Navigator
Who needs to be certified as a navigator or AO? - ✔ ✔ Federally funded and federal navigators
Federally designated CACs
Medicaid enrollment center staff
Staff of organizations helping with the applications
Application Organizations - ✔ ✔ Organizations with employees assisting Hoosiers with applications
on FFM of IHCP
Becoming and AO - ✔ ✔ Complete online application and pay fee
COI disclosure form
Privacy and security agreement
List of all AO locations
What does an Indiana Navigator do? - ✔ ✔ Provide fair and accurate application assistance
Must be certified with IDOI to assist with FFM and IHCP
Becoming a Navigator - ✔ ✔ Apply online
Background check
COI disclosure form
Privacy and security agreement
Pre-certification education
Exam
Renewal requires 2 hours of continuing education
, Financial COI - ✔ ✔ Direct financial incentives are impermissible
Indirect is sometimes permissible
No incentive is permissible
Conflict of Loyalty - ✔ ✔ Business/personal interest that keeps the Nav/AO from acting in the best
interest of the consumer
COI disclosure - ✔ ✔ Any change or new COI must be reported within 30 days
Confidentiality - ✔ ✔ Must protect all of consumers personal info and report security breaches
immediately
What changes must Navigators report? - ✔ ✔ Change in name/contact info, administrative/legal
action, and COI status reported within 30 days
Security breach or improper disclosure reported within 10 days
How does IDOI monitor Navigators and AOs? - ✔ ✔ Through complaints and internal tracking
(incomplete/incorrect applications)
How does the FSSA monitor Navigators and AOs? - ✔ ✔ Quality of health coverage applications will
be monitored
State administrative actions - ✔ ✔ Severity of action depends on severity of the case
Reprimand, civil penalty, certification suspension, revocation, or cease and desist
Where should complaints be filed? - ✔ ✔ About Navigator or AO - contact IDOI
About insurance company/plan - contact insurance company
Who needs to be certified as a navigator or AO? - ✔ ✔ Federally funded and federal navigators
Federally designated CACs
Medicaid enrollment center staff
Staff of organizations helping with the applications
Application Organizations - ✔ ✔ Organizations with employees assisting Hoosiers with applications
on FFM of IHCP
Becoming and AO - ✔ ✔ Complete online application and pay fee
COI disclosure form
Privacy and security agreement
List of all AO locations
What does an Indiana Navigator do? - ✔ ✔ Provide fair and accurate application assistance
Must be certified with IDOI to assist with FFM and IHCP
Becoming a Navigator - ✔ ✔ Apply online
Background check
COI disclosure form
Privacy and security agreement
Pre-certification education
Exam
Renewal requires 2 hours of continuing education
, Financial COI - ✔ ✔ Direct financial incentives are impermissible
Indirect is sometimes permissible
No incentive is permissible
Conflict of Loyalty - ✔ ✔ Business/personal interest that keeps the Nav/AO from acting in the best
interest of the consumer
COI disclosure - ✔ ✔ Any change or new COI must be reported within 30 days
Confidentiality - ✔ ✔ Must protect all of consumers personal info and report security breaches
immediately
What changes must Navigators report? - ✔ ✔ Change in name/contact info, administrative/legal
action, and COI status reported within 30 days
Security breach or improper disclosure reported within 10 days
How does IDOI monitor Navigators and AOs? - ✔ ✔ Through complaints and internal tracking
(incomplete/incorrect applications)
How does the FSSA monitor Navigators and AOs? - ✔ ✔ Quality of health coverage applications will
be monitored
State administrative actions - ✔ ✔ Severity of action depends on severity of the case
Reprimand, civil penalty, certification suspension, revocation, or cease and desist
Where should complaints be filed? - ✔ ✔ About Navigator or AO - contact IDOI
About insurance company/plan - contact insurance company
