GEAR

REMINDER – PLEASE JOIN US FOR GETTING GEORGIA COVERED: HOW CONSUMER AND ASSISTER EXPERIENCES CAN INCREASE ENROLLMENT AND INFORM POLICY

August 16, 2016, 8:30 AM – 2:00 PM
Sloppy Floyd Building
20th floor, Floyd Room 200 Piedmont Ave.
Atlanta, GA 30334 

This will be our second annual enrollment summit and this year we are focusing on strengthening relationships between the health policy community and the enrollment assistance community. Confirmed speakers include:

• Dr. Pamela Roshell, Region IV Director, US Department of Health and Human Services
• Dr. Bill Custer, Director of the Center for Health Services Research and Associate Professor, J. Mack Robinson College of Business, Georgia State University
• Health Bates, Deputy Director, Enrollment Assister Network, Families USA
• Sandy Anh, Associate Research Professor, Georgetown University Center on Health Insurance Reforms
• Whitney Griggs, Outreach & Engagement Manager, Georgians for a Healthy Future

Enrollment assisters will be able to hear from national partners, discuss ideas on how to reach the remaining uninsured, and other topics related to open enrollment. New for this year, there will also be a session just for advocates to discuss how enrollment trends and consumer experiences with enrollment can inform health policy in Georgia. Lunch will be provided for this free event. RSVP here.

UPDATES FOR JULY

Georgia Navigator License Renewals 

Just a quick reminder that Georgia navigator licenses expire at the end of August 2016. Make sure you check with your program manager for organization specific requirements. Renewals can be done using this form. For more information visit www.oci.ga.gov/navigators. This is different from the federal licensing requirement, which you can learn more about here. If you have specific questions about renewal requirements please reach out to Pranay.

Advancing Health Equity for LGBT Georgians

Georgians for a Healthy Future is working with Georgia Equality and The Health Initiative to help Georgians who have faced discrimination in health care report it so we can help stop it from happening again.

If you encounter someone who believes they have been discriminated against, send them to this link to file a complaint online with the Office for Civil Rights. Please also tell us about your experience so we can help them navigate the complaint process and identify systemic issues that should be addressed through public policy advocacy.

Calculating Modified Adjusted Gross Income (MAGI) – A Refresher

We all know how hard estimating, entering, and verifying income can be. Perhaps one of the most difficult tasks is understanding exactly what counts as income. Fortunately, the team at In the Loop has created a number of resources to help you understand how to calculate MAGI. This includes their newest resource, MAGI 101, a great refresher for both new and old assisters. They also have a MAGI expert on staff to help you with your really complex issues!

Families USA Enrollment Assister Resource Center

While we’re on the topic of reminders, it’s a great time to go back to the Families USA’s Enrollment Assister Resource Center. There you’ll find tips, tools, resources, and webinars that will make your job easier. As you’re preparing for the next open enrollment period, check out their resources and see if there’s anything that you can use!

MARKETPLACE RESOURCE HIGHLIGHT:

Complex Cases: Assisting victims of Domestic Violence: CMS
This resource describes the eligibility criteria for victims of domestic violence to enroll into the Marketplace during a special enrollment period (SEP). This SEP can be requested by calling the Marketplace at 1-800-318-2596 and is not accessible via healthcare.gov.

Immigrant Eligibility for Health Coverage: In the Loop
This is a detailed resource which takes a deep dive into ACA questions for immigrants including eligibility, APTC, mixed status families, undocumented immigrants and more.

Ambetter Contact Information
Do you have a consumer enrolled in Ambetter that has a complex issue? You can reach out to Jeremy Gillespie at 1-312-619-3033 or email him at jegillespie@centene.com to get assistance.

MEET THE GEAR TEAM

Pranay Rana is a certified enrollment assister and is GHF’s Consumer Education and Enrollment Specialist. Whitney Griggs is our Outreach & Engagement Manager. Together they manage the GEAR Network. Have a question you’d love to see GEAR address? Let them know!