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Notification
June Edition: Transitions in Coverage Assister Monthly Digest
- [สมาชิกที่ลงทะเบียน]Centers for Medicare & Medicaid Services (CMS)
- [ภาษา]日本語
- [แอเรีย]Baltimore, MD
- วันที่ลงทะเบียน : 2024/06/28
- วันที่โพสต์ : 2024/06/28
- วันเปลี่ยนแปลง : 2024/06/28
- จำนวนรวมของการเปิดดู : 4 คน
- หากท่านต้องค้นหาร้าน โปรดดู [คู่มือแนะนำตัวเมือง]
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- 最高の送迎サービス、チャーターサービスをリーズナブルなお値段でご提供させて頂いて...
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弊社タウンガイドご覧いただき誠にありがとうございます。最高のサービスをリーズナブルなお値段でご提供させていただいております。料金システムは季節によって異なりますのでお見積もりのご相談はメールまたはお電話にてお問い合わせください。ウェブサイトwww.sblag.com もご覧ください。当社はうれしいチップ込み料金!安心してご利用ください。
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お家を買う時には まずは ローン会社にご相談ください。ほとんどの方が、家を買う時にまずは不動産屋に連絡をすると思います。すると、「Pre-approval Letter はありますか」と聞かれると思います。アメリカでは、不動産を購入する際、売り手にオファーを入れる時(買い手が売り手に希望購入価格やその他の条件を提案する)にこの Pre-approval Letter という書類を付けて出します。こ...
+1 (206) 679-3371Directors Mortgage, LLC (Mitsuko Miller)
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ただでさえ不安がいっぱいの不妊治療。それに加えて難しい英語や専門用語、伝えたいことがなかなか伝えたいことが伝わらないもどかしさ、CCRM San Franciscoではそんな心配はありません。【日本人女性医師】による【最先端の不妊治療】と【最強のチーム】であなたをお迎えいたします。現在は対面または遠隔オンライン診察を受け付けておりますので、まずは日本語でカウンセリングをしてみませんか。まずはご相談...
+1 (650) 646-7500CCRM San Francisco
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- 階段を 降りて広がる 別世界 ヒノキが香る 寿司と酒
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日本の職人が地元ボストン、豊洲市場等、世界各地から新鮮な魚を毎日仕入れて絶品なお寿司を握ります。美味しい日本酒も各種取り揃えております。
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- 私共はご高齢者を全力で応援します。身元保証人・身元引受人をお引受けいたします。 ...
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老人ホームに入りたいが頼める保証人がいない。そんな切実なお悩みをお持ちではありませんか?終活支援の全ては私共にお任せください。身元保証人・身元引受人をお引受けいたします。介護保険・行政等では対応できない全てのお世話をいたします。毎日元気にお過ごしなのか定期的に訪問します生前整理・遺品整理・空家整理処分・高齢者対応住宅にリフォーム行政機関・病院・介護施設などへの連絡最適な介護施設のご紹介顧問弁護士に...
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日本を含め全世界に200店舗以上を展開『AUBE Hair』が Los Angelesに店舗をOPEN★ クオリティーの高いサービスと技術を提供いたします。お客様にピッタリのヘアスタイルをご提案いたします。当サロンでは、カラーやパーマで使用する薬剤はすべて日本製にこだわっております。落ち着いた雰囲気のなかで、癒しのひとときをお過ごしください。
+1 (424) 268-8510AUBE Hair Los Angeles
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郵便中興の恩人と言われる坂野鉄次郎の業績を紹介しています。郵便関係の法令改正や制定を成し遂げただけではなく、電気事業や鉄道事業でも活躍したほか、公私にわたり郷土の発展のため力を尽くしてきた業績を紹介しています。
+81-86-294-5851坂野記念館
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オアフ島にあるハワイ先住民の自治区を紹介しています。「ランド・オブ・アロハ」とは、世界平和の実現に意識を向けた様々なプロジェクトを実行する空間です。オアフ島ワイマナロ地区に位置するネイティブハワイアンの聖地であるプウホヌア・オ・ワイマナロ・ビレッジ(正式名称)が本拠地として選ばれました。この特別な場所は世界に平和の輪を広げて行く「約束」を果たす拠点と成ります。「ランド・オブ・アロハ」始まり/約束の...
+1 (808) 551-2240Land of Aloha
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- フリーモントにある日系大型スーパーマーケットです。新鮮なシーフードやお肉、人気の...
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大阪マーケットプレイスでは新鮮なシーフード(寿司・刺身)・産地直送の食肉・レストラン品質のお食事・多種類の日本食品・日本のお酒・コスメ化粧品・家電商品等多くの品物を扱っています。店内にある梅田フードコードには大阪で人気のストリートフードやデザートがございます。和牛弁当やどんぶり弁当・モチドーナツ等是非お試し下さい!日本直送の鮮魚・刺身厳選された牛精肉新鮮な野菜・果物作りたてのフレッシュな寿司おすす...
+1 (510) 399-4832Osaka Marketplace
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高級車、ラグジュアリーカーを買うなら当店が断然お得!!ローン、分割払いできます。異なる仕様状況や年式、車種、価格などの中から、お客様が求めるクルマを探し、買って納得していただけ、乗って安心していただける中古車をお届けしたい。これがWestern Motorsのポリシーです。近頃では日本でもリースをされる方が増えてきているようです。そこで、リースとは何か?リースとはお車の契約時に契約期間後のお車の買...
+1 (213) 923-6558Western Motors
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+1 (510) 358-8960Weee!
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- トーランスにある不妊治療専門クリニック。かけがえのないご家族のために最強のチーム...
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トーランスにある不妊治療専門クリニック。かけがえのないご家族のために最強のチームでサポートします。不妊診断・精子卵子凍結・体外受精(IVF)・人工授精(IUI)・着床前診断など 【まずは日本語でご相談ください。】男女不妊診断・治療 体外受精IVF 人工受精IUI 顕微授精ICSI 着床前診断PGT 卵子凍結保存 精子凍結保存 精液検査 自然周期体外受精Natural Cycle IVF 低刺激体外...
+1 (424) 212-4087Incinta Fertility Center
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- 房総のお土産に人気の「鯛せんべい」を中心に、四季折々の和菓子を製造しております。
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鯛せんべいをはじめ、四季折々の和菓子を製造しております。和匠 かまたで発売する和菓子は手作り製。大正時代から受け継がれてきた伝統的な技法を守り、手から手へ、人から人へと、私どもの真心をお届け致します。房総地域のお土産やお茶菓子にぜひ。
+81-4-7095-2828和匠 かまた
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駅から徒歩3分の国道沿いにあるBEACH CAFE kamogawaは海辺のカフェがコンセプトのおしゃれなカフェ。店内はまるで目の前に海が広がっていそうなインテリアでビーチで過ごしているような気分が味わえます🌴多くのお客様にお楽しみいただけるように全席コンセント完備・テラス席のペット利用可・バリアフリー対応化粧室を完備しております!お近くにお越しの際はぜひお立ち寄りくださいませ。
+81-4-7094-4200BEACH CAFE kamogawa
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海外駐在の日本人のみなさま、永住されている日本人のみなさまの結婚のお世話をさせていただいています。留学中の学生のみなさまはご相談ください。また、外国人男性との結婚を希望される女性のみなさまへのご紹介もございます。海外結婚相談所・TJMの特徴・結婚を目標としている独身男女限定です。・身分証明をご提出いただいています。・おひとり、おひとり面接を行っています。・ご紹介は秘密厳守をお約束します。
+1 (443) 470-5750海外結婚相談所・TJM(旧Kaiwa-USA)
Health Insurance Marketplace
Assister digest email header
*Welcome back to the Transitions in Coverage Assister Monthly Digest!*
Following the end of the continuous enrollment condition on March 31, 2023, states have resumed regular eligibility enrollment operations for Medicaid and the Children’s Health Insurance Program (CHIP), including renewals and coverage terminations. This process is often referred to as “restarting/resuming Medicaid renewals/redeterminations.”
Assister communities are vital in helping consumers who might have recently lost Medicaid or CHIP coverage navigate their health coverage options. As Medicaid and CHIP renewals occur annually, your year-round assistance supports key access to coverage. This digest is intended to equip assisters with resources and tools to connect with consumers in need of assistance.
*"Have questions?"*" Certified Application Counselors (CACs) should contact the CAC mailbox at ""CACQuestions@cms.hhs.gov" <CACQuestions@cms.hhs>", Enrollment Assistance Personnel (EAPs) should contact ""EAPQuestions@cms.hhs.gov" <EAPQuestions@cms.hhs.gov>", and"" Navigators should reach out to their Project Officer."
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phone, email, and speech bubble icons
*Reminder:* Use communication and engagement methods tailored to the specific needs of your consumers, which include (but aren’t limited to) phone calls, emails, and texts. Additionally, ensure that consumers enter your assister ID when they complete the Marketplace application. Your assister ID, whether CAC, Navigator or EAP, is a 13-digit alphanumeric ID assigned to you by your organization leadership. Including your assister ID will help CMS better understand the support that the assister community provides and continue to improve the consumer experience.
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"Important transitions in coverage resources on REGTAP and CMS.gov are located at the ""bottom of this resource." [ #key ] "You can also view past editions of this digest ""here" [ https://regtap.cms.gov/reg_library.php?libfilter_keyword=transitions%20in%20coverage&libfilter_resource=11 ]"."
*"In Case You Missed It: "*"The Complex Case Web Form allows Navigators, CACs, EAPs, and Advocates (using the “Other” category) to submit a complex case for investigation by the Complex Case Help Center (CCHC) team. A complex case is an issue involving a single consumer or tax household where the assister has not been able to resolve a specific issue on the consumer or tax household’s application for Marketplace coverage. Complex cases are not policy questions or general questions about the Marketplace application. Assisters must first report the complex case issues to the Marketplace Call Center, unless they are reporting cases of unauthorized enrollments or unauthorized plan switches, which do not require contacting the Marketplace Call Center. "
"Click ""here" [ https://mats-cms-ccrms.my.salesforce-sites.com/complexcase ]" to access the Complex Case Web Form, and ""here" [ https://www.cms.gov/marketplace/technical-assistance-resources/training-materials/complex-case-user-guide.pdf ]" to access Complex Case Web Form navigation instructions."
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CMS Announces $500 Million Funding Opportunity to Increase ACA Outreach and Enrollment Efforts
CMS announced the availability of $500 million in grants over the next five years to increase the number of organizations that help people enroll in health coverage through the Federally-facilitated Marketplace (FFM) on HealthCare.gov. This is the largest funding allocation CMS has made available for Navigator grants to date. With the additional funding, CMS encourages eligible entities and individuals to apply, especially those that focus on education, outreach, and enrollment efforts to underserved and diverse communities.
CMS will hold *a* *technical assistance session on July 2* for potential applicants. This session will provide applicants with an overview of this project, relay budget guidance, and review the instructions for applying outlined in the 2024 Navigator funding opportunity. Applicants are encouraged to submit questions in advance of the session to: Navigatorgrants@cms.hhs.gov.
*Technical Assistance Session *
* *Date:* Tuesday, July 2, 2024
* *Time:* 2:00-3:00pm ET
* *Join via Zoom:* 2024 Navigator NOFO Technical Assistance Session #2 [ https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fclick.icptrack.com%2Ficp%2Frelay.php%3Fr%3D65887666%26msgid%3D578957%26act%3DZ2A0%26c%3D1185304%26pid%3D2116330%26destination%3Dhttps%253A%252F%252Fcms.zoomgov.com%252Fj%252F1618155550%253Fpwd%253Da21uR0hBVEg3OTRabVBRTVRheFpRUT09%2523success%26cf%3D6316%26v%3D0cb216ecb7202fcf56a7201289a981790dd17c4d3b903deea2c4f655369f3370&data=05%7C02%7Cjulia.heath%40dutyfirst.com%7Cfca969fc5c94446053ef08dc895a1d21%7Cf877ecce79b941d1a30a1a1816bf9403%7C1%7C0%7C638536268480716160%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&sdata=1yyHc6dOFBjoLxAQC6Jt%2FraVBo2m06FdPRZfR%2FHKxxo%3D&reserved=0 ], Meeting ID: 161 815 5550, Password: 829693
Applications must be submitted by *July 8, 2024 at 11:59pm ET*. You must submit your application through Grants.gov [ https://www.grants.gov/ ]. Grants.gov [ https://www.grants.gov/ ] creates a date and time record when it receives the application. If you submit the same application more than once, we will accept the last on-time submission. For instructions on how to submit in Grants.gov [ https://www.grants.gov/ ], see the Quick Start Guide for Applicants [ https://www.grants.gov/quick-start-guide/applicants ].
Navigator Funding Opportunity Graphic
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State Highlight: South Dakota
South Dakota Outline
Each month in this section, we review state updates pertaining to coverage transitions.
This month, we focus on South Dakota, which expanded Medicaid eligibility last July to include consumers with incomes up to 138% of the Federal Poverty Level (FPL). At the time, South Dakota estimated this expansion would allow 52,000 new individuals to qualify for Medicaid. According to a May 2024 analysis by CMS [ https://www.medicaid.gov/resources-for-states/downloads/sst-cmpltng-unwndng-rnwls-prlmnry-anlys-05312024.pdf ], South Dakota has returned to regular eligibility reviews, and assisters should continue to be aware of routine renewals and transitions in coverage consumers may experience and need support through. People currently enrolled in Medicaid will continue to go through the renewal process when appropriate, and assisters can help to raise awareness of transitions between Medicaid and the Marketplace.
For additional resources regarding Medicaid eligibility in South Dakota and the Medicaid Expansion, review information here [ https://dss.sd.gov/docs/economicassistance/expansion/Expansion_Overview.pdf ].
CMS shares this information to help assisters like you become aware of common pain points consumers may experience and recognize that some challenges are beyond your control.
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Marketplace Assister Webinars and More
The 2024 Marketplace Assister Webinar Series began in January and will continue through November 20, 2024. Sessions will be held, as scheduled, on Wednesdays from 2:00 p.m. – 3:00 p.m. E.T. Any changes to the schedule and presentation topics will be announced. Webinars provide a unique opportunity for you to learn about topics that can help you support consumers who wish to enroll in the Marketplace.
*Upcoming Marketplace Assister 2024 Webinar Series topics include**: *
* From Marketplace to Medicare
* Sexual Orientation and Gender Identity Questions on the Marketplace Application
* Consumer Options for Terminating Plans and Reporting Changes
* Assisting Consumers with Limited English Proficiency
* Assisting Members of the LGBTQI+ Community
* Complex Case Web Form Presentation for Assisters
* New Eligibility Rules for DACA Recipients
*Register Here for Assister Webinars* [ https://regtap.cms.gov/reg_events_view.php?class=639 ]
For complete instructions for how to register for webinars, click here [ https://content.govdelivery.com/landing_pages/46044/315d75855de61a4dd08982899adf603b ].
Additionally, please be on the lookout for new engagement opportunities that will give you an opportunity to discuss transitions in coverage topics in more detail with CMS and other assisters.
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CAC Designated Organization (CDO) Office Hours
The CMS CDO Program Office is hosting CDO Office Hours, which are monthly technical support calls for CDO leadership contacts (Organization Senior Official, CAC Project Director, and Secondary Contact) who may need assistance with technical aspects of the CDO Program.
These calls will give CDOs the opportunity to raise questions with CMS subject matter experts on issues they may be experiencing with the CDO Program such as, but not limited to:
* Using the Organization Maintenance Web Form (OMWF),
* Updating your CAC Roster,
* Renewing your CMS-CDO agreement or signing your agreement with DocuSign, or
* Annual assister certification training issues
CMS will host these CDO Office Hours calls the *second Thursday of the month beginning on Thursday June 13th from 2pm-3pm ET.*
If your organization is interested in attending these office hours, CDO leadership should keep an eye out for reminder emails which will be sent the Monday before each call, and will include the Zoom link, meeting ID, and passcode. For questions, please send an email to cacquestions@cms.hhs.gov.
Additionally, please be on the lookout for new engagement opportunities that will give you an opportunity to discuss transitions in coverage topics in more detail with CMS and other assisters.
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Assister Success Story
Assisters like you are essential to keeping consumers enrolled in the coverage that they need.
In this section, we share examples of positive feedback from consumers you’ve assisted to showcase the impact of your reach. If you are aware of a success story from a consumer, please share them at the appropriate email addresses listed above [ #questions ].
This month, we heard from an assister organization whose Medicaid Redeterminations education campaign allowed them to connect with a family in need of support. This connection allowed a CAC to identify the best coverage for the family and enroll them in Marketplace coverage. To read the full story and learn more about the incredible impact of assisters like you, click here [ https://content.govdelivery.com/landing_pages/46161/89f8f9dab5cc6db7e590da9b36fed314 ].
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Biden-Harris Administration Launches New Option to Report Potential Violations of Federal Law and Continue to Promote Patient Access to Stabilizing Emergency Care
*NEW! *CMS launched a new option on CMS.gov to allow individuals to more easily file an Emergency Medical Treatment and Labor Act (EMTALA) complaint. This new web resource is part of the Biden-Harris Administration’s comprehensive plan to educate the public and promote patient access to the emergency medical care to which they are entitled under federal law.
"Click "here [ https://www.cms.gov/newsroom/press-releases/biden-harris-administration-launches-new-option-report-potential-violations-federal-law-and-continue ]" to learn more about this new option on CMS.gov."
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Strategies to Connect with CMS & Your State
* Follow along with your state’s Medicaid agency news releases and subscribe to their email lists to gather important updates related to your state’s return to regular Medicaid enrollment operations. Locate your state’s Medicaid enrollment websites here [ https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/unwinding-and-returning-regular-operations-after-covid-19/renew-your-medicaid-or-chip-coverage/index.html ] for additional information.
* Look over the Medicaid, CHIP, and Marketplace Enrollment Trends Update [ https://www.medicaid.gov/sites/default/files/2023-12/medicaid-unwinding-enroll-trends-snapshot-sep2023.pdf ] to view state-specific trends for Medicaid and CHIP enrollment, including total Medicaid and CHIP enrollment by state and varying outcomes for Medicaid/CHIP renewals and auto renewal rates.
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Common Misconceptions
Each month, we’ll feature a new misconception or question we’ve identified using your feedback to help you assist consumers securing coverage.
We’re focusing on the recent final rule that expands access to health care for Deferred Action for Childhood Arrivals (DACA) recipients, effective November 1, 2024. CMS estimates that this rule could lead to 100,000 previously uninsured DACA recipients enrolling in health coverage through Marketplaces or a Basic Health Program (BHP). To view June’s common misconception and Marketplace eligibility for DACA recipients truth that addresses this issue, visit this page [ https://content.govdelivery.com/landing_pages/46163/6a084f265e23138f287d911a28d47b20 ].
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Key Resources
*"REGTAP Resources"*
* This resource [ https://regtap.cms.gov/reg_library_openfile.php?id=5314&type=l ] provides information and guidance that you need to know in order to interpret the Summary of Benefits and Coverage (SBC) for health plans and assist consumers using the SBC to compare health plan benefits.
* This webinar [ https://regtap.cms.gov/reg_library_openfile.php?id=5305&type=l ] provides an overview of health disparities, health equity initiatives, and what you can do to help reduce health disparities.
* This webinar [ https://regtap.cms.gov/reg_library_openfile.php?id=5288&type=l ] explains the Coverage to Care program, which aims to help individuals understand their health coverage and connect to primary care and preventive services that are right for them, so they can live a long and healthy life. Through this webinar, you can access a variety of Coverage to Care resources, including this Roadmap to Better Care and a Healthier You [ https://www.cms.gov/files/document/c2c-roadmap-better-care.pdf ].
* Review previous editions of this digest here [ https://regtap.cms.gov/reg_library.php?libfilter_topic=36&libfilter_resource=11 ] to access valuable resources and information that will support your ability to assist consumers transitioning coverage!
*"CMS.gov Resources"*
* Check out these recently updated videos for a step-by-step walkthrough of how to help consumers fill out the latest version of the HealthCare.gov application.
* Households seeking financial assistance [ https://youtu.be/mVkBSP9HKO0?si=U0R6Y7V2m1zYeIZ- ]
* Households not seeking financial assistance [ https://youtu.be/Dvd36cQWUgM?si=L2n7D95avKfR2ZXR ]
* This resource [ https://www.cms.gov/marketplace/technical-assistance-resources/c2c-roadmap.pdf ] is a roadmap with guidance for connecting consumers to the right coverage for them. With it, you can walk consumers through every step of the process for receiving care from identifying a need for care to what happens after their appointment.
* Use these resources [ https://www.cms.gov/marketplace/in-person-assisters/outreach-education/new ] to connect with and support consumers considering applying for Marketplace coverage.
* Use these resources [ https://www.cms.gov/marketplace/in-person-assisters/outreach-education/already-enrolled ] to continue to support consumers already enrolled in Marketplace coverage, who may encounter questions regarding accessing care, or understanding and maintaining their coverage.
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