As states are working diligently to operationalize the unwinding of the Medicaid continuous coverage requirement, State Health and Value Strategies has been tracking the creative strategies states are implementing to minimize coverage losses. This expert perspective highlights all the hard work states are engaged in and spotlights innovative strategies other states may want to consider adopting. SHVS will continue to track and share state efforts to support coverage through the unwinding period. If your state is implementing a new effort to reach enrollees, or if you have questions about how you can implement an example included in this EP, please be in touch.
SHOP Notices and Appeals Webinar
Sharon Woda, Manatt Health Solutions Adam Block, Manatt Health Solutions Lisa Sbrana, New York Health Benefit Exchange Kelly Smith, New York Health Benefit Exchange
The State Coverage Initiatives program, in coordination with the State Network, hosted a webinar Tuesday, July 23 from 1:30 – 3:00 p.m. EDT to discuss Small Business Health Option Programs (SHOP) notices and appeals. Sharon Woda and Adam Block from Manatt Health Solutions, and Lisa Sbrana and Kelly Smith from the New York Health Benefit Exchange (NYHBE) facilitated this event. The webinar covered various issues, including:
– Federal requirements for SHOP notices;
– Notices that will be used by the NYHBE to communicate with employers and employees served by the SHOP (found here); and
-Discussion of the proposed SHOP appeals regulations and corresponding policy and operational decisions made by the NYHBE in developing their SHOP appeals process.
The webinar slides can be found in the blue “Download” icon and the NYHBE SHOP Notice template can be found here.