Filed Under:Health Insurance, Individual Health

Feds: Brokers can be HHS exchange navigators

Marilyn Tavenner, acting CMS administrator (CMS photo)
Marilyn Tavenner, acting CMS administrator (CMS photo)

The Centers for Medicare & Medicaid Services (CMS) talk about who can and cannot be health insurance exchange "navigators" in a new batch of proposed regulations.

In the proposed regulations, "Patient Protection and Affordable Care Act; Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel" (CMS-9955-P) (RIN 0938-AR75), CMS officials also talk about the rules that will govern "non-navigator consumer assistance programs," such as "in-person assister" programs.

To help exchanges get poor and uninsured people who might not be used to health insurance into health plans, PPACA drafters required exchanges to offer "navigators," or ombudsmen not paid by any health insurer, to help consumers use the exchanges.

CMS officials believe that the PPACA navigator sections -- PPACA Section 1311(d)(4)(K) and Section 1311(i) -- require that each exchange offer consumers a choice of at least two different types of navigators.

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Nichole Morford

Nichole Morford
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