2019 Certified Application Counselor and Non-Navigator Assister Certification Training
The training is hosted by the Marketplace Learning Management System (MLMS). New Users Log In Here Existing Users Log In Here
Marketplace Assister Training Resources
Introduction to the 2019 Assister Certification Training (Slides) Technical Assistance Resources Quick Reference Guide: Plan Year 2019 FFM Registration and Training Steps for Assisters
Marketplace Webinar: Small Business Health Options Program (SHOP) Friday, April 12th 2:00 PM ET to 3:30 PM ET
CMS/ITU Outreach & Education Training (Richmond,VA)- June 25 - June 26, 2019
The Centers for Medicare & Medicaid Services (CMS) Regions III and IV are jointly sponsoring the 2019 CMS Outreach & Education Event. Richmond, VA on Tuesday, June 25th and Wednesday, June 26th, 2019.
Topics at a Glance:
- CMS Tribal Affairs Updates
- Medicare, Medicaid, CHIP and the Health Insurance Marketplace
- State-Administered Programs
- Social Security, Veterans Affairs, and much more…
For more information about the event and to register, visit https://www.eventbrite.com/e/cmsitu-outreach-education-richmond-va-tickets-55937533669
SignUpNow teaches the “ins and outs” of the eligibility requirements, application procedures, and post-enrollment information for Virginia’s Medicaid and FAMIS programs: New adult coverage Programs for children and pregnant women Plan First (family planning) Low Income Families and Children (LIFC) program SignUpNow participants will be able to provide hands-on assistance to individuals and families who want to apply for Medicaid or FAMIS. To view the upcoming SignUpNow training dates and to register, please visit this link
2019 Assister Readiness Webinar Series Overview
Video: Assister Do's and Don'ts
Video: Building Robust Organizations
Video: Consumer Outreach and Education
Video: Protecting Identifiable Information
Video: Working with Agents and Broker
Video: Overview and Types of Health Plans
Video: Marketplace Eligibility Overview
Video: Special Circumstances for Marketplace Eligibility
Video: Marketplace Key Functions
Video: Preparing to Apply
Video: Creating and Submitting Applications
Video: Application Assistance Simulation
Video: Assisting Consumers with Enrollment
Video: Plan Comparison and Selection Simulation
Video: Redetermination, Re-enrollment, and Changes in Circumstance
Video: Working Effectively with Vulnerable and Underserved Populations- Part I
Video: Working Effectively with Vulnerable and Underserved Populations- Part II
Video: Providing Effective Communication and Language Assistance Services
Video: Understanding Disability Laws and Regulations
Video: Best Practices and Etiquette
Video: Evaluating Coverage Options
CMS Assister Webinars Health Reform: Beyond the Basics Webinars Marketplace Appeals Fact Sheet National Association of Community Health Centers Outreach and Enrollment Webinars
Special Call Center Lines
Assister Line for CACs: 1-855-879-2683 Access Code: Your access code will be your organization's main phone number listed on your application that was approved during the recent CDO refresh process
Listservs to Join
CMS Assister Newsletter- To sign up for the CMS Weekly Assister Newsletter, please send a request to the Assister Listserv inbox (ASSISTERLISTSERV@cms.hhs.gov) and write “Add to listserv” in the subject line. Please include the email address that you would like to add to the listserv in the body of your email. Enroll Virginia!- To sign up for the Enroll Virginia! listserv, email Nicolle Milesh at firstname.lastname@example.org
On Thursday, June 7, 2018, Governor Northam signed a state budget that expanded Virginia’s Medicaid program. Starting January 1, 2019, Medicaid will be available to eligible adult Virginians ages 19 – 64 who live in households earning ≤138% of the Federal Poverty Level (a single adult making up to $17,237 or a family of three making up to $29,436 in 2018).
Yellow Envelope Information Almost 300,000 Virginians who are likely to qualify for the new Medicaid coverage have received a letter from DMAS. It comes in a YELLOW envelope. The people getting the letter in one of the following categories:
- People now in the GAP program for people with serious mental illness who will automatically qualify for full Medicaid on January 1, 2019.
- People now on Plan First which provides family planning services only who have income under 138% FPL. They will also automatically qualify for full Medicaid on January 1, 2019.
- Adults who receive SNAP - They have to answer 3 additional questions to determine their Medicaid eligibility in the new category
- Parents of children already enrolled in Medicaid – They have to answer 3 additional questions to determine their Medicaid eligibility in the new category
The letters were mailed out at the end of October, and DMAS is getting a good response. But they continue to do outreach. Current messaging to SNAP enrollees and parents is: Look for the yellow envelope in the mail! Many people who get SNAP benefits or who are parents of children who have Medicaid can now get Medicaid coverage by answering a few simple questions. Coverage includes doctor visits, hospital care, prescription drugs, and more. Look for the yellow envelope in the mail! #CoverVA Answer three “Yes/No” questions and provide a signature.
- Call 1-855-242-8282 to answer the questions over the phone
- Send in your answers in the stamped envelope provided
- Or go to virginia.gov to reply online
Medicaid/FAMIS enrollees must renew their coverage annually. When possible, the local Department of Social Services (LDSS) will attempt to renew an enrollee without contacting the enrollee. This is called an ex parte renewal.
For some newly-enrolled adults, renewal may be right around the corner, even if their New Adult Coverage just began on January 1:
- Adults who were automatically transitioned to the New Adult Coverage (from GAP or Plan First) will maintain the annual renewal date from their prior program.
- Adults who completed an Express Application (either as SNAP enrollees or as parents of a child enrolled in FAMIS Plus) will need to renew by their SNAP recertification date, or their child’s renewal date.
- Adults who completed the full application should expect to get a renewal packet around 10 months after their coverage began. Many newly-eligible adults may find that their local DSS is able to complete their annual renewal ex parte, so they do not need to complete any paperwork at renewal time.
When LDSS renews an enrollee ex parte, s/he will get a Notice of Action that shows that his/her Medicaid/FAMIS coverage will continue for another year. If the LDSS cannot complete an enrollee’s renewal ex parte, s/he will get a prepopulated renewal form in the mail. S/he can then complete the renewal by:
- Calling Cover Virginia at 1-855-242-8282
- Going online to commonhelp.virginia.gov and “Associating” his/her case with his/her CommonHelp account (Note: The enrollee will need a Case Number and a Client ID number to do this). From there, s/he can select “Renew My Coverage” and complete the renewal online.
- Correcting any information on the prepopulated renewal form, signing it, and mailing it to the LDSS.
Tools Cover Virginia Eligibility Screening Tool Cover Virginia Virginia's New Health Coverage for Adults Eligibility Screening Tool Advocates Toolkit SignUpNow Tool Kit Marketplace/Medicaid Flyer Provider FAQ: Medicaid Adult Dental Coverage Medallion 4.0 Provider FAQ: Medicaid Adult Dental Coverage CCC+
Guides Cover Virginia Medicaid Expansion FAQs Cover Virginia Toolkit for Advocates Cover Virginia: New Health Coverage for Virginia Adults (Slides) Medicaid MCO ID Cards Reference Guide: Medicaid Household Rules Cover VA Presentation: Medicaid Expansion in Virginia: Insights from Eligible, Uninsured Adults in the Coverage Gap Enrollment Pathways for the New Adult Group (Medicaid Expansion) VHCF Slides for 100 Days to Coverage CMS Find Local Help Upkeep Tool Quick Reference Guide CCC+ Plan Comparison Chart CCC+ Member Materials Medallion 4.0 Plan Comparison Chart Medallion 4.0 2019 Medicaid at a Glance Frequently Asked Questions About Virginia Medicaid for Noncitizens Canceling a Marketplace Plan When You Get Medicaid or CHIP
Coverage Overview Guide
Samples Streamlined Enrollment Letter
Cover Virginia Medicaid Expansion Brochure Cover Virginia Medicaid Expansion Poster Cover Virginia Medicaid Expansion Flyer
Medicaid Expansion Flyer
Medicaid Expansion Family Size/Income Chart
Video: SignUpNow On-Demand Training
Video: The Marketplace, Medicaid, and Medicare Password: 2019OE*!
Video: New Health Coverage for Virginia Adults
Video: Cover VA Countdown: 100 Days to Coverage
Under Section 330 of the Public Health Service Act – the federal legislation creating the Health Center Program – some health centers receive funding to specifically target one of three “special populations” (as defined by the 330 statute):
- Section 330(g): Migrant and seasonal farmworkers and their families
- Section 330(h): Individuals/persons experiencing homelessness
- Section 330(i): Residents of public housing
In addition, health centers provide comprehensive, culturally-competent primary health care services to a wide range of vulnerable populations such as (but not limited to) school children, the elderly, pregnant women and infants, immigrants, minority populations, the LGBT community, people with disabilities, and military veterans.
Please see our CHC Communicators Resources to find more resources and information on outreach to Special and Vulnerable Populations
American Indians Handouts/Flyers
People with Disabilities
- Good Health is for you too! Patient Guide to Community Health Centers (English, Spanish)- Farmworker Justice