Navigator State Certification Questions with Verified Solutions

Navigator State Certification Questions with Verified Solutions What are the types of assistants that may help Hoosiers? Indiana Navigators, Authorized Representatives and Health Insurance Agents Another authorized consumer assistant title consumers may seeis Obama care guidance Specialists (OGCs)? False Marketplace will automatically certify consumer assistants called federal navigators and CACs, are they automatically valid in Indiana? False Who needs to be certified as an Indiana Navigator? Individuals with denied, revoked or suspended insurance or broker license, has been convicted of a disqualifying felony or other crime made by Indiana department of Insurance (IDOI), or individuals who fail to pay state income taxes or failed to pay child support, and those who admit or have been convicted of unfair trade practice or fraud insurance business practices What is the Navigator certification process? Apply, complete pre-certification training and pass certification examination. Application Organizations (AOs) are organizations with employees and/or volunteers assisting Hoosier consumers with application in the federal marketplace, qualifying health plans and cost lowering programs. Indiana Navigators never suggest specific health plans? True What is conflict of loyalty? Ex: Indiana Navigator and AO have a close relationship with a hospital The IDOI can respond to complaints against Navigators and AOs how? Reprimand, civil penalty (fine), suspension of certification, revocation of certification (temp/perm) Security breech/disclosure of personal information must notify the consumer within 10 days and the IDOI within 5 days of the incident Brokers cannot be Navigators? True Complaints about Indiana Navigators should be addressed by whom? IDOI Questions regarding the ACA affordable Care Act should be addressed where? Federal Marketplace call center Who cannot become a Navigator? Individuals with denied, revoked or suspended insurance or broker license, has been convicted of a disqualifying felony or other crime made by Indiana department of Insurance (IDOI), or individuals who fail to pay state income taxes or failed to pay child support, and those who admit or have been convicted of unfair trade practice or fraud insurance business practices Authorized Representatives (ARs) are not required to be certified as Navigators? True 115C waiver is a vehicle by which the Centers for Medicare & Medicaid Services (CMS) may waive certain Medicaid and Children's Health Insurance Program (CHIP) regulations, allowing a state to test new or existing ways to deliver and pay for health care services under these two programs. In Indiana, the Healthy Indiana Plan (HIP) operates under an 1115 (c) waiver. 1634 Status is a federal designation given to states for determining Medicaid eligibility for the aged, blind, and disabled populations. Under this program, recipients of Supplemental Security Income (SSI) through the federal Social Security Administration (SSA) obtain automatic Medicaid enrollment and