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July 15, 2013 at 12:56 PM
A federal health insurance exchange agency has come up with advice about how its exchanges will manage relationships with one type of consumer helper — the “certified application counselor.”
In the new guidance, Gary Cohen, the director of the Center for Consumer Information and Insurance Oversight, talks about how the “federally facilitated exchanges” run by CCIIO will designate CACs, and how the FFEs will fire CACs violating privacy standards or breaking other program rules.
Federal regulators now require both federally run exchanges and state-run exchanges to have another type of consumer helper, the CAC.
A CAC will be like a navigator, but without necessarily having the ability to provide “culturally and linguistically appropriate” help, according to the Nevada Silver State Health Insurance Exchange.
A CAC employee or volunteer will help consumers understand and fill out exchange applications but might not necessarily be able to provide that help in Spanish or Chinese.
The new guidance will have a direct effect only on CCIIO’s federally facilitated exchanges.
CCIIO said it wants to post a CAC organization application form on the CMS website this month.
