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Page 1: PowerPoint Presentationhbexmail.blob.core.windows.net/eap/updated_1 2 14 Covered Califor… · Consumer or CEC general questions about health plan applications, enrollment, benefits
Page 2: PowerPoint Presentationhbexmail.blob.core.windows.net/eap/updated_1 2 14 Covered Califor… · Consumer or CEC general questions about health plan applications, enrollment, benefits
Page 3: PowerPoint Presentationhbexmail.blob.core.windows.net/eap/updated_1 2 14 Covered Califor… · Consumer or CEC general questions about health plan applications, enrollment, benefits

Page 4: PowerPoint Presentationhbexmail.blob.core.windows.net/eap/updated_1 2 14 Covered Califor… · Consumer or CEC general questions about health plan applications, enrollment, benefits

The following information was provided in the “Enrollment Deadline and

Payment FAQ” document sent on December 17, 2013.

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CEE Agreement Status • Executed Agreements have not been mailed but will be

soon.

CEE Agreement Amendments • All CEE Agreements will be amended to reflect the

following changes:

• No application assistance payment for Medi-Cal

renewals.

• No application assistance payment for individuals who

were enrolled in Medi-Cal in the prior 12 months.

• Application assistance payments for Medi-Cal

enrollments will be issued when Covered California

receives payment from DHCS.

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Reminder CEE Payment Terms:

Exhibit B, Section C and D of CEE Agreement C. DHCS Budget Contingency Clause 1. If funding for any fiscal year is reduced or deleted by the California Department of Health Care Services for purposes of this program, the State shall have the option to either cancel this Agreement with no liability occurring to the State, or offer an agreement amendment to the Contractor to reflect the reduced amount.

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D. State Budget Act Contingency Clause 1. It is mutually agreed that if the Budget Act of the current year and/or any subsequent years covered under this Agreement does not appropriate sufficient funds for the program, this Agreement shall be of no further force and effect. In this event, the Exchange shall have no liability to pay any funds whatsoever to Contractor or to furnish any other considerations under this Agreement and Contractor shall not be obligated to perform any provisions of this Agreement.

Page 12: PowerPoint Presentationhbexmail.blob.core.windows.net/eap/updated_1 2 14 Covered Califor… · Consumer or CEC general questions about health plan applications, enrollment, benefits
Page 13: PowerPoint Presentationhbexmail.blob.core.windows.net/eap/updated_1 2 14 Covered Califor… · Consumer or CEC general questions about health plan applications, enrollment, benefits
Page 14: PowerPoint Presentationhbexmail.blob.core.windows.net/eap/updated_1 2 14 Covered Califor… · Consumer or CEC general questions about health plan applications, enrollment, benefits

Application assistance payments for

coverage effectuated in Covered California

Plans (QHP) will be paid in mid-February.

Application assistance payments for

Medi-Cal enrollments will be paid at a later

date when Covered California receives

payment from DHCS.

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15 of 13

ANNOUNCEMENTS AND UPDATES

Page 16: PowerPoint Presentationhbexmail.blob.core.windows.net/eap/updated_1 2 14 Covered Califor… · Consumer or CEC general questions about health plan applications, enrollment, benefits

1. When CEC logs into

their dashboard, they

will have new “Add New

Individual” link in the left navigation pane:

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2. Click the Apply Now button:

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3. Start the application, and complete it

in the same manner:

Page 19: PowerPoint Presentationhbexmail.blob.core.windows.net/eap/updated_1 2 14 Covered Califor… · Consumer or CEC general questions about health plan applications, enrollment, benefits

4. Once the application is complete, the CEC

Enters their eSignature and PIN:

Page 20: PowerPoint Presentationhbexmail.blob.core.windows.net/eap/updated_1 2 14 Covered Califor… · Consumer or CEC general questions about health plan applications, enrollment, benefits

5. An access code is generated for the consumer

so that they may access their information:

Page 21: PowerPoint Presentationhbexmail.blob.core.windows.net/eap/updated_1 2 14 Covered Califor… · Consumer or CEC general questions about health plan applications, enrollment, benefits

6. The consumer may log in with their access

code from the account set up screen:

Page 22: PowerPoint Presentationhbexmail.blob.core.windows.net/eap/updated_1 2 14 Covered Califor… · Consumer or CEC general questions about health plan applications, enrollment, benefits

Updated information on the IPAS homepage: https://ipas.ccgrantsandassisters.org/

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CEE Resource Purpose for Contact

Your Entity’s assigned Enrollment Assistance Specialist

Call: 888-402-0737 to find your EAS contact information

All Certified Enrollment Entities have been assigned an Enrollment

Assistance Specialist (EAS) who are well equipped to answer questions

and provide help

Enrollment Assistance Help Desk

Call: 888-402-0737

E-mail: [email protected]

General questions about the Enrollment Assistance program and process

Enrollment Entity application process questions

Delegation Codes questions

Certified Enrollment Entity application and resource

website:

https://ipas.ccgrantsandassisters.org/

Find resources such as recorded informational webinars, checklists and

worksheets

Application Change Request Form

Check that status of applications submitted

Consumer Help Desk

Phone: 800-300-1506

(Staffed with Service Center Staff who speak multiple

languages)

To access tools online to assist the consumer:

www.coveredca.com

Consumer or CEC general questions about health plan applications,

enrollment, benefits or current coverage

Online CoveredCa.com use the Shop and Compare Tool to help

consumers review plan options or download FAQs to answer questions

Page 24: PowerPoint Presentationhbexmail.blob.core.windows.net/eap/updated_1 2 14 Covered Califor… · Consumer or CEC general questions about health plan applications, enrollment, benefits

CEC Resource Purpose for Contact

Enrollment Assistance Help Desk

Call: 888-402-0737

E-mail: [email protected]

General questions about the Enrollment Assistance program and

process

Enrollment Entity application process questions

Delegation Codes questions

Learning Management System (LMS) and Training Help Desk

Call: 559-573-3580

E-mail: [email protected]

Link: https://learning.coveredca.com/

Login assistance

Help with Instructor-Led Training/Self-Guided Training Registration

Questions on the (2) Computer-Based Training

Assistance with the Certification Exam

Live Scan – Covered California’s Fingerprinting Provider

Criminal Disclosure Form:

http://www.healthexchange.ca.gov/Documents/CECdisclosure.pdf

To find locations for fingerprinting

Schedule appointments

Check the status of your background check clearance

Download Live Scan request form

Consumer Help Desk

Phone: 800-300-1506 (Staffed with Service Center Staff who speak

multiple languages)

To access tools online to assist the consumer:

www.coveredca.com

Consumer or CEC general questions about health plan applications,

enrollment, benefits or current coverage

Online CoveredCa.com use the Shop and Compare Tool to help

consumers review plan options or download FAQs to answer

questions

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