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

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Presentation transcript:

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

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

4 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)

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

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)

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

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

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

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

11 Next Steps and Next Meeting Send feedback to: Next Meeting: August 12, :00pm-12:00pm

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