Navigator program definition

Navigator program means the kinship caregiver navigator program established in section 3.

Navigator program. The consultant hired to create the outreach and education plan will review and make recommendations to identify the most effective use of Navigators and a list of diverse and representative organizations that could qualify as Navigators, including defining and coordinating the role of brokers. The operational plan will include activities associated with the Navigator program, including developing high-level milestones and timeframes, performance measures, and how much money should be dedicated to the program. This plan, as well as that associated with the outreach and education plan, will be altered based on any guidance that may be released from HHS. Those recommendations will be vetted through the TAC and the board and included in the report to the Governor and the Legislature. Once the program direction has been decided, the exchange will develop an RFP for the Navigator program that will be widely distributed. Contracts to serve as Navigators for 2013-2014 will be awarded in March 2013. Training for Navigators will start in April 2013, and the program will begin around August 2013. Following the start of the program, Navigators will be required to submit quarterly performance reports to help the exchange understand the success of the program. Following 2014, Navigators will have 12 month contracts and have the opportunity to reapply for the following year. Eligibility Determinations: Because of the complexities of the Medicaid/exchange interactions that are necessary as part of the exchange, it is critical that there is constant coordination between the Medicaid/exchange eligibility and IT teams. There are several issues that will require substantial policy decisions, and the Medicaid work group will help to lay out the options for those decisions after federal guidance is released in June 2011. One of the major decisions that will need significant attention is how to handle the population that will “churn” between Medicaid, the exchange, and potentially Basic Health, if the state chooses to have a program. Another critical decision will be the link between the Medicaid and exchange eligibility systems and how to create a system as seamless as possible that is able to make “real time” eligibility determinations. As recommendations are made, those under the exchange’s jurisdiction will be presented to the TAC and the board for their final recommendations. These will then be included in the report to the Governor and Legislature for their action, if need...

Examples of Navigator program in a sentence

• Section 1311(a) grant funds, however, may be used to cover the Exchange’s cost of administering the Navigator program, including, for example, the cost of Navigator training, grants management, and oversight.

• We assume for the Navigator program grantee that the Navigator personnel would prepare the disclosure and the total burden estimated per disclosure would be 1 hour at a cost of$20.

• The Act requires the Secretary to publish regulations relating to the requirements for operating State Exchanges as soon as practicable, and provides various types of flexibility for States.A number of additional programsestablished by the Act are closely related to the establishment of health insurance Exchanges, such as the Navigator program in Section 1311(i) and other consumer assistance programs.

• In the expenditures section of the quarterly report, the Grantee shall adequately identify the application of funds to Navigator program activities, including expenditures, obligations, authorizations, and unobligated balances.

• Section 1311(i) provides that an Exchange shall establish a Navigator program under which it awards grants to eligible entities that meet the law’s criteria, including demonstrating to the Exchange that they have existing relationships or could establish relationships with employers and employees, consumers, or self-employed individuals likely to be eligible to enroll in a qualified health plan.

• Recipients serving consumers in an FFE that is engaging actively with the federal government in the operation of certain aspects of the FFE may also be required to collaborate with any State agency helping to oversee the day-to-day management of the Navigator program.

• Federally-facilitated Exchange Guidance, states operating under a State Partnership Exchange will build and operate an in-person assistance program, for which grant funding is available under section 1311 of the Affordable Care Act, distinct from the Navigator program for that Exchange.

• As the State-based Exchange becomes self-sustaining, the roles of the non-Navigator assistance program and the Navigator program may change.

• Such activities do not purport to, nor do they in fact, supplant the obligation of the federal government to establish a Navigator program.

• For purposes of the ICR we are assuming burden and cost estimates based on a non-Navigator assistance project lead wage of $29 per hour.We estimate that for a Navigator program grantee it will take a senior executive up to 5 hours to prepare and provide a plan for mitigating conflicts of interest and a non-Navigator assistance project lead would also require up to 5 hours to prepare and provide a plan for mitigating conflicts of interest.