News from the trenches

Want to say something to the group? Say it here. Start a discussion or simply express yourself! The Network Facilitator will monitor this page regularly. 

West Virginia’s Enrollment Experiences Under the Affordable Care Act

posted Jan 20, 2015, 7:40 AM by David Stewart

A great report by West Virginians for Affordable Health Care (WVAHC) that details the WV experience for last year's Open Enrollment period.  You can find a clickable link in the leadership resources page:

Tax Resource Page from the Marketplace

posted Jan 20, 2015, 6:20 AM by David Stewart

A resource page for assisters (and consumers with QHP's from the Marketplace) with questions about this years tax season and reconciliation. I have also placed the link in Assister Resources.

Enroll America: Changes in Uninsured Rates by County

posted Jan 16, 2015, 11:05 AM by David Stewart

Just discovered this great resource on Enroll America's website ( It does a great job of showing the changes and really shows the results of WV's great work last open enrollment. I have put a link on both resource pages. 

IRS is now releasing forms and instructions for "reconciliation" at tax time

posted Dec 30, 2014, 7:45 AM by David Stewart   [ updated Dec 30, 2014, 7:46 AM ]

A general Brochure, Publication 5187:

Form 8962 (shows the correct tax credit amount): 

Form 1095-A (needed to fill out 8962):

Center on Budget and Policy Priorities: Brief on automatic enrollment and how it could affect consumers

posted Nov 25, 2014, 11:24 AM by David Stewart

Saw this on In the Loop this morning. It is a good explanation of why consumers should go to the Marketplace to update their information for 2015. Bottom line, they could get the wrong tax credit amount (either too high or too low). They could also miss out on cost sharing reductions.

NEW Pilot Projects: Assister Help Resource Center and CMSzOne Community Online Resource Library Pilot for Marketplace Assisters

posted Nov 20, 2014, 11:35 AM by David Stewart

This is good news for our area as PA is one of the states that will gain access to this.

From the CMS Weekly Assister Newsletter:

We are pleased to announce the upcoming launch of the Assister Help Resource Center, a pilot project to test and provide an assister “help desk” during the individual market Open Enrollment period for the 2015 plan year.  CMS is conducting this pilot project in an effort to improve assister-support services, and to respond to assister community feedback on lessons learned from the enrollment process during the first individual market Open Enrollment period.  Assisters cited the need for a dedicated resource center that could provide timely technical guidance, information, and solutions to resolve complex application and enrollment issues that assisters encountered during efforts to help consumers enroll in a qualified health plan (QHP), Medicaid, or the Children’s Health Insurance Program (CHIP).  

The pilot Resource Center will serve as a centralized, complementary service to the Marketplace Call Center to provide support to assisters in their efforts to help consumers with complex issues related to applications, eligibility determinations and redeterminations, and re-enrollment. The pilot Resource Center will be available to Navigators and Enrollment Assistance Program (EAP) assisters in North Carolina, Louisiana, and Pennsylvania, in a phased approach for the upcoming Open Enrollment period. Navigators and EAP assisters in these states will still look to the Marketplace Call Center as their primary source of support, but the AHRC will be available to them as a secondary resource for cases which the Call Center is not able to address.

The Resource Center will begin by serving Navigators and EAP assisters in North Carolina at the beginning of Open Enrollment in November, followed by Louisiana in December, and Pennsylvania in January.  This pilot program will help give CMS timely awareness of complex issues that consumers encounter in the enrollment process, will provide us the opportunity to share issues and resolutions with all assisters, through guidance, trainings, and established communications such as assister listservs, newsletters, and webinars.

We understand that many of you would like to participate in this pilot, and we ask for your patience as we work towards that goal. CMS has collected many lessons learned from the initial Open Enrollment period, including the value of incrementally phasing-in functionalities and processes prior to expanded implementation. Thus, it is critically important that we begin with a smaller project so that we can learn the best way to serve all assisters in the future.

1-10 of 12