NY State of Health submitted the following documents to HHS in advance of its Operational Readiness Review/Implementation Review in August 2013. These documents supplement and update the previously posted Blueprint Documents.
Section 1.0: Legal Authority and Governance
1.1 Enabling Authority
Section 2.0: Consumers and Stakeholders
2.1 Stakeholder Engagement
2.2 Tribal Consultation Policy
2.3 Outreach and Education
2.4 Call Center
2.6 + 2.7 Navigators and IPAs
2.8 + 2.9 Agents and Brokers
Section 3.0: Eligibility and Enrollment
3.0 Eligibility and Enrollment
3.11 Eligibility Appeals
Section 4: Plan Management
4.0 Plan Management
Section 5.0: Risk Adjustment and Reinsurance
5.1 Risk Adjustment Program
5.2 Reinsurance Program
Section 6.0: SHOP
6.0 SHOP
Section 8.0: Finance and Accounting
8.1 Long Term Cost, Budget and Management Plan
Section 11.0: Oversight and Management
11.2 Metrics
11.3 Financial Integrity