New York's Health Plan Marketplace: General Information
The Marketplace: General Information
New York Implements New Insurance Eligibility Rules for Pregnant Women and Newborns On December 22, Governor Cuomo signed into law S.5972, which permits pregnant women to enroll in the state health insurance exchange at any time, and S.4745, which amends the date on which a child is eligible to be enrolled in the Children's Health Insurance Plan (CHIP). Both bills took effect on January 1, 2016. S.5972 categorizes pregnancy as a “qualifying life event” for purposes of insurance coverage; New York is the first state in the nation to implement such legislation. S.4745 makes CHIP coverage effective on the date of a child's birth. Parents must apply for CHIP coverage prior to or within 60 days of the child’s date of birth in order for coverage to begin on that date
New York State of Health: Printed Materials Click here to order copies of official printed materials and publications (fact sheets, posters, etc) to distribute to patients and community members. New York Implements New Insurance Eligibility Rules for Pregnant Women and Newborns
This toolkit includes a range of resources and materials that clinicians and health care administrators can use to learn more about the Marketplace and educate patients about their new health care options, how insurance works, and the benefits of having insurance. It also includes materials for providers to learn more about the Small Business Health Options Program (SHOP).
NACHC Managed Care Handbook: A Practical Guide for Health Centers Link to purchase a handbook that provides an introduction to managed care models, reimbursement methods, and contract negotiations; reviews financial, clinical, and operational issues related to managed care; and addresses legal considerations for the development of both provider networks and managed care plans. Checklists and sample contract provisions are included.
Collaborative Arrangements: A Guide for Health Centers and Their Partners Link to purchase a manual designed to assist health centers in positioning themselves to not only take part in new collaborative opportunities, but to lead the way in establishing effective and compliant community partnerships utilizing some "tried and true" approaches as well as exciting new techniques.
Fair Labor Standards Act Requires Notice to Employees Regarding Coverage Options Section 18B of the Fair Labor Standards Act requires employees to be notified of health insurance coverage options being made available to them via the state’s health plan marketplace (the Marketplace). The United States Department of Labor has released guidance regarding this notice requirement, including a model notice form that employers can use.