Implementation Review Documents

Aug 27, 2013

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

Resource Type: 
Policies