Important Notices - Indiana Navigators

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2018

May 16 – A new Indiana Navigator Examination Content Outline has been released. The outline combines information from the former Subject Matter Content Outline and Score Report and replaces both documents. The outline identifies topics that must be taught in Navigator Precertification Education (PE) courses and that are tested on the Navigator Examination. The number of questions devoted to each topic on the examination are noted in the outline. The outline should be used as the basis for developing new Navigator PE programs and for submitting renewal applications for existing Navigator PE programs at time of their next renewal.

The outline was developed in conjunction with the Navigator Exam Review & Item Writing Workshop held April 16-18 with representatives of Navigator PE programs, IDOI, FSSA, PSI Services and Professional Testing, Inc.

April 9 – See the CMS press release and fact sheet re: Health Insurance Marketplace Benefit and Payment Parameters for 2019.

March 15 – Please see the following notice from FSSA re: the Healthy Indiana Plan (HIP):

With the renewal of the Healthy Indiana Plan through the year 2020, the Indiana Family and Social Services Administration is busy updating several helpful communications tools for you and our members.

  • We recently added this navigator checklist for member enrollment to www.HIP.in.gov to help navigators work with members more efficiently through the entire application and enrollment process. We encourage you to download and print copies of this tool and refer to it when counseling members and potential new enrollees.
  • We are also finalizing two brochures for members and potential members as well as colorful new posters for you to post in your public areas. We will send you these free of charge, but we need to know how many to send. If you are interested in receiving these materials, please fill out this survey to indicate the quantities desired and your mailing information. If you have more than one location where you would like materials sent, please complete the survey for each location.

As always, you can submit any questions you have to hip2.0@fssa.in.gov.

February 26 – Slide 17 of the Healthy Indiana Plan training slides has been updated with the correct chart showing POWER Account payment amounts by federal poverty level.

RENEWAL OF HEALTHY INDIANA PLAN (HIP).  On February 2, 2018, Indiana Governor Eric Holcomb joined HHS Secretary Alex Azar to announce CMS approval of the continuation and enhancement of the Healthy Indiana Plan (HIP) through 2020.  See the announcement, HIP renewal summary, FAQs and other useful materials regarding the HIP renewal online at www.in.gov/fssa/hip/2583.htm.  In addition, IDOI has released the following two HIP training slides in the “Education Providers” section of the IDOI website at www.in.gov/idoi/2823.htm.  These HIP training slides may be used by education providers as resources for developing new HIP continuing education (CE) courses for Navigators, as well as for supplemental materials for updating existing Navigator CE and precertification education (PE) courses. posted 2/22/18

  1. 2018 HIP Waiver Renewal (as of 2/22/18)
  2. Healthy Indiana Plan (as of 2/26/18)

February 1 – An updated Navigator/AO Service Request Form has been posted.

NOTICE OF DISCONTINUANCE OF NAVIGATOR PRECERTIFICATION EDUCATION TRAINING RESOURCES.  Effective January 19, 2018, the Indiana Department of Insurance (IDOI) is discontinuing its Navigator precertification education (PE) training resources available to Navigator PE providers offering Navigator PE courses in order to align with IDOI goals and priorities for Navigator precertification education.  The training resources being discontinued include the Indiana Navigator Training Resource Manual, Version 3.0 (last updated January 2017) and four (4) Indiana Navigator Training Resource Modules (last updated January 2017).  

IDOI Navigator PE training resources may no longer be submitted with new or renewal Navigator PE provider applications.  Applicants must submit new and updated course materials that adhere to IC 27-19-4-11, 760 IAC 4-8 and the Indiana Navigator Subject Matter Content Outline.  Past training resources published by IDOI may be used for developing new and updated course materials.

If you have any questions regarding this notice, please contact Matt Tapp at mtapp@idoi.in.gov or 317-232-2414.
 

2017

November 30 IHCP announces upcoming changes to the HIP program (IHCP bulletin BT201776)

The Federal Health Insurance Exchange Open Enrollment period runs from November 1, 2017, to December 15, 2017, with coverage starting on January 1, 2018.

General Facts for 2018

  • You should review your plan each year to ensure it meets your health and budget needs
  • Open Enrollment for 2018 is November 1, 2017, to December 15, 2017, which is 6 weeks shorter than last year
  • CareSource and Celtic/MHS/Ambetter are offering Marketplace coverage for 2018
  • Anthem and MDwise Marketplace will not offer Marketplace coverage in 2018, which will require policyholders to select a new plan or they can rely on the auto-reenroll process established by CMS
  • IU Health Plans will not offer off Marketplace coverage in 2018, which will require policyholders to select a new plan
  • Certified Indiana Navigators are available to help you enroll in a plan. Find one near you at http://www.in.gov/healthcarereform/2468.htm.

The Process for Getting Coverage

  • Review: review your coverage and look for a letter from your plan about how your benefits and costs may change next year
  • Update: starting November 1, log in to the federal Marketplace and update your 2018 application – make sure your household income and other information is up-to-date for next year
  • Compare: compare your current plan with other plans that are available in your area
  • Choose: Select the health plan that best fits your budget and health needs. For help, contact a certified Navigator to enroll in your plan. Make sure you discuss:
    • What hospitals and doctors are “in-network”?
    • Are your current medications covered by the plan?
      • Is there a deductible associated with my medications?
      • Is a prior authorization required in order to have my medications covered?
    • Ask to look at the Summary of Benefits and Coverage, which provides an overview of what is covered under the plan as well as any costs to you associated with using the benefits
  • Enroll: Open enrollment for 2018 coverage is from November 1, 2017 to December 15, 2017.

Click here for important information and updates provided by Centers for Medicare and Medicaid Services regarding Federal Health Insurance Exchange 2018 Open Enrollment.

Map – 2018 Marketplace Carrier Coverage by County (as of 10/18/17)

April 28 – LICENSE PRINTING NOW AVAILABLE ONLINE. Indiana Navigator and Application Organization (AO) licenses may now be printed online at www.sircon.com/indiana by selecting "Print a License." Licenses may no longer be obtained by submitting a request to IDOI and must be printed online. Upon issuance or renewal of a Navigator certification or AO registration, online printing is free/no cost for 30 days. After 30 days of issuance or renewal, there is a processing fee to print a license. However, Navigators that have Basic (free/no cost) or Premium ($13.95/year) ProducerEDGE accounts with Sircon/Vertafore may print licenses at any time for free/no cost.

April 28 – Updated FAQs have been posted on the Indiana Navigators home page at www.in.gov/idoi/2823.htm.

March 16 – An updated CE Provider Course Approval Application has been posted online at www.in.gov/idoi/2938.htm.

March 10 – The Navigator annual renewal application steps have been updated to require a Navigator Conflict of Interest Form to be submitted if a Navigator has an actual or potential Conflict of Interest, as defined by the Conflict of Interest Policy, that has not been previously disclosed to the Indiana Department of Insurance.  Conflicts of Interest that have been previously disclosed do not need to be disclosed again with a renewal application.

January 30 – An updated Navigator/AO Service Request Form has been posted. 

January 3 – Updates to the Navigator Precertification Education (PE) Program Criteria and Resources webpage, including the following:

  1. Release of Version 3.0 of Indiana Navigator Training Resource Manual (see "Revision History" in the back of the manual for specific updates to the manual).
  2. Release of four updated Indiana Navigator Training Resource Modules (The modules follow the four chapters of the Training Resource Manual).
  3. Release of an updated Indiana Navigator Subject Matter Content Outline (The outline follows the layout of the Training Resource Manual)
  4. Release of an updated Indiana Navigator Certification Examination Score Report. The Score Report outlines topics tested on the Indiana Navigator Certification Examination and number of questions devoted to each topic area. *NOTE: the Certification Examination has also been reviewed and updated to reflect any changes in the laws and regulations affecting Indiana Navigators.*

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2016

December 5 – An updated Navigator Precertification Education (PE) Provider Application has been posted online at www.in.gov/idoi/2936.htm.  The application must be used to apply for approval of or renew Navigator PE programs, directors and instructors.

October 26 – Indiana Department of Insurance Corrects Misleading Media Report Regarding Obamacare Premiums in Indiana

HAPPY 200 YEARS, INDIANA! Please join IDOI in celebrating the Indiana Bicentennial by downloading the IDOI Bicentennial flyer, printing it out and sharing it with your friends, colleagues, and consumers. The flyer, as well as an infographic that can be linked to your website or social media pages, is available on the IDOI website at www.in.gov/idoi/3051.htm.

Map - 2017 Marketplace Carrier Coverage by County (as of 10/18/16)

HIP EMPLOYER LINK. The State of Indiana’s HIP Employer Link now provides premium assistance for low-income Hoosiers eligible for their employer’s insurance plan. More information can be found here: http://hipemployerlink.in.gov.

July 6 – The Final Rule, adding 760 IAC 4 regarding matters relating to an individual acting as an Indiana Navigator and an entity acting as an Application Organization (AO) in Indiana, was posted on the Indiana Register website here. The rule is effective July 10, 2016.

April 11 – Consumer Alert: IDOI Warns Hoosiers to Be Aware of Non-Compliant ACA Plans

March 16 Notice of Public Hearing released regarding proposed administrative rule regarding certification and registration requirements, precertification education and examinations, continuing education, duties, conflicts of interest, privacy and security of information, reporting requirements, enforcement, and other matters relating to an individual acting as an Indiana Navigator and an entity acting as an Application Organization (AO) in Indiana. The public hearing will be held on April 12, 2016, at 9:30 a.m., at the Indiana Department of Insurance.

January 27 – Update to Application Organization (AO) Reporting Requirements webpage clarifying an AO's requirement for reporting the removal of an Indiana Navigator from the AO due to violation of Indiana laws or regulations.

January 15 – Updates to the Navigator Conflict of Interest Disclosure Form and AO Conflict of Interest Disclosure Form

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2015

Map - 2016 Marketplace Carrier Coverage by County (as of 11/16/15)

October 30 – Open Enrollment Begins on November 1, 2015: The Indiana Department of Insurance encourages Hoosiers to shop and compare different plan options

September 14 – Updates to Navigator Certification Examination Score Report

July 28 – Updates to List of Navigator Precertification Education (PE) Course Providers Open to Public

July 28 – Navigators and Application Organizations providing assistance in Spanish are now marked with an asterisk (*) on the Find a Navigator page of the Indiana Healthcare Reform website at www.in.gov/healthcarereform.  

July 23 – Updates to Indiana Navigator FAQs and Service Request Form posted online at www.in.gov/idoi/2823.htm.

April 17 – Updates to List of Navigator Precertification Education (PE) Course Providers Open to Public

April 15 – "CMS Announces Opportunity to Apply for Navigator Grants in Federally-facilitated and State Partnership Marketplaces"

February 2 – Release of three HIP 2.0 Training Slides in the "Education Providers" section of this website at http://in.gov/idoi/2823.htm. These HIP 2.0 Training Slides may be used as resources for HIP 2.0 Navigator continuing education (CE) courses, as well as supplemental materials for updating existing Navigator CE and precertification education (PE) courses. Additional information on HIP 2.0 is available at http://www.hip.in.gov/.

  1. HIP 2.0 - Introduction, Plan Options, Cost Sharing, Benefits (as of 2/2/15)
  2. HIP 2.0 - Enrollment, Redetermination, Conversion (as of 2/2/15)
  3. HIP 2.0 - Special Populations (as of 2/2/15)

January 27 – APPROVAL OF HIP 2.0 – Governor Pence has announced the approval of the Healthy Indiana Plan (HIP) 2.0. Here is a link to the press release. Hoosiers can now apply for HIP 2.0 by mail, fax, or phone. For additional information and questions regarding HIP 2.0, visit http://www.hip.in.gov/. In addition, Indiana Navigator training provider resources for HIP 2.0 will be made available on this website in the coming days for both Navigator precertification education (PE) and continuing education (CE) providers.

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2014

Map - 2015 Marketplace Carrier Coverage by County (as of 11/18/14)

August 11 – NEWS RELEASE: "Over 1,000 Indiana Navigators Now Certified to Assist Hoosiers in Applying for Healthcare Coverage"

June 18  Updates to the Precertification Education (PE) Training Criteria and Resources section of the website, including the following:

  1. Release of Version 2.0 of Indiana Navigator Training Resource Manual (see "Revision History" in the back of the manual for specific updates to the manual).
  2. Release of four updated Indiana Navigator Training Resource Modules (The modules follow the four chapters of the Training Resource Manual).
  3. Release of Version 2.0 of the Indiana Navigator Subject Matter Content Outline (Outline follows the layout of the Training Resource Manual)
  4. Release of updated Indiana Navigator Certification Exam Score Report. The Score Report outlines topics tested on the Indiana Navigator Certification Exam and number of questions devoted to each topic area. *NOTE: the Certification Exam has also been updated to reflect changes to the laws and regulations that may affect Indiana Navigators. Such changes have also been noted in the Training Resource Manual.*

Map - 2014 Marketplace Carrier Coverage by County (as of 1/10/14)

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2013

Health Care Coverage: Current and Changing Processes (August 2013)

August 1  Release of Indiana Navigators Website

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