1. Kristi Putnam, DCBS Jill Hunter, DMS November 10, 2016
Cabinet for Health & Family Services Department for Community Based Services and Department for Medicaid Services
Kristi Putnam, DCBS
Jill Hunter, DMS
November 10, 2016

2. healthcare.gov & benefind Transition Update

3. Transition Update Milestones Completed Before Go-Live
Connectivity testing
Plan certification
User Acceptance and Regression Testing
Website changes
Consumer Notices
Agent/Assister Training
Qualified Health Plan (QHP) Client Lists

4. Transition Update Ongoing Consumer Communication Marketing Campaign
Staff Readiness (DCBS OFF Team)
Agent/kynector Federal Marketplace Training/Certification

5. Transition Update October November January 2017
FFM messaging
Transition messaging begins on social media and notices
Complete marketing materials distribution
Launch creative materials, in-field outreach efforts
Call center workers begin transition scripting
Special message begins on contact center toll free line
November
November 1, Open Enrollment begins
kynect.ky.gov website enables transition to healthcare.gov and benefind.ky.gov
January 2017
January 31, Open Enrollment ends
March 1, Special Enrollment Period for 2016 coverage ends

6. Kentucky as a state-based marketplace using Healthcare.gov
Kentucky will maintain the kynect website as a landing page to provide information and will direct Qualified Health Plan eligible individuals to HealthCare.gov and Medicaid/KCHIP eligible individuals to benefind.ky.gov
Kentucky will maintain the current call center to provide information and prescreen individuals for referral to either HealthCare.gov or benefind.ky.gov. Support Professionals and Tier 2 lines will be available
DCBS call center will be available
Kentucky Health Benefit Exchange will maintain responsibility for education and outreach, agent and assister program, 1095 forms (for plans through 2016), Small Employer Health Options Program (SHOP)(for plans that commenced prior to 2017), and maintaining a hotline for general information

7. DCBS O.F.F. Team
“Operation Field to Frankfort” was initiated in April 2016 to help mitigate DCBS workload issues due to benefind rollout
Centralized processing unit at Mill Creek in Frankfort
Initially comprised of 100 staff from across the state
Leveraged central office policy, system, and technology resources
Successfully assisted field offices in working backlog
Permanent O.F.F. team in progress – “DCBS Special Operations”
Permanent central processing unit will provide operational flexibility for response to field office support needs
Team will have ongoing access to central office policy, system, and technology support
Leadership and initial staff are in place; estimated completion of team - November 30, 2016
Temporary O.F.F. team will scale down as Special Operations is built

8. Staff Readiness
DCBS trained 120 staff on Federally Facilitated Marketplace (FFM)
Number of staff needed to process is based on previous open enrollment numbers (estimated staff needed: 100)
30 FFM trained staff will work through end of open enrollment as part of the “O.F.F.” team in Frankfort
Remaining 90 FFM trained staff will be available in local DCBS offices as needed for peak open enrollment workload

9. Websites

10. Where to apply Coverage Year Type of Coverage Where to Apply
QHP
Advanced Premium Tax Credit (APTC)
MAGI Medicaid
Non-MAGI Medicaid
2017 Coverage
APTC
State programs

11. Facilitating an Enrollment

12. • button navigates to the pre-screening page • Direct link to HealthCare.gov • Direct link to benefind • Next button will continue with pre-screening

13. Account Transfer Process

14. Account Transfer
Application Transfers will go between HealthCare.gov and benefind.
No Wrong Door
FFM transfer to benefind
benefind transfer to
HealthCare.gov 14

15. Education and Outreach

16. In-Person Assisters (IPAs)
Insurance Agents
Provide Information
Explain Plans and Benefits in Detail
Plan Selection and Enrollment
Application Assisters (kynectors) and Navigators
Community Outreach Events
Application Assistance
Facilitate Enrollment
Certified Application Counselors (CACs)

17. In-Person Assister Training - KOHBIE
Community Forums (Completed)
Eight forums throughout the state (Northern KY, Frankfort, Owensboro, Paducah, Louisville, Morehead, Prestonsburg, and Somerset)
Provided Information About Transition, Communication Plan, Processes, Resources, and Roles
Designed for Insurance Agents, Application Assisters (kynectors), Certified Application Counselors, Navigators, Advocacy Groups
Webinars (Ongoing)
In-Depth Information and Discussion Regarding Specific Topics
Topics include Working with Immigrant and Refugee Populations, Account Creation and ID Proofing, Application Process and Eligibility Determinations, Data Matching Issues and Verification, Appeals
Federal Training and Certification (Ongoing)
Web training on federal processes
Training completion grants certification to participate with HealthCare.gov

18. Direct Member Outreach
Notices
Mailed to three target groups:
Eligible and Enrolled in a Qualified Health Plan (with or without APTC)
Mixed Households (Some members enrolled in a QHP and some in Medicaid/KCHIP)
Eligible but Not Enrolled (Applied and were found eligible but did not enrolled in a QHP)
Included Information about new process, where to apply based on circumstance, deadlines, penalty warning, agent/application assister name and phone number (if one named on case), telephone numbers to contact for information or if in-person assistance is needed
Postcards
Brief reminders about Open Enrollment
First run was October 28th
Runs scheduled approximately every three weeks thereafter
Message changes after December 15th
Notices from Issuers
Mailed to their enrollees
Included information about enrolling via HealthCare.gov for 2017
Qualified Health Plan Enrollee List
ed securely to each agent/kynector for early outreach

19. Public Messaging State Call Center
Phone scripting and special messages about transition
Started October 8th
Saturday hours 8:00am – 5:00pm beginning November 1st
DCBS Call Services/DMS Member Services
Started November 1st
Community Outreach Events
Hosted by Application Assister Agencies
200 to 300 per month throughout the state
Upcoming events posted on Health Benefit Exchange’s website

20. Public Messaging Federal Call Center
Special phone messages for Kentuckians
Open 24/7
HealthCare.gov website message for Kentuckians

21. Marketing Campaign Digital Non digital On-Site Events
public markets
urgent care centers
city centers
Public Advertisements
counter displays
posters
brochures
Toolkit for stakeholders
Radio Spots
Digital toolkit for stakeholders
Text and campaign
Social Media
Digital ads/banners online

22. 2017 Plan Offering Summary
Insurance carrier and average premium increase
Anthem 23%
Caresource 29%
Humana 31%
Number of Counties with one Insurer
Transition from Kynect portal to Healthcare.gov portal had no effect on Plan choice or premium increases
Higher premium increase will be offset for some enrollees by APTC, for those who qualify

23. Questions?