Indiana Navigator Module 1 Study Gide Questions With Correct Answers
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Indiana Navigator
Institution
Indiana Navigator
What is the Affordable Care Act? - Answer In 2010 Federal Health Insurance Marketplace and the option for states to expand Medicaid to adults up to 138%
Federal Health Insurance Marketplace? - Answer Individuals with income over FPL can purchase insurance through the Marketplace (up to 400% FPL)...
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Indiana Navigator Module 1 Study Gide Questions With Correct Answers What is the Affordable Care Act? - Answer In 2010 Federal Health Insurance Marketplace and the option for states to expand Medicaid to adults up to 138%
Federal Health Insurance Marketplace? - Answer Individuals with income over FPL can purchase insurance through the Marketplace (up to 400% FPL)
Department of Health & Human Services - Answer HHS-Federal govt's principal health agency. Manages the FFM; establishes training, certification, monitoring
Centers for Medicare & Medicaid Services - Answer CMS - Federal agency w/in HHS that administers Medicare, works w/ state govt's to administer Medicaid & oversees FFM
What is the Patient Protection Affordable Care Act? - Answer Law that provides fundamental reforms to the US healthcare and health insurance systems.
What are the 4 types of Federally Designated Consumer Assistants - Answer Federal Navigators; Certified
Application Counselors; Non-Navigator Assistance Personnel; Producers
What is a Federal Navigator? - Answer They provide unbiased & accurate education, outreach and insurance enrollment assistance on a marketplace. They receive CMS funding & certification. They must apply & be selected to receive cooperative agreement funds from CMS, complete the CMS training and certification requirements; THEN.also complete the certification and registration requirements of Indiana
AO's and Navigators
What is a Certified Application Counselor? - Answer CAC-Assist consumers through unbiased and accurate education and application assistance. They do not receive federal grant awards to act as CAC organizations and are not required to provide public education and outreach services to the same extent as Federal Navigators. They receive training and certification from CMS. Individuals must do so through a
federally-designated organization. They must also be registered as AO's or Indiana Navigators to serve Hoosiers What is a Non-Navigator? - Answer N/A in Indiana; Developed to complement Federal Navigator program
while staying distinct and separate. Same standards and requirements apply as for Federal Navigators. They provide consumer education and support
How do you become a Producer? - Answer Complete licensing requirements for IDOI; sign agreements with one or more insurance companies to sell; receive compensation from insurance companies
How does a Producer sell on the FFM? - Answer Must have health producer license w/ IDOI and complete FFM registration and training
What do Federally-Designated consumer assistants who serve Hoosiers need to do? - Answer Complete federal training and certification; Complete Indiana Navigator certification
What is a Navigator? - Answer Individuals who are certified with the IDOI to provide application assistance through the FFM or IHCP
What is a Federal Navigator? - Answer Federally trained and certified consumer assistant to provide FFM education & enrollment assistance; must also be certified as Indiana Navigator w/ IDOI
What is the COI Policy? - Answer Policy that establishes that Financial or Loyalty COI must be disclosed and other requirements
State Privacy & Security Agreements? - Answer All IN Navigators must comply w/ this policy which defines what constitutes a consumer's personal information and a security breach or improper disclosure of information
What do Navigators need to report to IDOI? - Answer Change of addres; an administrative or criminal action; change in COI; Security breach; removal of Navigator or AO
What is IHCP? - Answer Indiana Health Coverage Program - Covers programs under Medicaid and apps can be accessed via dfr
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