Kansas Health Insurance Marketplace

Navigator ProjectFunded by a federal cooperative agreement

with the Centers for Medicaid and Medicare Services

Kansas Health Insurance Marketplace Consortium

• Association of Community Mental Health Centers of Kansas• Kansas Association of Area Agencies on Aging & Disabilities• Kansas Hospital Education and Research Foundation• Kansas Association of Local Health Departments• Kansas Insurance Commission • Kansas Association for the Medically Underserved

(KAMU serving as project grantee)

Project Goals

• Recruit, train, certify and support 250 Navigators across Kansas

• Assist 48,000 Kansans with the Federally Facilitated Health Insurance Marketplace

Navigators• Help consumers understand the MP, establish

eligibility and enroll in health insurance coverage• Provide outreach and education to raise awareness

about the Marketplace.

Requirements to be a Navigator with the Kansas Marketplace Consortium Grant Project:

•Successfully pass a background check•Read the Conflict of Interest plan, complete and sign•Work under the supervision of an organization that has a signed Navigator Support Agreement with KAMU•Complete 20 hours of on-line training

Requirements for Certified Navigators with the Grant Project

Navigator Project Coordination MapAs of December 31. 2013—157 Certified Navigators, 58 in training

• Problems with Navigator Training Site• Training that didn’t cover the many different household

structures and the mixed tax filing status of family members

• Problems with the Healthcare.gov website• Inconsistent answers from the Call Center• The public’s lack of accurate information about the

Marketplace• Little time to build the infrastructure, before the

Navigators needed resources

Challenges

Accomplishments

• 11,717 Kansans participated outreach and education events provided by Navigators

• 5,041 Kansans received assistance from a Navigator• 2,127 Kansans fully completed and enrolled in a health insurance

plan through the federally facilitated Marketplace• 1,652 Kansans fell below 100% of poverty resulting in them not

being eligible for Premium Tax Credits or Cost Sharing in the Marketplace

• 429 Kansas Consumers were eligible for Medicaid/CHIP• 130 Kansas Consumers were referred out of scope to TriCare,

Medicare, etc.

These numbers do not reflect the number of consumers who received assistance but went on to consider or finish the process on their own.

• Amazing individuals who have stepped forward to become Navigators.

• Navigators participating in a monthly statewide Navigator Call• Navigator Notes – bi-weekly update providing resources and

guidance• On-line Calendar of Assister Events on the InsureKS.org

website• Navigator Quick Guide developed by Gina Maree, training

consultant for the FQHC’s • In the Loop – an on-line community where assisters post

questions, share best practices, and resources.• Navigators participating in weekly calls and emails from CMS

on timely issues with the Marketplace• A Consortium that meets regularly to consider project issues

and discuss ways to provide additional support and assistance to the project.

• The expanded capacity provided by the staff of KAMU who take time every day insure the success of the project

Keys to Project Accomplishments

Statewide Enrollment Campaign

Text: InsureKSTo: 69866

&March 2 - 8 Cover Kansas

Health Insurance Marketplace enrollment events across the state

• Amazing• Dedicated• Don’t give up when things don’t work• Patient• Compassionate• Are good people• Go the extra mile• Have learned a lot in a short period of time• Know there is much more to learn• Hurt when they have to tell someone that they fall in the

Medicaid gap and that their income is too low to benefit from a premium tax credit or cost sharing in the Marketplace

• Take time to explain• Are making a difference for uninsured and underinsured

Kansans• Are my heroes

Lessons Learned

Kansas Navigators