RWJF publishes navigator resource guide
Posted on November 22, 2013 | Comment (1)
The Robert Wood Johnson Foundation (RWJF), in conjunction with Georgetown University’s Center on Health Insurance Reform, recently published their Navigator Resource Guide. Navigators are trained to help individuals understand their coverage options under the Affordable Care Act (ACA) and help them select plans most appropriate for their needs. The Navigator Resource Guide is divided into three sections:
- Enrollment issues for individuals without coverage options from an employer;
- Enrollment issues for individuals with coverage options from an employer, but who may want to learn more about additional options under the ACA; and
- Enrollment issues for small employers.
The 102 page document is designed to provide additional information and supplement the training for navigators working with private insurance under the ACA.
- 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).