As we approach the conclusion of the Early Innovator Grant and as the participating states are well underway with the development and implementation for their states approach to health insurance exchanges, the NESCSO/NESCIES Team is beginning to transition from our regular activities (e.g., bi-monthly conference calls, e-news) to serving as a resource for collaborative efforts between the New England states. We have developed a resource guide for you to be able to contact your colleagues in the other states to discuss questions or issues that may arise during the final months leading to October 2013.
Follow the link to the Health Insurance Exchange - New England Directory of Key Staff: NESCIES Contact Guide February 2013
For additional information, please contact Brenda Harvey at brenda.harvey@umassmed.edu.
The New England States Consortium Systems Organization (NESCSO) is developing a regional data warehouse to provide New England states the ability to conduct timely comparative analyses for the effective and efficient administration of the states’ Medicaid State Plans and to support the regional initiatives of the NESCSO members. Click here for more information.
CMS has released the business service definition (BSD) to be used by the Federally-facilitated Exchange for the Determine Medicaid and Tax Households Business Service Definition for posting on CALT. This BSD defines the individual’s Medicaid and Tax Household when an application for insurance affordability programs is submitted to the Exchange. This business service includes implementation of rules to achieve the following results:
- Each tax filer’s Tax Household, using data for the appropriate coverage year(s).
- Each applicant’s Medicaid Household, based upon Tax Household, tax filing status and other family information for the appropriate coverage year.
- Guidance and exception messages when a Medicaid or Tax Household cannot be determined for the applicant.
The BSD can be found with other FFE Eligibility/MAGI BSDs in the Exchange Eligibility and Enrollment Guidance folder in CALT.
The intended audience for this BSD includes state business, technical, governance, and project management stakeholders. Specific users should include software or system developers and testers.