Incorrect input creates incorrect outcomes and creates delays in consumer experience Call in: Mute *6 Issues:

Objectives: Define what MAGI is and how to accurately input MAGI income to reduce system errors when applying for Medicaid Identify the line items on IRS tax forms which are used to report MAGI income Outline what must be counted in MAGI income and what can be excluded Describe how an applicant’s responses to the “Current Monthly Income” question and the “2014 Income” question are used to calculate an applicant’s eligibility for MAGI or APTC Review the scope of MAGI-based programs using the Federal Poverty Level (CHIP, pregnant women) Reinforce the importance of inputting MAGI income in Anonymous Browsing to obtain accurate results Call in: Mute *6 Issues:

What is it? Modified adjusted gross income (MAGI) is the income you get after you figure your gross income (all of your income) less any adjustments plus any modifications. IRS 1040 Line 37 with some additions that are usually not taxable income Call in: Mute *6 Issues:

How to Use: All determinations for APTC, CSR and Medicaid will all use only MAGI income Note: Some people still face Medicaid asset test and former Medicaid eligibility rules: Individuals who are eligible for Husky through another programs including SSI, Adoption Assistance, and foster youth; Individuals who are 65 years of age or older; Those who are eligible for Social Security Disability Income; Medically needy individuals; Those in a Medicare savings program; and, People with a disability. Call in: Mute *6 Issues: Whenever you see HOUSEHOLD INCOME -- Asking for HOUSEHOLD MAGI

Use of applicant’s responses to 2014 & Monthly Income queries: Current monthly income ($) is the true Medicaid determining factor. First the Access Health CT website looks at the current monthly income. If the current monthly income is not within the Medicaid FPL level for that applicant ‘s age, income and tax status, then that applicant fails Medicaid and is not eligible for Medicaid. The Access Health CT website no longer asks the question about 2012 or 2013 income. Then the system looks at the estimated annual 2014 income and tax filing status to determine if the applicant is eligible for a QHP/APTC. The 2014 Income question is used to determine QHP/APTC’s. Call in: Mute *6 Issues:

Using MAGI on Income screens: The figure that must be used for a consumer’s income can be found in the following locations: Line 4 of the 1040 EZ Line 21 of the 1040A Line 37 of the 1040 Call in: Mute *6 Issues:

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A Mini-case Study: Peter Piper, age 50, recently divorced, single, no kids, Hartford County resident : His finances Income = $50,000 Pays Alimony = $5,500 Student loan interest = $2,000 Minority Partner in small business = $7,000 Municipal bond interest = $2000 IRA contribution = $5000 What items should be included in 2014 income? Income $50,000 Income from minority partner in small business Municipal bond interest What items should be excluded from 2014 Income? Alimony paid Student loan interest IRA contribution Call in: Mute *6 Issues:

Call in: Mute *6 Issues: Scope of MAGI Programs by Federal Poverty Level

(AKA “Penalties”) Call in: Mute *6 Issues:

Call in: Mute *6 Issues: Be Prepared: With the March 31 st open enrollment deadline just two weeks away, some consumers may still be weighing the cost/benefit of enrolling for health care coverage. You may be asked to help explain the costs of not enrolling. Note: You are not a tax consultant. This information is for descriptive purposes only – not to provide advice.

Call in: Mute *6 Issues: Objectives: Draw upon the prescribed guidelines to review how an IRP is calculated Use the guidelines to tabulate the IRP (penalty) for individuals and families Describe what happens if a consumer does not enroll in health coverage by the end of the enrollment period

The tax penalty for not having coverage is based on the total gross income of all individuals in the household. The penalty in 2014 is calculated one of 2 ways. You’ll pay whichever of these amounts is higher: 1% of your yearly household income above the filing threshold ($20,000 for Married, $10,000 for Single) $95 per person for the year ($47.50 per child under 18). Mini-case Study: A consumer with no spouse or dependents that has a total gross household income of $100,000 in 2014 would receive a tax penalty for the year of $900 [(100,000-10,000) x 1% = 900], not $95. Call in: Mute *6Issues:

Individual Responsibility Payment Guidelines If a consumer is uninsured for just part of the year, then only 1/12 of the yearly penalty applies for each month uninsured If uninsured for less than 3 months, then no IRP is due Call in: Mute *6 Issues:

Future IRP Rates: In 2015 the IRP is 2% of income or $325 per adult ($ per child under 18) – whichever is greater In 2016 it’s 2.5% of income or $695 per adult ($ per child under 18) – whichever is greater After 2016 it is adjusted for inflation Call in: Mute *6 Issues:

Mini-case Study: A household of 4 does not enroll in a health plan for the entire year: 2 married parents (file jointly) 2 children Annual Household Income of $80,000 1% or static penalty Call in: Mute *6 Issues:

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Improvement: Streamlining and standardizing the submission of “JIRA Tickets” through the introduction of one collection point and a single required form to minimize repeats of the same issue and to more effectively triage cases. Call in: Mute *6 Issues:

Send all problem cases to the Problem Resolution Department via this Call in: Mute *6 Issues:

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Call in: Mute *6 Issues: 57 Questions/Topics for Webinars: Past Webinars: