Dear Valued Agent/Broker Partners and Navigators,
Plan Year 2024 Intent to Sell & Training
The Broker Intent to Sell Form will be posted on the Nevada Health Link website on June 1st. If your Intent to Sell is accepted, you will be sent an email with the broker certification training link on September 1, 2023, from trainer@learn.trakstar.com. Should you have any questions about the certification process, please contact Broker Support at brokersupport@exchange.nv.gov.
Navigators and CECs will receive a training link email on September 1, 2023, from trainer@learn.trakstar.com.
Periodic Data Matching (PDM) Update
- Periodic Data Matching (PDM) will run on 05/18-05/19/23.
- Death and Non-ESI MEC are executed as part of PDM batch job. Income will NOT be included in these checks.
- Consumers will be notified of their DMI through PDM around 05/23-05/24/23 with the PDM notice. Consumer notices will reflect a due date within 30 days. However, consumers actually have 45 days to resolve their open DMI. If the DMI is not resolved within that time the consumer’s coverage will terminate.
- We are currently estimating that 65k consumers will be checked against the HUB for NON ESI-MEC and 85k consumers will be checked for Death.
Data Matching Issues (DMI) Update
The Exchange has ceased all call center outreach efforts in reaching out to consumers with open DMIs. Moving forward please rely on your broker self-service DMI report to identify all consumers with an open DMI.
If you are currently experiencing any issues with your self-service reporting tool, please email Broker Support at brokersupport@exchange.nv.gov, and we will address your concerns.
Public Health Emergency (PHE) Unwinding Reporting
The Exchange received 12,261 Account Transfers due to Medicaid/CHIP denial or termination during the month of April. From these received AT’s 388 applications were submitted for 642 individuals. 612 of those consumers were found eligible for a QHP, and 488 of those consumers were additionally found eligible for financial assistance. This resulted in 56 consumers making active plan selections due to Medicaid/CHIP denial or termination during the month of April. During this reporting period from 4/1/2023—4/30/2023, we believe that the vast majority of inbound account transfer traffic was due to denials of initial Medicaid/CHIP applicants, rather than terminations of existing Medicaid/CHIP recipients. For this reason, the Exchange expects to gain a clearer perspective on the effects of the PHE unwinding in future months.
Account Activation Claim Code Notices
Consumer’s who have lost Medicaid Coverage and are sent to the Exchange via account transfer will receive a notice with a code to claim their account. It is critical that brokers/ navigators utilize the account activation code and enroll consumers in these existing accounts without creating a new account for several reasons. First, claimed accounts with received account transfers on file will not need to submit SEP verification documents, however newly created accounts without an account transfer on file will have the additional SEP document verification steps for brokers/ navigators to complete. This could increase the time it takes to complete the enrollment process for consumers due to needlessly increasing workloads for NVHL staff. Additionally, enrollments in households with a received account transfers are necessary for collecting, reporting, and analyzing accurate unwinding data.
Broker Fraud and Compliance
- Broker Agreement in progress
- The Exchange is aware that fraud is happening. The Exchange is working on a communications plan and will be pushing out messaging surrounding these concerns.
- The communications team will also be working on developing some messaging on “Questions a NVHL certified broker will ask you.”
- NVHL is working more closely with the NV Division of Insurance (DOI) regarding compliance issues moving forward.
Additional Resources
Agent/Broker Service Line 1-800-547-8156:
Monday – Friday, 9:00 a.m. – 5:00 p.m.
