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The Arizona Health Insurance Exchange and Medicaid Expansion

The Arizona Health Insurance Exchange and Medicaid Expansion. Linda Skinner Director Health Care Innovation Infrastructure Management Governor’s Office. Summarizing the HIX/Medicaid Expansion Project:.

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The Arizona Health Insurance Exchange and Medicaid Expansion

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  1. The Arizona Health Insurance Exchange and Medicaid Expansion Linda Skinner Director Health Care Innovation Infrastructure Management Governor’s Office

  2. Summarizing the HIX/Medicaid Expansion Project: • ACA requires everyone under age 65, without Medicare, to have health insurance by 1/1/14, and every state to have an HIX in operation by 10/1/13 for open enrollment • ACA expands Medicaid to 133% FPL & adds childless adults • While awaiting a decision from the US Supreme Court, Governor Brewer wants to continue planning the HIX & Medicaid Expansion. • Arizona plans to build its own HIX, leveraging its existing infrastructure for eligibility and enrollment as the core of the HIX & Medicaid Expansion system, using the Health-e-Arizona system • Arizona plans to leverage the DOI SERFF system for plan management, including certification of QHPs • Arizona plans to purchase technology and services that cannot be leveraged easily from its current infrastructure

  3. On Track Since We Last Met . . . • Issued an RFP for commercial components of the HIX • Evaluation of 5 proposals underway • Engaged an IV&V Vendor for HIX/Medicaid Expansion (netlogx) • Received approval from CMS for enhanced Federal Financial Participation for the Medicaid, CHIP, SNAP and TANF components of the project: 90% Federal Share for most development • IT planning nearly complete and ready to start development soon • Received approval from the Arizona ITAC for the IT project

  4. Next Steps • Eligibility and Enrollment: finalize planning and design work to begin 5/25 • US Supreme Court issues ruling 6/30 • Award contract & begin work on procured solutions 7/15 • Finalize EHB 6/30 • Apply for Level II Establishment Grant 11/1 • Plan Management Live 1/13 • Certification of the HIX 1/13 • Open enrollment and system live 10/13

  5. Questions?

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