ACA Implementation &

The UnbankedBank On Chicago

Quarterly MeetingOctober 7th, 2013

Important Dates• OCTOBER 1, 2013

- Open Enrollment in the Marketplace/New Medicaid Begins.• DECEMBER 15, 2013

- Must be enrolled by this date for Marketplace health coverage to begin by 1/1/14

• JANUARY 1, 2014- New Medicaid Adult Group Coverage begins. (No backdating before this date.)

• MARCH 31, 2014- Open Enrollment for Marketplace ends (Medicaid is always open).

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In Person Assistance

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ACA 101: New Pathways to Coverage

The Uninsured: Understanding of Law

NOTE: Don’t know/Refused answers not shown.SOURCE: Kaiser Family Foundation Health Tracking Poll (conducted March 5-10, 2013)

Do you feel you have enough information about the health reform law to understand how it will impact you personally, or not?

New Medicaid program providing coverage to uninsured residents of Cook County

Medical care from providers in the CCHHS system & select community providers

Goal: medical homes for the otherwise uninsured Over 100,000 individuals expected to be eligible Eligibility criteria:

Live in Cook County, Be a US citizen or legal immigrant in U.S. 5 years or more,

Have a SS number or have applied for one, Be 19-64 years of age, Have income < 133% FPL

General information: http://www.cookcountyhhs.org/patient-services/county-care/

CountyCare

Marketplace in IL: Overview

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Web based, user friendly port for individuals and small businesses to enroll in coverage. Can also access by mail, on phone, or in person.

Enroll in public and private health insurance, as well as access financial assistance to pay for coverage

Marketplaces are only allowed to offer high-quality, qualified health plans that meet a number of standards.

Gives consumers the tools and power to have control over their insurance decisions

Apples-to-apples comparison of plans

Find the right fit!

Enrollment: The Landing Page

• A central website, currently called the Landing Page, will be the first place to go in order to apply for Medicaid and to enroll in the Marketplace.

• The landing page will direct people based upon their demographic information to either the ABE system to apply for Medicaid (and other state benefits) or the Marketplace (to choose insurance and get financial help to pay for it.

• Lets talk about ABE and the Marketplace systems.

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Enrollment: ABE• ABE can be used to apply for benefits other than

medical coverage– Cash Benefits: TANF (Temporary Assistance for

Needy Families) and AABD (AABD (Aid to the Aged Blind or Disabled) Cash

– SNAP (Supplemental Nutrition Assistance Program). *Illinois has presumptive eligibility

• Many low-income households you see may not know about these benefits, or don’t know how to apply

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Paying premiums

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Additional Resources

• To find in-person assistance in your zip code go to www.getcoveredillinois.gov

• For more information about the Affordable Care Act or the marketplace, visit HealthCareReform.Illinois.gov or the Illinois Health Matters website (www.illinoishealthmatters.org).

ResourcesIllinoishealthmatters.org

helphub.illinoishealthmatters.org

Healthreform.illinois.govHealthcare.gov

Marketplace.cms.govKff.org

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Training Organizations• EverThrive Illinois

Formerly the Illinois Maternal and Child Health Coalition

–www.ilmaternal.org • Health & Disability Advocates – www.hdadvocates.org

• Shriver National Center on Poverty Law –www.povertylaw.org

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Enrollment: Information Needed to Apply for MedicaidBefore October 1,

2013After October 1,

2013

Demographic and relationship information of all the persons in the house

X X

Indication of who is applying and type of benefit requested (cash, medical, food)

X X

Income and sometimes resources of all persons applying

X X

Social Security numbers for persons applying X XInformation on person’s citizenship or non-citizen status

X X

Proof of Illinois residence X XTax filing status of each person applying (filed or planning to file)

X

Indication if person is claimed as a dependent on someone’s taxes, and who claims them and the relation

X

Indication if person will claim any dependents, who and the relation

X14