Janalynn Castillo, Advocacy Coordinator
The Outreach & Enrollment Peer Network (O&E PN) is open to all community clinics and health centers (CCHCs) as well as consortia members. The purpose of the peer network is to provide an ongoing opportunity for O&E staff to share struggles and successes, tools and resources, as well as receive statewide and federal updates from CPCA staff. The outreach and enrollment peer network is critical in empowering CHCs and their CECs so that they can better serve their patients in completing the enrollment process.
UPCOMING 2019 MEETINGS: The O&E Peer Network will convene via conference call from October 2018 - January 2019.
December Outreach and Enrollment News:
Covered California Resources
California Department of Health Care Services (DHCS) and other Medi-Cal Related Resources
Covered CA Regional Representatives
2019 Open Enrollment Tool Kit
2019 Renewal Tool Kit
Review the 2019 County Rate and Plan Information Slide Deck, which provides a snapshot of the sample rates for a 25 and 40 year old single individual by county. It is a quick way to identify the second-lowest silver plan in each county, which factors the amount of Advanced Premium Tax Credit (APTC) your consumer will receive. It also provides each plan position by county at a glance.
Loss of Short-Term Insurance- Short-term limited duration insurance plans will be banned in California beginning January 1, 2019. Some carriers have decided to stop selling these plans now, while other carriers will continue to sell new policies through December 31, 2018. Covered California will allow a Special Enrollment Period (SEP) for consumers who will be affected by this ban.Consumers affected by this ban may contact you inquiring about health insurance options. Consumers affected by the short-term insurance ban will have 60 days following the last day of their short-term coverage to enroll in a Covered California health plan. You can use the special SEP circumstance to assist consumers with their applications. Please Note: The last lawful short-term plan in California will expire on March 31, 2019, therefore the last possible day to enroll in a Covered California health plan for consumers affected by this ban will be May 30, 2019
2019 Sign-Up and Renewal Journey FAQ
- Assisting Medi-Cal Eligible Consumers FAQ Certified Enrollers -confused about the Medi-Cal enrollment process? Review frequently asked questions and glossary terms to understand the basics and learn how to seek help for difficult scenarios.
County Medical Services Program (CMSP) Updates -
- Path2Health Pilot Project - At the County Medical Services Program Governing Board (Board) meeting
of May 31, 2018, the Board approved development of the Path2Health Pilot
Project to expand access to primary care for up to 25,000 undocumented
adults ages 21 – 64 that are enrolled in an emergency services only
(restricted scope) Medi-Cal program aid code and reside in one of the
thirty-five CMSP counties. The Pilot Project will begin in early 2019.
To join the Outreach & Enrollment Peer Network and be added to our email distribution list, please contact:
Jana Castillo, Advocacy Coordinator