Oregon Community Partner Streamlined Recertification Process Benefit Year 2015

Oregon Community Partner
Streamlined Recertification Process
Benefit Year 2015
Getting Started Guide
Agenda
•
•
•
•
Transition Project Updates
Defining Terms
Oregon Recertification Requirements
Registering for and Completing the Federal
Training
• Certificate of Completion
• Outreach Team Contact Information
Transition Project Updates
Beginning November 15, 2014:
• Most Oregonians will be directed to
www.healthcare.gov for the application and
eligibility determination process (regardless if
Oregon Health Plan/Healthy Kids or QHP-eligible).
They will get a real time eligibility determination.
• Some Oregonians will go through the Oregon
Health Authority to apply for OHP/HK
• Oregonians go to www.oregonhealthcare.gov,
answer screening questions, directed where to
apply
Defining Terms
Some of the terminology utilized by the Federal Marketplace is different than
what we typically use in Oregon. Here is how Oregon defines the following:
• Community Partner: An organization that has an ongoing agreement with
the Oregon Health Authority (OHA) to provide application assistance.
• Application Assister: Staff/volunteer working under a Community Partner
organization (with an ongoing agreement) that has been certified to assist
Oregonians with the health coverage application process.
• Certified Application Counselor: Certified Application Counselor is the
new term used through the federal government to describe Oregon
Application Assisters. Oregon’s Application Assisters are required to
complete the Certified Application Counselor Curriculum, Benefit Year
2015.
Defining Terms
• Marketplace Medicare Learning Network (MLN): The website Application
Assisters utilize to access the Federal Marketplace training, Certified
Application Counselor Curriculum, Benefit Year 2015;
https://Marketplace.MedicareLearningNetworkLMS.com.
• MLN Login ID: Used for training registration through the MLN system.
Each Application Assister has a unique ID. In Oregon, Application Assisters
can create their own unique IDs, using the prefix OR. (Ex: ORJohnDoe)
• Organization ID: The ID that Community Partner organizations have been
assigned in order for their Application Assisters to be granted access to
case information through OHA.
• Assister ID: A unique ID that is assigned to individual Application Assisters
by OHA’s Business Team. This ID will be used when contacting OHA for
case information.
• Benefit Year 2015: During open enrollment (November 15, 2014-February
15, 2015), Oregonians can apply for and enroll in QHP coverage for
calendar year 2015.
Oregon Recertification Requirements
Community Partner Organizations:
• Current OHA agreement
• Account creation
Once met:
• Assigned new, 4-digit Organization ID
– For organizations with more than one location but
operating under one Tax Identification Number,
one organization ID will be assigned
Oregon Recertification Requirements
Application Assisters:
• Staff/volunteer of a Community Partner
organization (with a current OHA agreement)
• Oregon training
• Federal training
• Current criminal background check; finger prints
• Confidentiality agreement
Once met:
• Assigned 7-digit Assister ID (ex: OHAT001)
Oregon Training
• Watch for updates!
– Slated for release in October
• Taken in-person or by webinar
• Includes specific information about processes
unique to Oregon
• 4-hours in length
Federal Marketplace Training
• Titled: Certified Application Counselor
Curriculum, Benefit Year 2015
• Accessed through the MLN System
• Available online now
• 4-5 hours in length (taken at own pace)
Registering for and Completing
the Federal Training
Create Training Account
Step 1: Open an Internet browser and go to the MLN website:
https://Marketplace.MedicareLearningNetworkLMS.com
Create Training Account
Step 2: Select the Create Account link
You are taken to the Create New Account page:
Create Training Account
Step 3: Create your MLN login ID, set your password and
complete all required fields
MLN login ID:
• All MLN login IDs must begin with the prefix OR
• You may then customize the remainder of your MLN login
ID
• Example: ORJohnDoe
Password: Your password must contain a combination of
upper and lower case letters, numbers, and at least one
special character.
Create Training Account
Required Fields:
• Select your User Type/ User Role as “Certified Application Counselor –
Individual Market and SHOP.”
• Select “Employer” as the Organization type using the drop down menu.
• Leave the NPN# field blank.
• Click the Select link next to Organization.
• When the Select Organizations pop-up window appears, leave the search
field empty and click the Search button.
• Select “Marketplace” as your organization and click the Save button.
• Select Primary and Region languages.
• Select “(GMT-08:00) Pacific Time (US and Canada); Tijuana” Time Zone.
• Select # of Records (per page) that you would like to view.
• Click the Create button.
Wait 15 minutes; Curriculum will be auto-assigned to your account
Create Training Account
If all the information was entered correctly, a welcome screen
will appear.
Each time you return to the MLN website, you must enter your
MLN login ID and password.
Complete the Training
Step 1: Enroll in and access the Certified
Application Counselor Curriculum, Benefit Year
2015
1) Go to https://Marketplace.MedicareLearningNetworkLMS.com
2) Login with your username and password
3) Click My Upcoming Learning page
4) Click the “Certified Application Counselor Curriculum, Benefit Year 2015” hyperlink
5) Click Enroll
6) Click Access Item
Complete the Training
Step 2: Complete the courses.
Must be taken in sequential order:
1. Training Overview
3. Marketplace Eligibility and Application Assistance
6. Marketplace Affordability and Assistance
Programs
8. Marketplace Enrollment and Appeals Assistance
10. Marketplace Exemptions Assistance
12. Privacy, Security and Fraud Prevention
Standards
1) Click the course hyperlink
2) Click Enroll
3) Keep the
default
settings the
same and
click Enroll
4) Click Open Item
5) Proceed with course at own pace
IMPORTANT:
• If you leave before completing a course, your place will be bookmarked and you will be able to
continue from that point when you return. To leave, click the “Exit” button on the top right;
simply closing your browser will not bookmark your session, and you will have to start the
course over from the beginning.
• When you return to the training after logging out, you will see any courses you have started as
well as those you have completed.
Complete the Training
Step 3: Complete the exams.
• Each course has a corresponding exam. You
must complete the exam before you can
advance to the next course.
• If you leave before completing an exam, your
place in the exam WILL NOT be bookmarked
and you will have to start the exam from the
beginning.
1) Click Training Home page
2) Click the Certified Application Counselor Curriculum, Benefit Year 2015
hyperlink
3) Click the course exam hyperlink (note that the exam hyperlink
will only be active if you have already completed the
corresponding course)
4) Click the Enroll and Open Item buttons to begin the exam
5) If you successfully complete an exam, you will see a Congratulations
page
IMPORTANT:
• When exiting an exam, be sure to use the Exit button found in the top right
corner of the exam window.
• If you close the window using your web browser’s exit button, your exam results
may not register with the MLN website and you may be required to retake the
exam.
Certificates of Completion
After exiting each exam, click the View Certificate button to view your
certificate of completion for that exam. Print these for your records.
Submitting Final Certificate of Completion
The primary contact for each organization should submit PDFs of
all Application Assisters’ final Certificates of Completion for the
Privacy, Security and Fraud Prevention Standards Exam to the
OHA Business Team at jennifer.j.denslow@state.or.us:
• The subject line of the email must read: Training Certificates
of Completion
• In the body of the email include all full legal names of
Application Assisters and organization name
• Attach your final certificates of completion for the Privacy,
Security and Fraud Prevention Standards Exam in PDF format
Stay Informed!
In order to stay up-to-date as the transition
work evolves, we suggest the following:
• Regularly visit and participate in Groupsite
• Read the Community Partner e-newsletters
• Attend your county collaborative meetings
• Watch for other announcements regarding
training and continuing education
opportunities
Outreach Team
Contact Information
Management/Operations:
• Oliver Vera, oliver.vera@state.or.us
• Susi Simons, susanna.g.simons@state.or.us
Business:
• Perry DeJoode, perry.j.dejoode@state.or.us
• Jen Denslow, jennifer.j.denslow@state.or.us
Name
Role
Counties
Email
Betse Thielman
Provider Campaign Coordinator
Statewide
elizabeth.s.thielman@state.or.us
Antonio Torres
Community Engagement Coordinator
Statewide
antonio.torres@state.or.us
Marina Cassandra
Regional Outreach Coordinator
Gilliam, Hood River,
Morrow, Sherman, Umatilla,
Wasco, Wheeler
marina.cassandra@state.or.us;
503-269-7014
Colette Gillies
Regional Outreach Coordinator
Coos, Curry, Josephine,
Jackson, Douglas, Lane
colette.gillies@state.or.us;
503-932-8601
Ruby Graven
Regional Outreach Coordinator
Clatsop, Columbia,
Tillamook, Lincoln
ruby.graven@state.or.us;
503-884-1175
Chris House
Regional Outreach Coordinator
Benton, Linn, Marion, Polk,
Yamhill
christine.a.house@state.or.us;
503-269-7078
Jon McDaid
Regional Outreach Coordinator
Clackamas, Multnomah
Washington
michael.j.mcdaid@state.or.us;
503-269-0880
Kelly Paige
Regional Outreach Coordinator
Grant, Harney, Malheur,
Union, Wallowa, Baker
kelly.paige@state.or.us;
503-347-8767
Josie Silverman
Regional Outreach Coordinator
Clackamas, Multnomah
Washington
josie.j.silverman@state.or.us;
503-269-7092
Deanna Simon
Regional Outreach Coordinator
Crook, Deschutes, Jefferson,
(except Warm Springs),
Klamath, Lake
deanna.l.simon@state.or.us;
971-301-3123
Questions?