MODULE 1 STUDY EXAM ACTUAL UPDATE
QUESTIONS AND VERIFIED ANSWERS
What is the Affordable Care Act? - ANSWER In 2010 Federal Health Insurance Marketplace and
the option for states to expand Medicaid to adults up to 138%
Federal Health Insurance Marketplace? - ANSWER Individuals with income over FPL can
purchase insurance through the Marketplace (up to 400% FPL)
Department of Health & Human Services - ANSWER HHS-Federal govt's principal health agency.
Manages the FFM; establishes training, certification, monitoring
Centers for Medicare & Medicaid Services - ANSWER CMS - Federal agency w/in HHS that
administers Medicare, works w/ state govt's to administer Medicaid & oversees FFM
What is the Patient Protection Affordable Care Act? - ANSWER Law that provides fundamental
reforms to the US healthcare and health insurance systems.
What are the 4 types of Federally Designated Consumer Assistants - ANSWER Federal
Navigators; Certified Application Counselors; Non-Navigator Assistance Personnel; Producers
What is a Federal Navigator? - ANSWER They provide unbiased & accurate education, outreach
and insurance enrollment assistance on a marketplace. They receive CMS funding &
certification. They must apply & be selected to receive cooperative agreement funds from CMS,
complete the CMS training and certification requirements; THEN.also complete the certification
and registration requirements of Indiana AO's and Navigators
, What is a Certified Application Counselor? - ANSWER CAC-Assist consumers through unbiased
and accurate education and application assistance. They do not receive federal grant awards to
act as CAC organizations and are not required to provide public education and outreach services
to the same extent as Federal Navigators. They receive training and certification from CMS.
Individuals must do so through a federally-designated organization. They must also be
registered as AO's or Indiana Navigators to serve Hoosiers
What is a Non-Navigator? - ANSWER N/A in Indiana; Developed to complement Federal
Navigator program while staying distinct and separate. Same standards and requirements apply
as for Federal Navigators. They provide consumer education and support
How do you become a Producer? - ANSWER Complete licensing requirements for IDOI; sign
agreements with one or more insurance companies to sell; receive compensation from
insurance companies
How does a Producer sell on the FFM? - ANSWER Must have health producer license w/ IDOI
and complete FFM registration and training
What do Federally-Designated consumer assistants who serve Hoosiers need to do? - ANSWER
Complete federal training and certification; Complete Indiana Navigator certification
What is a Navigator? - ANSWER Individuals who are certified with the IDOI to provide
application assistance through the FFM or IHCP
What is a Federal Navigator? - ANSWER Federally trained and certified consumer assistant to
provide FFM education & enrollment assistance; must also be certified as Indiana Navigator w/
IDOI
What is the COI Policy? - ANSWER Policy that establishes that Financial or Loyalty COI must be
disclosed and other requirements
QUESTIONS AND VERIFIED ANSWERS
What is the Affordable Care Act? - ANSWER In 2010 Federal Health Insurance Marketplace and
the option for states to expand Medicaid to adults up to 138%
Federal Health Insurance Marketplace? - ANSWER Individuals with income over FPL can
purchase insurance through the Marketplace (up to 400% FPL)
Department of Health & Human Services - ANSWER HHS-Federal govt's principal health agency.
Manages the FFM; establishes training, certification, monitoring
Centers for Medicare & Medicaid Services - ANSWER CMS - Federal agency w/in HHS that
administers Medicare, works w/ state govt's to administer Medicaid & oversees FFM
What is the Patient Protection Affordable Care Act? - ANSWER Law that provides fundamental
reforms to the US healthcare and health insurance systems.
What are the 4 types of Federally Designated Consumer Assistants - ANSWER Federal
Navigators; Certified Application Counselors; Non-Navigator Assistance Personnel; Producers
What is a Federal Navigator? - ANSWER They provide unbiased & accurate education, outreach
and insurance enrollment assistance on a marketplace. They receive CMS funding &
certification. They must apply & be selected to receive cooperative agreement funds from CMS,
complete the CMS training and certification requirements; THEN.also complete the certification
and registration requirements of Indiana AO's and Navigators
, What is a Certified Application Counselor? - ANSWER CAC-Assist consumers through unbiased
and accurate education and application assistance. They do not receive federal grant awards to
act as CAC organizations and are not required to provide public education and outreach services
to the same extent as Federal Navigators. They receive training and certification from CMS.
Individuals must do so through a federally-designated organization. They must also be
registered as AO's or Indiana Navigators to serve Hoosiers
What is a Non-Navigator? - ANSWER N/A in Indiana; Developed to complement Federal
Navigator program while staying distinct and separate. Same standards and requirements apply
as for Federal Navigators. They provide consumer education and support
How do you become a Producer? - ANSWER Complete licensing requirements for IDOI; sign
agreements with one or more insurance companies to sell; receive compensation from
insurance companies
How does a Producer sell on the FFM? - ANSWER Must have health producer license w/ IDOI
and complete FFM registration and training
What do Federally-Designated consumer assistants who serve Hoosiers need to do? - ANSWER
Complete federal training and certification; Complete Indiana Navigator certification
What is a Navigator? - ANSWER Individuals who are certified with the IDOI to provide
application assistance through the FFM or IHCP
What is a Federal Navigator? - ANSWER Federally trained and certified consumer assistant to
provide FFM education & enrollment assistance; must also be certified as Indiana Navigator w/
IDOI
What is the COI Policy? - ANSWER Policy that establishes that Financial or Loyalty COI must be
disclosed and other requirements
