Washington Health Benefit Exchange

Transcription

1 Washington Health Benefit Exchange Tribal Assister Touch Base Call August 21, 2018

2 Tribal Assister Call Agenda 10:00 Welcome and Introductions 10:05 LMS Dashboard 10:20 Exempt Income 10:25 Update Customer Support Cross Program Guide Apple Health 10:50 Questions/New Issues/Updates Open Enrollment handout needs 11:00 Adjourn 2

3 Introductions Deb Sosa, Tribal Liaison, HBE Vicki Lowe, Executive Director, AIHC Lou Schmidt, AIHC Sam Pskowski, Policy Analyst 3

4 Washington Health Benefit Exchange LMS Dashboard Marty Burns, Senior Program Manager

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6 Washington Health Benefit Exchange Tribal Exempt Income Jessie Dean, HCA

7 Jesse Dean- HCA Guidance on Exempt Income Jesse discussed issue with the HCA Medicaid Eligibility Policy team. It looks like this discussion started from a form that Tribal staff drafted to try to set up a process for documenting exempt income in response to HCA requests for confirmation of exempt income for some clients. We agree with your concerns about reporting on exempt income; we also do not want to create unnecessary work. HCA current processes: At the time of application, tribal assisters help clients complete their applications in HealthPlanFinder HCA relies on the tribal assisters to help clients enter only reportable income. HCA does not need to receive any written confirmation on exempt income as part of that process. After coverage begins, HCA is required to confirm client income against electronic sources, some of which appear to have non-reportable income. When there is a discrepancy between the information entered into HPF and an electronic database, HCA is required to request verification of income. These requests include specific information on the income identified. These requests are also not very common. Please help clients respond to these HCA requests rather than obtaining exempt income As a result, we believe the most efficient approach will be to help clients respond to these requests rather than obtaining exempt income information for every client. Even if a tribe were to file away a form of the type of exempt income. HCA would still need verification that the specific income identified by the electronic sources was exempt income. HCA accepts tribal attestation. 7

8 Medicaid CHIP-Apple Health Assistance

9 Apple Health or QHP assistance Apple Heath- CHIP If you have a Premium on an AI/AN Apple Health client; AI/AN Children are exempt from premiums in the CHIP program- The AI/AN identifier must have dropped from the application. Contact HCA. Either the meds line or a Community Specialist. File needs to make sure applicant is identified as AI/AN in ProviderOne If you need to move a client from a Managed Care Plan Change Managed Care assignment- Request assistance from an HCA specialist or MASC line 9

10 HCA Community Based Specialists Training Materials Page c 10

11 Information Update.

12 Information Update Customer Support Cross Program Guide- Just updated. g_business_process/sitepages/training%20materials.aspx 12

13 Washington Health Benefit Exchange Questions/New Issues/Updates All

14 Informational Materials and Outreach

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17 Washington Health Benefit Exchange Upcoming Agenda Deb Sosa, Tribal Liaison

18 Future Topics Referrals Enrollment and Disenrollment from SUP Request to HCA Sponsorship Update Tribal meeting Eligibility for APTC to Receive CSRs 18

19 Agenda Items for September Tribal Assister Call Requested DBHR to review services and referrals Any new agenda topic requests? Please feel free to invite staff that might find this information useful 19

20 Questions 20

21 Contacts: WAHBE Deb Sosa, Tribal Liaison Paul Tucker, Operations Program Coordinator Monica Chambers, Senior Administrative Assistant, Policy AIHC Vicki Lowe, Executive Director (360) Lou Schmidt