SEPs

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via the Centers for Medicare & Medicaid Services:

Today, the Centers for Medicare & Medicaid Services (CMS) posted Frequently Asked Questions (FAQs) regarding compensation paid by issuers to agents and brokers who assist consumers with enrollment during a Special Enrollment Period (SEP) or during Open Enrollment Periods (OEPs). The Biden-Harris Administration has made it a priority to provide those who are uninsured and underinsured with quality, affordable health care coverage and recognizes that agents and brokers play a vital role in helping consumers enroll in coverage that best fits their needs and budget.

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Last week the Centers for Medicare & Medicaid posted a new press release about a new report from the HHS's Assistant Secretary for Planning & Evaluation (ASPE) which has updated ACA-specific enrollment data current as of October 2021 - March 2022:

New Reports Show Record 35 Million People Enrolled in Coverage Related to the Affordable Care Act, with Historic 21 Million People Enrolled in Medicaid Expansion Coverage

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Last June, the U.S. Health & Human Services Dept. confirmed my estimate that total enrollment in healthcare policies either specifically created by (or expanded to more people by) the Affordable Care Act had broken 31 million Americans:

Today, the U.S. Department of Health and Human Services (HHS) released a new report that shows 31 million Americans have health coverage through the Affordable Care Act – a record. The report also shows that there have been reductions in uninsurance rates in every state in the country since the law’s coverage expansions took effect. People served by the health Marketplaces and Medicaid expansion have reached record highs.

HHS's breakout was fairly close to mine, though they had enrollment a bit higher in some categories and a bit lower in others:

And there it is:

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The Affordable Care Act includes a long list of codified instructions about what's required under the law. However, like any major piece of legislation, many of the specific details are left up to the agency responsible for implementing the law.

While the PPACA is itself a lengthy document, it would have to be several times longer yet in order to cover every conceivable detail involved in operating the ACA exchanges, Medicaid expansion and so forth. The major provisions of the ACA fall under the Department of Health & Human Services (HHS), and within that, the Centers for Medicare & Medicaid (CMS)

Every year, CMS issues a long, wonky document called the Notice of Benefit & Payment Parameters (NBPP) for the Affordable Care Act. This is basically a list of tweaks to some of the specifics of how the ACA is actually implemented.

This morning, CMS issued the final NBPP for the upcoming 2023 Open Enrollment Period. Since there's so many provisions included, this year I've decided to break it into multiple posts which only focus on one or a few of them at a time:

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via Access Health CT:

Access Health CT Announces New Special Enrollment Period for Connecticut Residents with Lower Income

HARTFORD, Conn. (April 25, 2022) — Access Health CT (AHCT) today announced a new Special Enrollment Period (SEP) for Connecticut residents with lower income beginning April 25. This new SEP will provide access to no- or very low-cost health insurance plans made possible by the American Rescue Plan Act (ARPA).

To be eligible for this SEP, Connecticut residents must:

  • Be new or returning customers who are not currently enrolled in a health insurance plan through Access Health CT.
  • Have a household income at or below 150% of the Federal Poverty Level (FPL). 

If you don't know what 150% FPL is, it depends on your household size:

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via Connect for Health Colorado:

Here’s what you need to know about signing up for health coverage

DENVER — It’s Open Enrollment in Colorado. For those who aren’t already covered by job health insurance or another insurance program (like Health First Colorado, Colorado’s Medicaid program or Medicare), now is the time to sign up for a health insurance plan for 2022 coverage. This year, many individuals, families and small business owners shopping for health and dental plans can expect increased plan choice and savings for 2022.

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Via Nevada Health Link:

More Plans, Carriers and Savings Available During Nevada Health Link’s Open Enrollment Period Starting Today

WHAT: Open enrollment begins today on NevadaHealthLink.com, the online health insurance marketplace operated by the state agency, the Silver State Health Insurance Exchange (Exchange), that connects Nevadans to quality, affordable health and dental plans. For this Plan Year 2022, Nevadans can shop 126 qualified health plans. All plans are designed to fit each individual’s budget and health needs.

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via Connect for Health Colorado:

Losing Free COBRA Premiums or Job Health Insurance? You Can Still Enroll in Health Coverage for the Last Few Months of 2021

  • Residents with a Qualifying Event Have Options to Get Covered

DENVER – Thousands of Coloradans will lose free COBRA premiums at the end of the month and may need other affordable coverage options. Through the American Rescue Plan Act, which passed earlier this year, many people were able to receive free COBRA premiums through September 30. Connect for Health Colorado, the state’s health insurance marketplace, is reminding residents that they can still sign up for a health insurance plan for the remainder of the year if they experience a Qualifying Life Event, such as losing free COBRA premiums this month or losing job health insurance.

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via Access Health CT:

Access Health CT Awarded $1.1M Grant From The Centers For Medicare and Medicaid Services

  • Grant funding supports the implementation of the American Rescue Plan Act in Connecticut and several technology upgrades improving the consumer experience

HARTFORD, Conn. (September 20, 2021)—Access Health CT (AHCT) announced today it was recently awarded $1.1 million of grant funding from the Centers for Medicare and Medicaid Services (CMS). The grant will be used to financially support the implementation of the American Rescue Plan Act (ARPA) helping to make health insurance more affordable for Connecticut residents, along with technology modernization projects that will enhance consumer experiences within the online customer portal. The grant funding was made possible through the ARPA.

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I've received an important reminder from the folks at HealthCare.Gov:

Continued Enrollment Opportunity for Consumers with Unemployment Compensation

The American Rescue Plan (ARP) provides additional savings to help consumers access affordable, quality health coverage options, including expanded opportunities for those who received or are approved to receive unemployment compensation in 2021.

Starting July 1, 2021, the Centers for Medicare & Medicaid Services (CMS) added a new function to HealthCare.gov to allow consumers who receive or are approved to receive unemployment compensation for any week beginning during 2021 to access new savings on health insurance coverage, if they qualify.

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