Enrollment & Renewals allows State residents to enroll themselves in Medicaid, CHIP, Basic Health Plan or in Exchange operated individual or group plans. It has a standardized enrollment process for individual enrollments that is configurable at the benefit program level. Residents can also renew their enrollments for upcoming plan years through a user friendly and guided renewal process.

Salient Features:

• Selection of health benefit plans
• Decision support tools to assist in plan selection
• Enrollment in health benefit plans post eligibilitydetermination
• Transmission of enrollment information to/from carriers and state agencies through HIPAA 834
• Enrollment status updates based on verifications and actions by carriers and state agencies
• Process renewals, disenrollment and terminations
• Notifications to individuals, employer, employees, carriers and state agencies and federal agencies (in case of tax credit) about changes in enrollment status
• Enrollment in health benefit plans limited to initial and open enrollment periods