ACF - Robert Garcia, Acting Regional Administrator, Region IX (San Francisco)
GAO - Carolyn Yocom, Director on the Health Care Team at the U.S. Government Accountability Office
FNS - Jessica Shahin, Associate Administrator SNAP
CMS - Gloria Nagle, Associate Regional Administrator for the Division of Medicaid and Children's Health Organization, San Francisco Office
OMB - Mary Ellen Wiggins, OMB Analyst
APHSA - Larry Goolsby
Medicaid and the Patient Protection and Affordable Care Act (PPACA)
Bob Garcia (ACF) - Asked what is their role in ACA when it was first released. Concerns about confidentiality. MIDA development as a result. Check websites for more details. Presently working with States on implementation of their system. National Information Exchange model. Data exchange program. Has 1 yr grants available to assist in these implementations. Confidentiality toolkit will be published in the Fall '13. Integrated services between agencies/programs. Developing program fact sheets which can be used to explain various programs available to clients.
Carolyn Yocom (GAO) - Completes investigative work for Congress. Recent GAO work and the impact to the ACA. Conducted a study to determine if the State covered parents would it improve the children in the home. Found there was a strong association with insurance within family. Looked at Express Lane Eligibility in 13 States. Found it can save costs, can be beneficial to families, States want to continue in some form, and there were concerns about accuracy. Studied access to programs. Challenges are to expand adult provider networks. Studied Exchanges. 34 States will have exchanges. Federal Funded Exchanges (FFE) will be critical in program success.
Jessica Shahin (FNS) - Encouraged States to use the waivers and funding opportunities currently available. Agencies are truly working together on ACA roll-out. There are regular meetings being held in DC on this. Encouraged NAPIPM members to get issues and concerns to Larry Goolsby so they can be brought forward. Consider what are opportunities for policy harmony. Believes there is a lot of data available in SNAP eligibility files. Considers ACA to be an outreach opportunity. The multi-benefit application and integration across programs will be an tremendous advance in customer service. Will be conducting quarterly wage pilots in 4 States - Texas, Utah, Arizona and Florida.
Gloria Nagle (CMS) - 42 days away from 10/1. Individuals and families will be able to apply for commercial health insurance or premium tax credits. Applications will be submitted and information will be available from federal data sources, MAGI applied and customers will be notified of available options.
Have regional coordinating outreach staff who will work with other federal agencies, stakeholders and customers. Educate, encourage and enroll. Presently training navigators and certified application assistants who will be helping individuals apply and enroll. Marketing and education is current focus. Exciting as transition is occurring from paper system into electronic one.
Mary Ellen Wiggins (OMB) - Resources available under Partnership Funds. 2 pilots - State System Interoperability and Integration (S12) and Trusted On-Line Credentials for State Agencies. More information available at website -
Do Not Pay Update - Stops payments when death, excluded parties list, debt check database, List of Excluded Individuals/Entities and Central Contractor Registration. Summer of 2014 goal is to move from monthly to real-time matching government wide, as appropriate.
If interested in participating in a pilot, contact Ms. Wiggins.
Larry Goolsby - From APHSA perspective, sharing information is a challenge with multiple opportunities. Excited about Federal Data hub and concentration in gathering information and sharing it in real-time is extremely exciting and will tremendously improve program delivery. 90% matching rate is a great asset to States.
Q: Address for standard data act A: www.hhs.acf.gov
Q: QC is curious about CMS direction A: Waiting for guidance but know that old MEQC and PERM will require to be updated. August 15th announcement that there will be an interim review pilot for States. There is a call this morning regarding this and there is more to come. (Call has been rescheduled for Thursday 8/22)
Q: Funding available for computer upgrades for States A: 210 funding for new systems relating to ACA. Upgrades to existing systems are 50/50 match. On APHSA website, there are resources posted to help with funding issues.
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