HHS announces Navigator grant recipients
Posted on August 15, 2013 | Comment (1)
The US Department of Health and Human Services (HHS) announced today the entities receiving grants to serve as Navigators in federally-facilitated and state-partnership Marketplaces. As required by the Affordable Care Act (ACA), navigators are individuals and businesses tasked with assisting applicants in their plan selection within the health insurance Marketplaces. HHS stated that $67 million in grants will be dispersed amongst 105 Navigators, which consist of various care providers, schools, community groups, health departments, Planned Parenthood, and other groups.
- outreach and education;
- impartial selection, completion and submission of a qualified health plan (QHP); and
- communication and customer service strategies to meet the needs of the Navigator's target enrollment population.
- Exchanges must designate certain organizations to train and certify staff and volunteers as application counselors. Application counselors are individuals that assist consumers in completing their Exchange enrollment applications for either public or private insurance.
- An individual or group with ties to stop loss insurance issuers may not become a Navigator. The rule further states that some of the eligibility criteria utilized to determine whether or not one can be a Navigator may also be applied to individuals aspiring to become other forms of non-Navigator assisters.
- The rule solidifies Navigator training standards on the following issues: conflicts-of-interest, training and certification, and meaningful access.
- Any licensing or certification requirements issued by states may not conflict with the provisions laid forth in title I of the Affordable Care Act (ACA).