The California Health Benefit Exchange: Eligibility and Enrollment Individual Exchange

Workgroup

WebinarFriday, July 29, 2011

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Agenda

Welcome Team Introductions Discussion: On-line Pathway to Enrollment Next Steps and Next Meeting

Welcome

Today’s discussion:

Business Processesfor On-line Enrollment

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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)

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Introductions & Meeting Agreements

Meeting Dates– August 12– August 26– September 9– October 7

Public Participation Meeting Materials

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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?

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Next Steps and Next Meeting

Send feedback to: eestakeholdercomments@hbex.ca.gov

Next Meeting: August 12, 2011

10:00pm-12:00pm