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Webinar Q&A: Building Consumers' Capacity to Use Their Health Coverage and Stay Enrolled

April 26, 2017

ACE TA Center

ACE TA Center

Questions and answers on helping clients stay enrolled in health care coverage.

Questions

  1. How can case managers support clients in maintaining their online account credentials?
  2. What are you using to link clients to Case Management? An acuity scale?
  3. I heard that the next open enrollment period is going to be shorter, and that there are some other changes coming up for next year. Can you provide more information about this?

Answers

1. How can case managers support clients in maintaining their online account credentials?

Case managers may allow clients to use the computers in their office, however, case managers should never be the person responsible for typing or responsible for saving a client’s account password.

There are various strategies a client can use to help save or remember their account credentials. For example, a client could use a consistent password and security question across accounts and should have access to the email account associated with the account in case they need to re-set a password via email. Also, there are password saving apps that can be downloaded on a smartphone, but it is important to make sure that these are secure.

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2. What are you using to link clients to Case Management? An acuity scale?

Two approaches can be taken to link clients to case management. First, if a client presents in a case management agency, an acuity scale can be used to determine the level of case-management they need. Iowa has gone through several different iterations of its acuity scale. Currently, Iowa uses a simple acuity scale that allows for exceptions. If a case manager feels there is good reason to assign clients to a higher or lower level of case management, they can provide justification for the decision.

Second, Iowa has adopted a system-wide approach so that when a person is found to be HIV positive through public testing sites or any other facility, they are immediately connected to care and case management through the Disease Intervention Specialist program.

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3. I heard that the next open enrollment period is going to be shorter, and that there are some other changes coming up for next year. Can you provide more information about this?

There are some changes to the upcoming open-enrollment period. Recently, the Centers for Medicare & Medicaid Services (CMS) released a Final Rule which is intended to help stabilize the health insurance marketplace.

One of the changes is that open enrollment for 2018 coverage is going to be shorter. It will begin on November 1, as usual, but it will end six weeks later on December 15 instead of what used to be a 12-week period. As with past years, coverage for 2018 will begin on January 1.

There are also some changes to special enrollment period requirements. The ACE TA Center will provide additional details about these changes in a future webinar, but we will share a fact sheet that NASTAD has created which provides a summary of the changes.

NASTAD Fact Sheet

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