Common use of Stakeholder Consultation Clause in Contracts

Stakeholder Consultation. Stakeholder involvement is valued and a strength of the Arkansas planning effort. Public and private stakeholders are participating through various activities facilitated by HBEPD staff and contractors. Key activities/stakeholder involvement strategies are listed below: Stakeholder Group Consultation Strategy Steering Committee - 2011 Begun in May 2011, a 21-member Steering Committee appointed by the Insurance Commissioner met for two hours bi-weekly to coordinate planning efforts and make recommendations to the Commissioner, legislators and Governor about development of a State-run Exchange. Local and First Data Consultants assumed facilitation duties for the Steering Committee. Meeting summaries can be found on the Exchange Planning website at xxxx://xxx.xxxxxxxx.xxx/Steering.html. Comprised of two liaisons to each of six workgroups, two representatives of the major contractors (University of Arkansas for Medical Sciences [UAMS] and First Data), Governor’s Office, Arkansas Center for Health Improvement (home of AR Surgeon General), AR Department of Human Services (DHS) Director, and two legislators (one Democrat; one Republican), the Steering Committee met until November 15, 2011 when it recommended that efforts to plan a State-run Exchange cease. Steering Committee - 2012 Commissioner Xxxxxxxx appointed a new Steering Committee in March to make recommendations relative to FFE Partnership development in Arkansas. Diverse committee members include representatives from government (Executive agency leaders, Governor’s office, Legislature), private industry (health insurance and health care), and consumer advocacy groups (individual and small business). An orientation was held in April and the Steering Committee meets monthly to discuss planning/implementation issues, manage collaboration among the FFE planning efforts, provide active and visible leadership, approve or disapprove recommendations from the Plan Management or Consumer Assistance Advisory Committees to forward to the Commissioner, and xxxxxx support for FFE implementation and sustainability. First Data serves a facilitation role. Meetings are open and Interactive Video is used for distant participation. Monthly progress reports and meeting summaries can be found at xxxx://xxx.xxxxxxxx.xxx/. Six Workgroups 2011 Six workgroups each met monthly in 2011: Community Leaders, Consumers, Information Technology, Outreach/ Education/ Enrollment, Providers, and State Agencies. These groups chartered in April, 2011 to discuss issues, strategies, and solutions, made recommendations to the Steering Committee. Average attendance ranged from 10 to 15 and guests were welcome. SKYPE attendance was used by some at distant locations. Meeting summaries can be found on the Exchange Planning website at xxxx://xxx.xxxxxxxx.xxx/StateRun.html. Advisory Committees 2012 Under a new Stakeholder Engagement Process, two Advisory Committees were created to align with the state operated functions of the FFE Partnership—Plan Management and Consumer Assistance. These active and diverse Committees meet for a minimum of three hours each month (the Plan Management Committee consistently meets six hours per month) to consider scheduled policy issues and Stakeholder Group Consultation Strategy make recommendations related to FFE Partnership implementation. They review issue briefs and alternative policy recommendations, seek additional information, and make formal recommendations to the Steering Committee that makes recommendations to the Insurance Commissioner. Following an April, 2012 orientation, the Committees began meeting in May, 2012. Each has formed subcommittees. Three (non-government) co-chairs from each Committee sit on the Steering Committee. Committee products can be viewed at xxxx://xxx.xxxxxxxx.xxx/FFE/Consumer.html and xxxx://xxx.xxxxxxxx.xxx/FFE/Plan.html. Community Meetings 2011 During the summer of 2011, UAMS led 66 “information and listening” sessions in 17 towns/cities across Arkansas targeting four stakeholder groups: Community Leaders, Providers, Consumers, and All Citizens. Three special population sessions were held targeting Spanish-speaking and Marshallese residents. More than 500 Arkansans attended. Specific outreach was made to minority groups and those with special health care needs. Interpreters were available. A report of this effort was presented at the Stakeholder Summit in October 2011. Community Meetings 2012 On July 18, 2012 approximately 200 stakeholders participated in community meetings held in seven locations across the state using interactive video technology to connect stakeholders with the AID Commissioner and HBEPD Director for an FFE Partnership Update and live Q & A session. Live web stream was also available. The morning and afternoon meetings were held in Little Rock and via interactive technology to sites in each of Arkansas’s four congressional districts. HBEPD staff was available at each site to interact with attendees before and after the meetings. Both the morning and afternoon sessions were recorded and are available on the HBEPD website at xxxx://xxx.xxxxxxxx.xxx/. Sessions are being transcribed and translated into Spanish for distribution as needed. Plans are to hold these type town meetings at least quarterly. Web-Based Survey UAMS conducted research and created a web-based survey to solicit residents’ input into planning. The survey was “live” July 12 – August 25, 2011. There were 432 valid responses to the survey. (See xxxx://xxx.xxxxxxxx.xxx/StakeholderInput.pdf). State Agency Health Improvement Leaders Arkansas Center for Health Improvement (ACHI), home of Arkansas’s Surgeon General, convenes a monthly leadership meeting where Arkansas’s four major health improvement activities are addressed: Health Benefit Exchange (HBE), Health Information Technology (HIT), Workforce, and Payment Transformation. The Governor’s Policy Office, State Agency directors and chief staff from the Departments of Insurance, Human Services, Health, Office of HIT, and the UAMS meet for updates and strategy sessions. HBE Stakeholder Summit A one-day statewide stakeholder summit was held October 11, 2011. Past Director of The Federal Health Benefits Exchanges, Xxxx Xxxx, and Arkansas Surgeon General Xxx Xxxxxxxx, MD, MPH, served as keynoters, addressing HBE development, issues, and progress to date, with time provided for questions and feedback from participants. Stakeholder Group Consultation Strategy Legislative Reports Insurance Commissioner and HBEPD Staff have formally presented at 13 legislative committee meetings. One-on-one or small group discussions are held as needed to update legislators or answer specific questions. The Project funded one legislator’s attendance at the Utah Invitational Exchange Meeting in 2011. Several Legislators attended the August, 2011 NPRM meeting in Denver as DHHS guests. One-to-One or Group Stakeholder Meetings Meetings with industry, government, and civic leaders are held at the request of planning staff or the stakeholder(s) to update/dialogue on HBEs in general and Arkansas-specific planning activities. These include key informant interviews as part of the background research effort, and presentations to industry, civic or employer groups. More than 50 presentations have been made to date. HBE Website at xxx.xxx.xxxxxxxx.xxx HBE information and planning efforts are posted on the HBE Website, including meeting notices, summaries, Q & A, and issue briefs. Readers are directed to staff for questions/comments.

Stakeholder Consultation. Stakeholder involvement is valued and a strength of the Arkansas planning effort. Public and private stakeholders are participating through various activities facilitated by HBEPD AHCD staff and contractors. Key activities/stakeholder involvement strategies are listed below: Stakeholder Group Consultation Strategy Steering Committee - 2011 Begun in May 2011, a 21-member Steering Committee appointed by the Insurance Commissioner met for two hours bi-weekly to coordinate planning efforts and make recommendations to the Commissioner, legislators and Governor about development of a State-run Exchange. Local and First Data Consultants assumed facilitation duties for the Steering Committee. Meeting summaries can be found on the Exchange Planning AHCD website at xxxx://xxx.xxxxxxxx.xxx/Steering.html. Comprised of two liaisons to each of six workgroups, two representatives of the major contractors (University of Arkansas for Medical Sciences [UAMS] and First Data), Governor’s Office, Arkansas Center for Health Improvement (home of AR Surgeon General), AR Department of Human Services (DHS) Director, and two legislators (one Democrat; one Republican), the Steering Committee met until November 15, 2011 when it recommended that efforts to plan a State-run Exchange ceaseMarketplace cease due to political opposition. Steering Committee - 2012 – 2013 Commissioner Xxxxxxxx appointed a new Steering Committee in March 2012 to make recommendations relative to FFE Partnership SPM development in Arkansas. Diverse committee members include representatives from government (Executive executive agency leaders, Governor’s office, Legislature), private industry (health insurance and health care), and consumer advocacy groups (individual and small business). An orientation was held in April and the Steering Committee meets monthly to discuss planning/implementation issues, manage collaboration among the FFE FFM planning efforts, provide active and visible leadership, approve or disapprove recommendations from the Plan Management or Consumer Assistance Advisory Committees to forward to the Commissioner, and xxxxxx support for FFE FFM implementation and sustainability. First Data serves a facilitation role. Meetings are open and Interactive Video interactive video conferencing is used for distant participation. Monthly progress reports and meeting summaries can be found at xxxx://xxx.xxxxxxxx.xxx/. Six Workgroups xxxx://xxx.xxxxxxxx.xxx/FFE/Steering.html Work groups 2011 Six workgroups work groups each met monthly in 2011: Community Leaders, Consumers, Information Technology, Outreach/ Education/ Enrollment, Providers, and State Agencies. These groups chartered in April, 2011 to discuss issues, strategies, and solutions, made recommendations to the Steering Committee. Average attendance ranged from 10 to 15 and guests were welcome. SKYPE attendance was used by some at distant locations. Meeting summaries can be found on the Exchange Planning AHCD website at xxxx://xxx.xxxxxxxx.xxx/StateRun.html. Advisory Committees 2012 - 2013 Under a new Stakeholder Engagement Processstakeholder engagement process, two Advisory Committees were created to align with the state operated functions of the FFE PartnershipSPM —Plan Management and Consumer Assistance. These active and diverse Committees committees meet for a minimum of three hours each month (the Plan Management Committee consistently meets six hours per month) to consider scheduled policy issues and make recommendations related to SPM implementation. They Stakeholder Group Consultation Strategy make recommendations related to FFE Partnership implementation. They review issue briefs and alternative policy recommendations, seek additional information, and make formal recommendations to the Steering Committee that makes recommendations to the Insurance Commissioner. Following an April, 2012 orientation, the Committees committees began meeting in May, 2012. Each has formed subcommittees. Three (non-government) co-chairs from each Committee committee sit on the Steering Committee. Committee products can be viewed at xxxx://xxx.xxxxxxxx.xxx/FFE/Consumer.html and xxxx://xxx.xxxxxxxx.xxx/FFE/Plan.html. Community Meetings 2011 During the summer of 2011, UAMS led 66 “information and listening” sessions in 17 towns/cities across Arkansas targeting four stakeholder groups: Community Leaders, Providers, Consumers, and All Citizens. Three special population sessions were held targeting Spanish-speaking and Marshallese residents. More than 500 Arkansans attended. Specific outreach was made to minority groups and those with special health care needs. Interpreters were available. A report of this effort was presented at the Stakeholder Summit in October 2011. Community Meetings 2012 On July 18, 2012 approximately 200 stakeholders participated in community meetings held in seven locations across the state using interactive video technology to connect stakeholders with the AID Commissioner and HBEPD Director AHCD director for an FFE Partnership Update SPM update and live Q & A session. Live web stream was also available. The morning and afternoon meetings were held in Little Rock and via interactive technology to sites in each of Arkansas’s four congressional districts. HBEPD AHCD staff was available at each site to interact with attendees before and after the meetings. Both the morning and afternoon sessions were recorded and are available on the HBEPD AHCD website at xxxx://xxx.xxxxxxxx.xxx/. Sessions are being were transcribed and translated into Spanish for distribution as neededneeded Community Meetings 2013 The AHCD and several contractors (Arkansas Department of Health, Arkansas Minority Health Commission, and University of Arkansas Partners for Inclusive Communities) have led community meetings across the state. Plans are A Speakers Bureau has been established to hold these type town meetings provide information in all 75 counties. Trained workers began presentations Aug. 1, 2013. The Minority Health Commission has hosted local community forums across the state, and the University of Arkansas at least quarterlyLittle Rock (UALR) is gearing up to provide community-based education sessions to small business through the Arkansas Small Business and Technology Development Center. Web-Based Survey 2011 UAMS conducted research and created a web-based survey to solicit residents’ input into planning. The survey was “live” July 12 – August 25, 2011. There were 432 valid responses to the survey. (See xxxx://xxx.xxxxxxxx.xxx/StakeholderInput.pdf). State Agency Health Improvement Leaders 2011 - 2013 Arkansas Center for Health Improvement (ACHI), home of Arkansas’s Surgeon General, convenes a monthly leadership meeting where Arkansas’s four major health improvement activities are addressed: Health Benefit Exchange (HBE)Insurance Marketplace, Health Information Technology (HIT), Workforce, and Payment Transformation. The Governor’s Policy Office, State Agency directors and chief of staff from the Departments of Insurance, Human Services, Health, Office of HIT, and the UAMS meet for updates and strategy sessionsstrategic discussions. In planning the implementation of the Private Option, these meetings have been moved to bi-weekly. HBE Stakeholder Summit 2011 A one-day statewide stakeholder summit was held October 11, 2011. Past Director of The Federal Health Benefits Exchanges, Xxxx Xxxx, past Director of the Office Health Insurance Exchanges at HHS, and Arkansas Surgeon General Xxx Xxxxxxxx, MD, MPHthe Arkansas Surgeon General, served as keynoters, addressing HBE development, issues, and progress to date, Stakeholder Group Consultation Strategy with time provided for questions and feedback from participants. Stakeholder Group Consultation Strategy Legislative Reports 2011 - 2013 Insurance Commissioner and HBEPD Staff AHCD staff have formally presented at 13 numerous legislative committee meetings. One-on-one or small group discussions are held as needed to update legislators or answer specific questions. The Project project funded one legislator’s attendance at the Utah Invitational Exchange Meeting in 2011. Several Legislators legislators attended the August, 2011 NPRM meeting in Denver as DHHS guests. On December 4, 2012, the Commissioner and the AHCD Director spoke at the New Arkansas Senator Orientation to educate incoming legislators about the SPM and the information was well received. Staff has also participated with legislators through meetings of the Public Health Welfare and Labor Committee on Medicaid expansion and the SPM, Rules and Regulations Committee on Arkansas EHB rules and the Insurance and Commerce Committee regarding the SPM. During the 2013 legislative session, most of our business occurred in the Insurance and Commerce Committee. Subsequently, we’ve participated in meetings of the Public Health, Welfare and Labor Committee, Legislative Council, Review Committee, PEER Committee, and the Personnel Committee. One-to-One or Group Stakeholder Meetings 2011 - 2013 Meetings with industry, government, associations, and civic leaders are held at the request of planning staff or the stakeholder(s) to update/dialogue on HBEs Marketplaces in general and Arkansas-specific planning activities. These include key informant interviews as part of the background research effort, and presentations to industry, civic or employer groups. More than 50 presentations have been made AHCD staff continues to datebe frequent presenters at conferences and events throughout the state. HBE A statewide Speakers Bureau is being implemented for 2013. UAMS, University of Arkansas (UofA) and Arkansas Department of Health (ADH) are key partners for this outreach effort. AHCD Website at xxx.xxx.xxxxxxxx.xxx HBE 2011 - 2013 AHCD information and planning efforts are posted on the HBE WebsiteAHCD website, xxx.xxx.xxxxxxxx.xxx, including meeting notices, summaries, Q & A, and issue briefs. Readers are directed to staff for questions/comments. Arkansas Health Connector Website 2013 Through the Outreach and Education marketing and advertising contract, Xxxxxx Xxxxxxx Partners (MHP) is the vendor managing the public education website for enrollment efforts at xxx.xxxxxxxxxxxxxxxxx.xxx MHP and AHCD worked to make the website tailored to Arkansas as much as possible, relying on photography of Arkansans, rather than stock footage. The first month’s activity included 110,000 visits by 91,000 unique visitors. Producer Outreach 2013 AHCD along with University of Arkansas Partners for Inclusive Communities staged meetings throughout the state in July 2013 with hundreds of agents and brokers. The locations of these meetings, which were well-attended, were: Little Rock, Fort Xxxxx, Fayetteville, Jonesboro, West Memphis, El Dorado, and Texarkana. An email was sent in August 2013 to 38,000 licensed producers announcing availability of federal and state training leading to Arkansas Health Connector licensure. Contractor UAMS Partners for Inclusive Communities (Partners) moved their administrative home to the University of Arkansas at Fayetteville. A contract with Partners through the U of A to continue statewide stakeholder engagement remains active. Partners will work closely with the AHCD Outreach and Education campaign efforts. This collaborative work will build on common federal and state level messaging for an SPM model. Funding under the Level One A grant allowed the expansion of stakeholder involvement. In May 2012, the AHCD added an experienced Consumer Assistance Specialist to ensure a positive consumer experience, critical to the success of Arkansas’s SPM. Xxxxxx Xxxx’x primary focus is on the coordination and development of the various consumer assistance programs, functions and requirements including developmental activities associated with the Arkansas In-Person Assister (IPA) program. She began immediately to expand consumer participation among underserved/hard-to-reach populations, including Hispanics, African-Americans, individuals with disabilities, Marshallese, Asians, and to expand representation from various geographic locations (such as the Delta area), etc. Xxxx developed relationships with UAMS Center for Rural Health’s Health Literacy program in order to ensure that training and outreach materials are understandable to populations with low literacy rates. Additionally, she developed relationships with the Arkansas Minority Health Commission to participate in a series of quarterly health forums designed to educate communities regarding health disparities. Our Level One A funding also provided for a contractor to develop the Arkansas IPA Program. Public Consulting Group (PCG) was chosen through a competitive procurement process. Consultants from PCG have helped staff the Consumer Assistance Advisory Committee (CAAC), and provided policy briefs and alternatives for development of the Arkansas IPA Program. Using funds from the Level One B grant, PCG’s consulting contract was extended through September 30, 2013 to allow them to continue working with the CAAC while aiding in the recruitment and training of IPAs. Xxxx oversees the scope of work of PCG, which originally specified the Navigator program but was modified after CCIIO clarified that in an SPM, the Navigator program was the responsibility of CMS while the state is responsible for the IPA program. The scope of work is to design, develop and implement the Arkansas IPA program according to CCIIO and Arkansas guidelines and requirements. PCG developed a project work plan that detailed approach, staffing, project tasks, quality management plan, communications plan, issues, risks and change control. The three primary areas of responsibility for PCG are: IPA eligibility, certification and training; IPA entity application; and IPA operations (including policies and procedures).

Stakeholder Consultation. Stakeholder involvement is valued and a strength of the Arkansas planning effort. Public and private stakeholders are participating through various activities facilitated by HBEPD staff and contractors. Key activities/stakeholder involvement strategies are listed below: Stakeholder Group Consultation Strategy Steering Committee - 2011 Begun in May 2011, a 21-member Steering Committee appointed by the Insurance Commissioner met for two hours bi-weekly to coordinate planning efforts and make recommendations to the Commissioner, legislators and Governor about development of a State-run Exchange. Local and First Data Consultants assumed facilitation duties for the Steering Committee. Meeting summaries can be found on the Exchange Planning website at xxxx://xxx.xxxxxxxx.xxx/Steering.html. Comprised of two liaisons to each of six workgroups, two representatives of the major contractors (University of Arkansas for Medical Sciences [UAMS] and First Data), Governor’s Office, Arkansas Center for Health Improvement (home of AR Surgeon General), AR Department of Human Services (DHS) Director, and two legislators (one Democrat; one Republican), the Steering Committee met until November 15, 2011 when it recommended that efforts to plan a State-run Exchange ceasecease due to political opposition. Steering Committee - 2012 – 2013 Commissioner Xxxxxxxx appointed a new Steering Committee in March 2012 to make recommendations relative to FFE State Partnership Exchange development in Arkansas. Diverse committee members include representatives from government (Executive agency leaders, Governor’s office, Legislature), private industry (health insurance and health care), and consumer advocacy groups (individual and small business). An orientation was held in April and the Steering Committee meets monthly to discuss planning/implementation issues, manage collaboration among the FFE planning efforts, provide active and visible leadership, approve or disapprove recommendations from the Plan Management or Consumer Assistance Advisory Committees to forward to the Commissioner, and xxxxxx support for FFE implementation and sustainability. First Data serves a facilitation role. Meetings are open and Interactive Video interactive video conferencing is used for distant participation. Monthly progress reports and meeting summaries can be found at xxxx://xxx.xxxxxxxx.xxx/. Stakeholder Group Consultation Strategy Six Workgroups 2011 Six workgroups each met monthly in 2011: Community Leaders, Consumers, Information Technology, Outreach/ Education/ Enrollment, Providers, and State Agencies. These groups chartered in April, 2011 to discuss issues, strategies, and solutions, made recommendations to the Steering Committee. Average attendance ranged from 10 to 15 and guests were welcome. SKYPE attendance was used by some at distant locations. Meeting summaries can be found on the Exchange Planning website at xxxx://xxx.xxxxxxxx.xxx/StateRun.html. Advisory Committees 2012 - 2013 Under a new Stakeholder Engagement Process, two Advisory Committees were created to align with the state operated functions of the FFE Partnership—State Partnership Exchange— Plan Management and Consumer Assistance. These active and diverse Committees meet for a minimum of three hours each month (the Plan Management Committee consistently meets six hours per month) to consider scheduled policy issues and Stakeholder Group Consultation Strategy make recommendations related to FFE State Partnership Exchange implementation. They review issue briefs and alternative policy recommendations, seek additional information, and make formal recommendations to the Steering Committee that makes recommendations to the Insurance Commissioner. Following an April, 2012 orientation, the Committees began meeting in May, 2012. Each has formed subcommittees. Three (non-government) co-chairs from each Committee sit on the Steering Committee. Committee products can be viewed at xxxx://xxx.xxxxxxxx.xxx/FFE/Consumer.html and xxxx://xxx.xxxxxxxx.xxx/FFE/Plan.html. Community Meetings 2011 During the summer of 2011, UAMS led 66 “information and listening” sessions in 17 towns/cities across Arkansas targeting four stakeholder groups: Community Leaders, Providers, Consumers, and All Citizens. Three special population sessions were held targeting Spanish-speaking and Marshallese residents. More than 500 Arkansans attended. Specific outreach was made to minority groups and those with special health care needs. Interpreters were available. A report of this effort was presented at the Stakeholder Summit in October 2011. Community Meetings 2012 On July 18, 2012 approximately 200 stakeholders participated in community meetings held in seven locations across the state using interactive video technology to connect stakeholders with the AID Commissioner and HBEPD Director for an FFE a State Partnership Exchange Update and live Q & A session. Live web stream was also available. The morning and afternoon meetings were held in Little Rock and via interactive technology to sites in each of Arkansas’s four congressional districts. HBEPD staff was available at each site to interact with attendees before and after the meetings. Both the morning and afternoon sessions were recorded and are available on the HBEPD website at xxxx://xxx.xxxxxxxx.xxx/. Sessions are being were transcribed and translated into Spanish for distribution as needed. Plans are to hold these type town meetings at least quarterlyquarterly in 2013. Web-Based Survey 2011 UAMS conducted research and created a web-based survey to solicit residents’ input into planning. The survey was “live” July 12 – August 25, 2011. There were 432 valid responses to the survey. (See xxxx://xxx.xxxxxxxx.xxx/StakeholderInput.pdf). Stakeholder Group Consultation Strategy State Agency Health Improvement Leaders 2011 - 2013 Arkansas Center for Health Improvement (ACHI), home of Arkansas’s Surgeon General, convenes a monthly leadership meeting where Arkansas’s four major health improvement activities are addressed: Health Benefit Exchange (HBE), Health Information Technology (HIT), Workforce, and Payment Transformation. The Governor’s Policy Office, State Agency directors and chief of staff from the Departments of Insurance, Human Services, Health, Office of HIT, and the UAMS meet for updates and strategy sessionsstrategic discussions. HBE Stakeholder Summit 2011 A one-day statewide stakeholder summit was held October 11, 2011. Past Director of The Federal Health Benefits Exchanges, Xxxx Xxxx, and Arkansas Surgeon General Xxx Xxxxxxxx, MD, MPH, served as keynoters, addressing HBE development, issues, and progress to date, with time provided for questions and feedback from participants. Stakeholder Group Consultation Strategy Legislative Reports 2011 - 2013 Insurance Commissioner and HBEPD Staff have formally presented at 13 legislative committee meetings. One-on-one or small group discussions are held as needed to update legislators or answer specific questions. The Project funded one legislator’s attendance at the Utah Invitational Exchange Meeting in 2011. Several Legislators attended the August, 2011 NPRM meeting in Denver as DHHS guests. On December 4, 2012, the Commissioner and the HBEPD Director spoke at the New Arkansas Senator Orientation to educate incoming legislators about the State Partnership Exchange and the information was well received. Staff has also participated with legislators through meetings of the Public Health Committee on Medicaid Expansion, Rules Committee on Arkansas EHB Rules and the Insurance and Commerce Committee Meeting regarding the State Partnership Exchange. One-to-One or Group Stakeholder Meetings 2011 - 2013 Meetings with industry, government, and civic leaders are held at the request of planning staff or the stakeholder(s) to update/dialogue on HBEs in general and Arkansas-specific planning activities. These include key informant interviews as part of the background research effort, and presentations to industry, civic or employer groups. More than 50 presentations have been made HBEPD staff continues to datebe frequent presenters at conferences and events throughout the state. A plan to implement a statewide speaker’s bureau is underway for 2013. UAMS, University of Arkansas (UofA) and Arkansas Department of Health (ADH) are key partners for this outreach effort. HBE Website at xxx.xxx.xxxxxxxx.xxx 2011 - 2013 HBE information and planning efforts are posted on the HBE Website, including meeting notices, summaries, Q & A, and issue briefs. Readers are directed to staff for questions/comments. Contractor UAMS Partners for Inclusive Communities (Partners) moved their administrative home to the University of Arkansas at Fayetteville. A contract with Partners through UofA to continue statewide stakeholder engagement is in process. Partners will work closely with the State Exchange Partnership Outreach and Education campaign efforts. This collaborative work will build on common federal and state level messaging for a State Partnership Exchange model.

Stakeholder Consultation. Stakeholder involvement is valued and a strength of the Arkansas planning effort. Public and private stakeholders are participating through various activities facilitated by HBEPD staff and contractors. Key activities/stakeholder involvement strategies are listed below: Stakeholder Group Consultation Strategy Steering Committee - 2011 Begun in May 2011, a 21-member Steering Committee appointed by the Insurance Commissioner met for two hours bi-weekly to coordinate planning efforts and make recommendations to the Commissioner, legislators and Governor about development of a State-run Exchange. Local and First Data Consultants assumed facilitation duties for the Steering Committee. Meeting summaries can be found on the Exchange Planning website at xxxx://xxx.xxxxxxxx.xxx/Steering.html. Comprised of two liaisons to each of six workgroups, two representatives of the major contractors (University of Arkansas for Medical Sciences [UAMS] and First Data), Governor’s Office, Arkansas Center for Health Improvement (home of AR Surgeon General), AR Department of Human Services (DHS) Director, and two legislators (one Democrat; one Republican), the Steering Committee met until November 15, 2011 when it recommended that efforts to plan a State-run Exchange ceasecease due to political opposition. Steering Committee - 2012 – 2013 Commissioner Xxxxxxxx Bradford appointed a new Steering Committee in March 2012 to make recommendations relative to FFE State Partnership Exchange development in Arkansas. Diverse committee members include representatives from government (Executive agency leaders, Governor’s office, Legislature), private industry (health insurance and health care), and consumer advocacy groups (individual and small business). An orientation was held in April and the Steering Committee meets monthly to discuss planning/implementation issues, manage collaboration among the FFE planning efforts, provide active and visible leadership, approve or disapprove recommendations from the Plan Management or Consumer Assistance Advisory Committees to forward to the Commissioner, and xxxxxx support for FFE implementation and sustainability. First Data serves a facilitation role. Meetings are open and Interactive Video interactive video conferencing is used for distant participation. Monthly progress reports and meeting summaries can be found at xxxx://xxx.xxxxxxxx.xxx/. Stakeholder Group Consultation Strategy Six Workgroups 2011 Six workgroups each met monthly in 2011: Community Leaders, Consumers, Information Technology, Outreach/ Education/ Enrollment, Providers, and State Agencies. These groups chartered in April, 2011 to discuss issues, strategies, and solutions, made recommendations to the Steering Committee. Average attendance ranged from 10 to 15 and guests were welcome. SKYPE attendance was used by some at distant locations. Meeting summaries can be found on the Exchange Planning website at xxxx://xxx.xxxxxxxx.xxx/StateRun.html. Advisory Committees 2012 - 2013 Under a new Stakeholder Engagement Process, two Advisory Committees were created to align with the state operated functions of the FFE Partnership—State Partnership Exchange— Plan Management and Consumer Assistance. These active and diverse Committees meet for a minimum of three hours each month (the Plan Management Committee consistently meets six hours per month) to consider scheduled policy issues and Stakeholder Group Consultation Strategy make recommendations related to FFE State Partnership Exchange implementation. They review issue briefs and alternative policy recommendations, seek additional information, and make formal recommendations to the Steering Committee that makes recommendations to the Insurance Commissioner. Following an April, 2012 orientation, the Committees began meeting in May, 2012. Each has formed subcommittees. Three (non-government) co-chairs from each Committee sit on the Steering Committee. Committee products can be viewed at xxxx://xxx.xxxxxxxx.xxx/FFE/Consumer.html and xxxx://xxx.xxxxxxxx.xxx/FFE/Plan.html. Community Meetings 2011 During the summer of 2011, UAMS led 66 “information and listening” sessions in 17 towns/cities across Arkansas targeting four stakeholder groups: Community Leaders, Providers, Consumers, and All Citizens. Three special population sessions were held targeting Spanish-speaking and Marshallese residents. More than 500 Arkansans attended. Specific outreach was made to minority groups and those with special health care needs. Interpreters were available. A report of this effort was presented at the Stakeholder Summit in October 2011. Community Meetings 2012 On July 18, 2012 approximately 200 stakeholders participated in community meetings held in seven locations across the state using interactive video technology to connect stakeholders with the AID Commissioner and HBEPD Director for an FFE a State Partnership Exchange Update and live Q & A session. Live web stream was also available. The morning and afternoon meetings were held in Little Rock and via interactive technology to sites in each of Arkansas’s four congressional districts. HBEPD staff was available at each site to interact with attendees before and after the meetings. Both the morning and afternoon sessions were recorded and are available on the HBEPD website at xxxx://xxx.xxxxxxxx.xxx/. Sessions are being were transcribed and translated into Spanish for distribution as needed. Plans are to hold these type town meetings at least quarterlyquarterly in 2013. Web-Based Survey 2011 UAMS conducted research and created a web-based survey to solicit residents’ input into planning. The survey was “live” July 12 – August 25, 2011. There were 432 valid responses to the survey. (See xxxx://xxx.xxxxxxxx.xxx/StakeholderInput.pdf). Stakeholder Group Consultation Strategy State Agency Health Improvement Leaders 2011 - 2013 Arkansas Center for Health Improvement (ACHI), home of Arkansas’s Surgeon General, convenes a monthly leadership meeting where Arkansas’s four major health improvement activities are addressed: Health Benefit Exchange (HBE), Health Information Technology (HIT), Workforce, and Payment Transformation. The Governor’s Policy Office, State Agency directors and chief of staff from the Departments of Insurance, Human Services, Health, Office of HIT, and the UAMS meet for updates and strategy sessionsstrategic discussions. HBE Stakeholder Summit 2011 A one-day statewide stakeholder summit was held October 11, 2011. Past Director of The Federal Health Benefits Exchanges, Xxxx Xxxx, and Arkansas Surgeon General Xxx Xxxxxxxx, MD, MPH, served as keynoters, addressing HBE development, issues, and progress to date, with time provided for questions and feedback from participants. Stakeholder Group Consultation Strategy Legislative Reports 2011 - 2013 Insurance Commissioner and HBEPD Staff have formally presented at 13 legislative committee meetings. One-on-one or small group discussions are held as needed to update legislators or answer specific questions. The Project funded one legislator’s attendance at the Utah Invitational Exchange Meeting in 2011. Several Legislators attended the August, 2011 NPRM meeting in Denver as DHHS guests. On December 4, 2012, the Commissioner and the HBEPD Director spoke at the New Arkansas Senator Orientation to educate incoming legislators about the State Partnership Exchange and the information was well received. Staff has also participated with legislators through meetings of the Public Health Committee on Medicaid Expansion, Rules Committee on Arkansas EHB Rules and the Insurance and Commerce Committee Meeting regarding the State Partnership Exchange. One-to-One or Group Stakeholder Meetings 2011 - 2013 Meetings with industry, government, and civic leaders are held at the request of planning staff or the stakeholder(s) to update/dialogue on HBEs in general and Arkansas-specific planning activities. These include key informant interviews as part of the background research effort, and presentations to industry, civic or employer groups. More than 50 presentations have been made HBEPD staff continues to datebe frequent presenters at conferences and events throughout the state. A plan to implement a statewide speaker’s bureau is underway for 2013. UAMS, University of Arkansas (UofA) and Arkansas Department of Health (ADH) are key partners for this outreach effort. HBE Website at xxx.xxx.xxxxxxxx.xxx 2011 - 2013 HBE information and planning efforts are posted on the HBE Website, including meeting notices, summaries, Q & A, and issue briefs. Readers are directed to staff for questions/comments. Contractor UAMS Partners for Inclusive Communities (Partners) moved their administrative home to the University of Arkansas at Fayetteville. A contract with Partners through UofA to continue statewide stakeholder engagement is in process. Partners will work closely with the State Exchange Partnership Outreach and Education campaign efforts. This collaborative work will build on common federal and state level messaging for a State Partnership Exchange model.