HEALTH CARE REFORM

Health Insurance Exchange Overview

Below are the archives for documents, audio files, presentations, FAQs, and other material related to the Health Insurance Exchange, including meetings of the Exchange Advisory Task Force and Work Groups.

If you have question or would like more information, please visit the Health Insurance Exchange website.. 

Archived Documents

Blueprint

Declaration Letter from Governor Martinez

Attestation of Cabinet Secretary Squier

General Counsel Certification Letter

Qualified Health Plan Certification Process

Statutory Authority to Perform Certification of QHPs and Oversee Issuers

Blueprint Evidence Document, Submitted to CCIIO – Dec. 2012

Section 1.0 – Notes

Section 2.0 – Notes

Section 3.0 – Notes

Section 4.0 – Notes

Section 5.0 – Notes

Section 6.0 – Notes

Section 7.0 – Notes

Section 8.0 – Notes

Section 9.0 – Notes

Section 10.0 – Notes

Section 11.0 – Notes

Section 12.0 – Notes

Health Insurance Alliance/ Health Insurance Exchange

HIA Financial Operations Manager Job Description – March 2011

NMAC, HIA Plan of Operation and Eligibility Criteria – 03.10.11

HIA Financial Statements Audit, 12.31.11

DOI Order to Amend HIA Plan of Operation and Eligibility Criteria, 01.13.12.

HIA Executive Director Job Description – March 2012

HIA Finance Committee Board Report – 09.17.12

HIA Marketing Committee Board Report, 09.21.12

HIA Business Assessment and Evaluation submitted to HHS CMS – 10.23.12

HIX IT RFP 11.02.12

Proposed HIX Organizational Chart

HIA Employee Handbook

NMSA 1978, 59A-56-1 et seq. Health Insurance Alliance Act (HIAA)

Carrier Appeal Process

The State of New Mexico

Evaluation of Solvency, Accreditation, Network Adequacy, and Rate Review

Executive Order #2005-004

HSD State-Tribal Consultation Policy

SB 196, State-Tribal Collaboration

Misc.

ACA Brochure

In-Depth Interviews with Stakeholders – Summaries

Key SHOP Questions and Answers prepared for Planning Review

Outreach Education Adoption Enrollment work group recommendations to ATF, 09.26.12.pdf

Stakeholder Interview Highlights

 

The Office of Constituent Support (OCS) provides community resource and referral, team facilitation (including mediation and dispute resolution for interdisciplinary teams), and community outreach and education regarding the services and supports provided by the Developmental Disabilities Supports Division.  OCS also provides community resource and referral for community-based resources.


Community Resource and Referral

OCS assists individuals and their families to access information regarding community resources such as self-advocacy/advocacy organizations, where to find assistance with questions regarding social security, disability benefits and community resources in their area. Individuals and their families are provided information about who to contact with specific questions about services they are currently receiving or are interested in receiving. Please read the Constituent Support: Guide to Accessing Community Resources for Individuals with Developmental Disabilities for more information.


Team Facilitation and Mediation

OCS supports individuals and their teams, family members/guardians, and community support providers by providing Team Facilitation when there is a disagreement or communication issue among Interdisciplinary Team Members. OCS can also provide mediation for individuals and their teams as appropriate.


Community Outreach

OCS participates in statewide outreach events such as the annual Southwest Conference on Disability in Albuquerque, The Arc Statewide Self-Advocacy Conference, as well as many other events. Information is distributed regarding the Developmental Disabilities Supports Division’s programs including the Family Infant Toddler Program, Developmental Disabilities Waiver and Mi Via Self-Directed Waiver, Autism and State General Funded Services.


Constituent Resources

OCS provides resources for individuals, family members/guardians, and community support providers on different topics including but not limited to healthcare decision making, guardianship, and team process.

The Office of Constituent Support (OCS) provides community resource and referral, team facilitation (including mediation and dispute resolution for interdisciplinary teams), and community outreach and education regarding the services and supports provided by the Developmental Disabilities Supports Division.  OCS also provides community resource and referral for community-based resources.


Community Resource and Referral

OCS assists individuals and their families to access information regarding community resources such as self-advocacy/advocacy organizations, where to find assistance with questions regarding social security, disability benefits and community resources in their area. Individuals and their families are provided information about who to contact with specific questions about services they are currently receiving or are interested in receiving. Please read the Constituent Support: Guide to Accessing Community Resources for Individuals with Developmental Disabilities for more information.


Team Facilitation and Mediation

OCS supports individuals and their teams, family members/guardians, and community support providers by providing Team Facilitation when there is a disagreement or communication issue among Interdisciplinary Team Members. OCS can also provide mediation for individuals and their teams as appropriate.


Community Outreach

OCS participates in statewide outreach events such as the annual Southwest Conference on Disability in Albuquerque, The Arc Statewide Self-Advocacy Conference, as well as many other events. Information is distributed regarding the Developmental Disabilities Supports Division’s programs including the Family Infant Toddler Program, Developmental Disabilities Waiver and Mi Via Self-Directed Waiver, Autism and State General Funded Services.


Constituent Resources

OCS provides resources for individuals, family members/guardians, and community support providers on different topics including but not limited to healthcare decision making, guardianship, and team process.

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