Resources

Sep 10, 2020

The following user guides will provide step-by-step guidance for brokers utilizing the Small Business Marketplace.

 

Broker User Guides

Resource Type: 
Policies
Aug 31, 2020

Brokers who wish to sell health insurance through NY State of Health (NYSOH) Marketplace, must be currently licensed by the Department of Financial Services (DFS) and certified by NY State of Health (NYSOH) marketplace. Effective August 31, 2020 NYSOH broker certification courses will be administered by NYSOH completely online and free of charge. The old NYSOH registration process on the DFS self-service portal will be shut off beginning August 28, 2020.

Resource Type: 
Policies
Aug 26, 2020

Welcome to the NY State of Health Broker Tool Kit.

The administrative guides below will provide information for agents, brokers, and other assistors as they help small groups in the Small Business Marketplace.  They provide general guidance and define important policies.  The guides may be downloaded and printed or used as desktop resources.

 

Click on these headings for more information:

 

Resource Type: 
Policies
Aug 26, 2020

Welcome to the NY State of Health Assistor Tool Kit.

On this page you will find specific tools and resources to help you reach and assist consumers, and also stay up-to-date with the latest information from NY State of Health.  Many of these resources can also be downloaded and printed.

 

Click on these headings for more information:

 

Resource Type: 
Policies
Jul 23, 2020
On July 23, 2020, the Department of Health issued its invitation to New York State Licensed Home Care Services Agencies (LHCSAs) to participate in the “NY State of Health Private Pay Home Care Services Program Pilot” in the counties of Nassau, Suffolk, and Westchester in 2021. 
 
This Invitation is part of New York State Department of Health’s implementation of the recommendation by the Medicaid Redesign Team II, which was included in the SFY 2020-21 Enacted Budget, to
Resource Type: 
Policies
Apr 30, 2020

On April 30, 2020, NY State of Health issued its invitation to insurers to participate for the 2021 plan year.  The invitation and relat

Resource Type: 
Policies
Apr 23, 2019

On April 23, 2019, NY State of Health issued its invitation to insurers to participate for the 2020 plan year.  The invitation and related documents are listed below.


All questions about the application process should be directed to the Invitation Administrator at Nyhxpm@health.ny.gov.  

 

Resource Type: 
Policies
Jan 15, 2019
Information on Form 1095A is available here
 
Information on Form 1095B is available here
 
Information on the lowest cost bronze plan and the affordability exemption is available here
 
 
Resource Type: 
Policies
Sep 24, 2018

The Department of Health proposes to submit an amendment to the Centers for Medicare and Medicaid Services (CMS) of its Basic Health Program Blueprint.  The amendment updates Section 1 to reflect staffing changes in the Department of Health.  It also updates Section 5 to provide the list of issuers that will be offering the program in 2019.  The amendment makes no changes to the program as it has been operating since January 1, 2016.  There is no additional estimated annual change to state expenditures as a result of the proposed amendment. 

Resource Type: 
Policies
Apr 24, 2018

On April 24, 2018, NY State of Health issued its invitation to insurers to participate for the 2019 plan year.  The invitation and related documents are listed below.


All questions about the application process should be directed to the Invitation Administrator at Nyhxpm@health.ny.gov.  

 

Resource Type: 
Policies

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