CHA News Article

Covered California Launches Website for Certified Enrollment Entities

Covered California has launched its Certified Enrollment Entity Website for entities eligible to be trained and registered to provide in-person assistance to consumers applying for Covered California health plans. At the site, organizations interested in becoming certified enrollment entities can complete an electronic Certified Enrollment Entity Interest Form. Covered California has designated hospitals as eligible to apply as certified enrollment entities. For more information about the Enrollment Assistance program, see the following list of FAQs.

What is a certified enrollment entity?

  • Entities and organizations eligible to be trained and registered to provide in-person assistance to consumers and help them apply for Covered California Health Plans.
  • Entities that have access to Covered California’s targeted populations.

Who can become a certified enrollment entity?

  • Organizations who can demonstrate to Covered California that they have existing relationships, or could easily establish relationships, with consumers or self-employed individuals likely to be eligible for enrollment in a Covered California health plan.
  • Those who meet any licensing, certification or other standards prescribed by the state or the exchange.
  • Those who do not have a conflict of interest.
  • Those who comply with the privacy and security standards adopted by Covered California as required in accordance with 45 CFR Section 155.260.

What are the roles and responsibilities of certified enrollment entities?

  • Conduct public education activities to raise awareness of the availability of Covered California products.
  • Distribute fair and impartial information concerning enrollment into qualified health plans.
  • Facilitate enrollment into qualified health plans available through Covered California.
  • Provide referrals to consumer assistance programs.
  • Provide information that is culturally and linguistically appropriate.

How does an organization become a certified enrollment entity?

  • Complete a Certified Enrollment Entity Interest Form.
  • Complete a Covered California application.
  • Obtain Covered California review and approval of applications that meet eligibility requirements.
  • Complete training and register as a certified enrollment entity.

What is a certified enrollment counselor?

  • An individual who is affiliated with a certified enrollment entity that is registered in the In-Person Assistance Program, and who has been trained and certified by Covered California.

How does an individual become a certified enrollment counselor?

  • Become affiliated with and submit an application to a certified enrollment entity.
  • Receive LiveScan form and complete fingerprinting process.
  • Complete required training (Covered California will conduct in-person and online training throughout the state).
  • Have no conflict of interest.
  • Comply with the privacy and security standards adopted by the exchange as required in accordance with 45 CFR Section 155.260.

Timeline

  • Certified enrollment entity application release – Summer 2013
  • Certified enrollment entity training begins – Summer 2013
  • Certified enrollment counselor training and certification begins – August 2013
  • Open enrollment begins – Oct. 1, 2013
  • Health coverage begins Jan. 1, 2014

Where can I get more information?

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