In-Person Assisters (IPAs) and Certified Application Counselors (CACs)
The Washington Health Benefit Exchange is developing a statewide in-person assistance network in accordance with the Affordable Care Act to make in-person support broadly available for those who need additional assistance enrolling through Washington Healthplanfinder.
Washington Healthplanfinder in-person assisters will be trained and certified to:
- Provide individuals, families and small businesses in Washington State with impartial information to help them determine which health insurance option best fit their needs.
- Identify eligibility for reduced premiums and assist in completing applications and enrollment through in-person meetings, phone calls, or interactive electronic communication.
- Offer tailored support for those with cultural, linguistic, disability or other special needs.
The Exchange will implement a community network approach by providing financial grants to “Lead Organizations” that will build and oversee a network made up of partners in a designated geographic area to serve our diverse populations. Network partners include existing coalitions, cultural centers, clinics and other community resources in all corners of the state. Most of these organizations have expertise working with and conducting outreach and enrollment support for those hard-to-reach populations.
Lead Organizations Selected Across Washington State
In March 2013, the Washington Health Benefit Exchange issued a Request for Proposal (RFP) in order to solicit proposals from organizations around the state to serve as In-Person Assister Lead Organizations. On June 5, the Exchange announced that ten organizations, including public health agencies, coalitions, regional health networks, and other community organizations, were chosen statewide.
lead organiations will share in the close to $6 million in grant funds being provided by the Exchange. To learn who our Lead Organizations are and what their contact information is, click here.
Certified Application Counselor (CAC):
In a final rule dated July 12, 2013, CMS established Certified Application Counselors as a type of assistance available to provide information to consumers and facilitate enrollment in Qualified Health Plans and Washington Apple Health (Medicaid) programs. In Washington, Certified Application Counselors must be employed by an organization that enters into an agreement with the Exchange and that agrees to be responsible for the oversight and coordination of individuals with this designation. The rule also established standards for individuals who achieve this designation to assure consumers they are receiving assistance from an individual who has completed training provided by the Exchange. The documents below provide the information you need to understand the designation and for your organization to get started.
- Overview - High Level Overview of Organization and CAC Responsibilities
- Implementation Guidelines - Instructions for Getting Started
- Agreement - Between Washington Health Benefit Exchange and CAC Organization
- Three-in-One Attestation - Confidentiality and Non-Disclosure, Code of Ethics, Conflict of Interest Standards
- Spreadsheet - for Notifying Exchange of Exam Candidates
For more information please visit our Press Room or email Navigator@wahbexchange.org.