Nevada Health Link. Agenda. NCSL Atlanta, GA. August 14, 2013
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1 Nevada Health Link Operated by the Silver State Health Insurance Exchange NCSL Atlanta, GA August 14, 2013 Agenda 1. Who we are Nevada Statistics Systems Process Flow 2. Status of Implementation 3. Federal Data Hub Interaction (Testing) 4. Lessons Nevada Can Share with Other States
2 Nevada s Uninsured 585,361 (24.9%) of Nevadans lack health insurance 242,618 eligible for expanded Medicaid 342,000 eligible for Nevada Health Link Mix of dense Urban, Rural and Frontier areas 7 th Largest State by Size 3 4
3 5 Healthcare Reform Implementation Components Employers Individual Consumers Secretary of State Business Portal User web interactions Phone or walk-in interactions Electronic data transfers Complaints Enrollment Financial Public Computing Centers & Personal Computers Navigators, Assisters, s, CACs, Brokers GovCHA Consumer assistance, outreach & education MMIS NOMADS Case management Database of record for Medicaid, CHIP, SNAP & TANF IRS SSA DHS AMPS Federal Hub Income Verification Premium Subsidies Reporting Access s Nevada Either Online or Walk In Center For SNAP/TANF Applications Eligibility Engine Determines eligibility for Medicaid, CHIP & Exchange APTC Coverage Call Center Exchange Web Portal Individual SHOP Exchange Exchange Plan Management nt Premium Aggregation Division of Insurance nce Rate Review Plan Certification SERFF Carriers Qualified Health Plans BOS Contract t 6
4 Status of the Development and Implementation of Nevada Health Link Nevada has received Conditional Certification from the Secretary of U.S. HHS to operate a State-Based Exchange The Exchange Board has approved 35 substantial recommendations of the Advisory Committees IT Implementation is on-time: Eligibility Engine (DWSS/Deloitte) and Business Operations Solution (Exchange/Xerox) will meet the October 1, 2013 deadline for operability Marketing and Outreach efforts have begun, with media campaign to begin July 1, 2013 Coordination efforts between the Exchange and Division of Insurance continue to provide a safe and seamless transition for Nevada s citizens 7 Federal Data Hub Services Provided to Nevada Via the Federal Hub Verification of Identity (Social Security Administration) Verification of Citizenship/Lawful Presence (Department of Homeland Security) Verification of Income (Internal Revenue Service) Nevada Health Link has conducted communications (test scenarios) that have yielded return information in a matter of seconds. 8
5 System Testing Information as of 08/02/2013 Nevada is in wave 4 testing 83 of 100 required test scenarios have been conducted and passed successfully (all 25 mandatory scenarios are complete). User Acceptance Testing UAT is scheduled to commence in mid August. All testing is scheduled to be complete in September. 9 Lessons Learned Build more flexibility into the State contracting system for the inevitable change orders. Ask for more staff up front (you will get more sleep that way). Must have collaboration and buy in from: Governor s Office Attorney General Division of Insurance Health and Human Services/Medicaid 10
6 Lessons Learned In the face of the overwhelming obstacles, what should be the highest 1-3 priorities for your state and why? Get the correct message out- States must make sure that marketing, advertising and outreach campaigns deliver a message that will cut through the broadcast media chatter and resonate with the target audience. This message must contain the how, where, when and WHY. Plan certification- Carriers must provide quality plans for sale on the Exchange.No plans, no enrollment. Operational readiness- The portal must work when a consumer goes shopping. Enrollment: without it the Exchange goes away Market Health: too few carriers and too few options mean less choice 11 Top IT Issues Federal Data Hub Availability Real Time Responses Bandwidth Capacity PHI, PII, FTI. System and Personnel Security Financial Systems 12
7 Nevada Health Link Operated by the Silver State Health Insurance Exchange 2310 South Carson Street, Suite 2 Carson City, NV (775) contact@exchange.nv.gov
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