WebEx Training Friday, February 7,

- 2 - Agenda Fast Alert - Medicaid Fast Alert - Complete Addresses & Names on Mailboxes Fast Alert - Dis-enrolling/Re-enrolling Fast Alert - Questions Regarding Premiums & Reimbursement Fast Alert - Verification Notices Fast Alert - Anthem Coverage Advertisement Fast Alert - Call Center Brokers’ Hours of Operation Medicaid Applications Medicaid Spend Down

If a consumer is currently on HUSKY (Medicaid) do they need to apply through the marketplace if their health coverage has not yet ended? Consumers currently on HUSKY (Medicaid) will receive an eligibility redetermination letter from DSS when their HUSKY eligibility needs to be redetermined. The individual is eligible to apply up to 60 days prior to their Spend Down end date. Consumers must re-apply through one of several ways. They may apply through the Access Health CT website; at an enrollment Center, with a certified application counselor; or with an in-person assister or navigator. Medicaid (Fast Alert 1/28/2014) Topic

Please remember to include the applicant’s full address on all Marketplace applications including building and apartment number. Leaving a building or apartment number blank on an application could potentially cause challenges when the United States Postal Services delivers mail. Be aware that any applicant that does not have their name on their home mailbox will not receive mail from DSS. Complete Addresses & Names on Mailboxes (Fast Alert 1/28) Topic

Is there ever a situation where a consumer should dis-enroll and then re-enroll in the same program? A consumer should not dis-enroll and later try to reenroll in the same program. This applies for both QHP‘s and Medicaid. If there is a legitimate change to be reported, the change should be reported through the call center or AHCT website. If a consumer wishes to explore other plan information, he/she may access Anonymous Browsing. It is not wise to dis-enroll and then later re-enroll to make a change. This action could lead to gaps in coverage and incorrect portal results as the system may pick up a prior enrollment status. Dis-enrolling/ Re-enrolling (Fast Alert 1/28) Topic

All inquiries regarding an enrolled consumer’s premiums and payment must be directed to the carrier. If a consumer wants their premium to be reimbursed, the Call Center representative will direct them to their carrier. Only carriers can make decisions regarding the reimbursement of a member’s premium. Call center representatives will inform consumers that if they are not satisfied with the carrier decision on a premium reimbursement, they can file a complaint with The Connecticut Insurance Dept. Questions Regarding Premiums & Reimbursement -- Fast Alert (2/4) Topic

Be aware that on 2/5/14 notices were sent to those consumers who had not yet submitted all of their required verification documents. When consumers call about these notices, Call Center Representatives must inform them that they will have 30 days to send in any remaining documentation, if they have not done so already. Fast Alert (2/4 ) Verification Notices Topic

Anthem Blue Cross/Blue Shield has run a print advertisement stating that if a consumer paid his or her premium by 1/31/14, coverage would be effective as of 1/1/14. This advertisement was referring only to those who had enrolled prior to the 15 th of January, but had not yet paid their premium for January. Anthem Coverage Advertisement -- Fast Alert (2/4) Topic

The hours of operation for Call Center brokers are Monday to Friday from 9:00AM to 5:30PM. For consumers needing assistance from a Call Center broker before 9:00 AM and after 5:30 PM, a call center representative will create a Broker Callback Request. A broker will get back to the caller as soon as possible. Call Center Brokers’ Hours of Operation -- Fast Alert (2/4) Topic

Access Health CT is receiving a number of Medicaid applications where the applicant stops at the Eligibility determination screen in the portal and does not click the Submit button. Reminder: In order for the application to be submitted to DSS, the applicant needs to click Submit. Medicaid Applications Topic

Are there some Spend-Downs still going on and how long will they be extended for? There will be no new Spend Down programs as of 1/1/2014 for single adults. Single adults are the biggest expansion group affected by the ACA so no new Spend Down will begin as of 1/1/14. Spend Down programs will continue for 2 other types of plans - Families will continue and Elderly/Disabled (traditional Medicaid) will also continue. Medicaid Spend Down (submitted to NIPA mailbox) Topic

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