Open Enrollment 2015: Are You Ready?

By Xavior Robinson, Senior Manager, Health Care Access, NASTAD

Open Enrollment 2015The Affordable Care Act’s (ACA) second open enrollment period is just around the corner. On November 15th, millions of people will have the opportunity to apply for a Qualified Health Plan (QHP) for the first time, renew their existing coverage, select a new plan, or be directed to apply for Medicaid. For state HIV/AIDS and viral hepatitis programs, open enrollment presents an opportunity to build upon the more than 25,000 AIDS Drug Assistance Program (ADAP) clients that were transitioned to health insurance coverage during the first open enrollment. In the time since the inaugural open enrollment period ended, programs have been preparing for November 15th by partnering with community-based organizations to expand outreach and enrollment capabilities, refining insurance purchasing processes to assist clients with premiums and co-pays, and working with clients to maintain access to insurance coverage. As programs prepare for open enrollment, keep in mind the following priorities and action steps.

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AIDS Drug Assistance Programs Support New ACA Coverage Options for Thousands of People Living with HIV

FOR IMMEDIATE RELEASE: May 16, 2014
Contact: Meico Whitlock, 202-434-8094, www.NASTAD.org

AIDS Drug Assistance Programs Support New ACA Coverage Options for Thousands of People Living with HIV

State Health Departments Navigate ACA Enrollment Challenges While Strengthening Insurance Purchasing Infrastructure and Addressing Unmet Need

 Washington, DC – Today, the National Alliance of State

ADAP Clients, June 2013 (Provided by the Kaiser Family Foundation)

ADAP Clients, June 2013 (Provided by the Kaiser Family Foundation)

and Territorial AIDS Directors (NASTAD) released new data emphasizing the essential role the Ryan White Program, specifically the AIDS Drug Assistance Program (ADAP), plays for people living with HIV (PLWH), including those who have insurance and those who are uninsured. During the inaugural open enrollment period of the Affordable Care Act (ACA), ADAPs transitioned over 25,000 clients to new coverage options. This represents a significant portion of the estimated 56,000 previously uninsured Ryan White clients.[1]

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ACA Turns Four: Recognizing Successes and Looking Ahead

By Xavior Robinson, Senior Manager, Health Care Access, NASTAD

Signing of the ACAMarch 23 marked the fourth anniversary of the Affordable Care Act (ACA). While it is undeniable that the ACA’s inaugural open enrollment period has had its share of challenges, it is important to recognize that the movement to ensure that all Americans have equitable access to health care transcends the technology failures of HealthCare.gov. Over the past four years, state HIV/AIDS programs have worked to adapt and innovate to meet needs of people living with HIV and co-occurring conditions in our evolving health care landscape. Through the use of innovative solutions (see Raising the Bars), support from colleagues and staff, and an enduring commitment to the broader public health imperative presented by HIV, state AIDS directors have leveraged the ACA to achieve remarkable results, including: Continue reading

Advocates Continue Push to Require Insurers to Accept Ryan White Payments

By Amy Killelea, Associate Director, Health Care Access, NASTAD

CMS ACA Ryan White Payment Guidance

Insurers in two states – Blue Cross and Blue Shield in Louisiana and North Dakota – have prohibited the acceptance of premium payments from the Ryan White Program/AIDS Drug Assistance Program (ADAP) on behalf of eligible low-income clients. These policies risk leaving hundreds of low-income people living with HIV unable to access Qualified Health Plan coverage through the Affordable Care Act (ACA) and have prompted a swift federal and state advocacy response.

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It’s All Happening: Open Enrollment Is Here!

0 Days to Open EnrollmentBy Amy Killelea, Associate Director, Health Care Access, NASTAD

After a three and a half year wait – and several near-death experiences along the way – open enrollment under the Affordable Care Act (ACA) is finally here. On October 1st, 2013 the Marketplaces officially open for business, and millions of people will begin to apply for new public and private insurance coverage options.  At this point, we all know the incredible opportunities to expand HIV and viral hepatitis prevention, care, and treatment that are at stake. Now is where the rubber meets the road as federal, state, and local advocates, providers, and programs roll up their sleeves and prepare for full implementation. Below are four action items the HIV and viral hepatitis community should be focusing on as we leap into open enrollment and beyond: Continue reading