Form CMS-10494 Training Quality Questionnaire

Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel - CAC (CMS-10494)

CMS-10494 - Appendix F_Training Quality Questionnaire

155.225(d)(1) and (7) Training Quality Optional Questionnaire

OMB: 0938-1205

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Expiration Date: XX/XXXX


MLMS Assister Training Feedback

Training Content

N/A

(1)

Strongly

Disagree

(2)

Disagree

(3)

Neutral

(4)

Agree

(5)

Strongly

Agree

(6)

1. The scope of the material is appropriate to my needs.

1

2

3

4

5

6

2. The content will help me use HealthCare.gov to assist consumers with the eligibility and enrollment process.

1

2

3

4

5

6

3. The content has given me sufficient information to perform the following tasks on the job:

a. Adequately explain health insurance concepts and educate consumers about the different types of plans available to them

1

2

3

4

5

6

b. Assist consumers with creating an online Marketplace account

1

2

3

4

5

6

c. Use the Plan Compare Tool to help consumers learn about and compare coverage options

1

2

3

4

5

6

d. Conduct effective outreach in the communities I serve and build community partnerships

1

2

3

4

5

6

e. Help consumers understand SHOP

Marketplace policy (e.g., employer and employee eligibility, application requirements, the appeals process)

1

2

3

4

5

6

4. The content has given me sufficient information to assist consumers with these more complex scenarios:

a. Assist consumers in multi-tax households

1

2

3

4

5

6


Training Content

N/A

(1)

Strongly

Disagree

(2)

Disagree

(3)

Neutral

(4)

Agree

(5)

Strongly

Agree

(6)

b. Assist consumers applying for exemptions

1

2

3

4

5

6

c. Assist consumers in households with mixed immigration statuses

1

2

3

4

5

6

d. Assist small employers understand the Small Business Health Care

Tax Credit

1

2

3

4

5

6

e. Assist employees understand how to obtain coverage through the SHOP

Marketplace

1

2

3

4

5

6

5. The content has given me sufficient information to assist consumers with multi-tax households.

1

2

3

4

5

6

6. The content has given me sufficient information to assist consumers with applying for exemptions.

1

2

3

4

5

6

7. The content has given me sufficient information to assist consumers within households with mixed immigration statuses.

1

2

3

4

5

6

8. The content has given me sufficient information to assist consumers with help small employers understand the Small Business Health Care Tax Credit.

1

2

3

4

5

6

9. The content has given me sufficient information to assist consumers with helping employees understand how to obtain coverage through the SHOP Marketplace.

1

2

3

4

5

6

10. The content has given me sufficient information to work with the following population: consumers with disabilities.

1

2

3

4

5

6


Training Content

N/A

(1)

Strongly

Disagree

(2)

Disagree

(3)

Neutral

(4)

Agree

(5)

Strongly

Agree

(6)

11. The content has given me sufficient information to work with the following population: immigrants.

1

2

3

4

5

6

12. The content has given me sufficient information to work with the following populations: consumers with limited English proficiency.

1

2

3

4

5

6

13. The content has given me sufficient information to work with the following populations: American Indians/Alaskan Natives.

1

2

3

4

5

6

14. The content has given me sufficient information to work with the following populations:

Medicare-eligible consumers.

1

2

3

4

5

6

15. The content has given me sufficient information to work with the following populations: Medicaid/CHIP-eligible consumers.

1

2

3

4

5

6

16. The content has given me sufficient information to work with the following populations:

Tri-Care eligible consumers.

1

2

3

4

5

6

17. The content has given me sufficient information to work with the following populations: consumers under age 26.

1

2

3

4

5

6

Training Structure

1 - 1st

2 - Second

3 - Third

4 - Fourth

5 - Fifth

6 - Sixth

18. Please rank in order of importance the following training features by how useful they are in helping you understand the material during the training:

a. Screenshots of

HealthCare.gov.

a.

b.

c.

d.

a.

b.

c.

d.

a.

b.

c.

d.

a.

b.

c.

d.

n/a

n/a

Training Content

N/A

(1)

Strongly

Disagree

(2)

Disagree

(3)

Neutral

(4)

Agree

(5)

Strongly

Agree

(6)

  1. Detailed scenarios/narratives of enrollment situations.

  2. The ability to print and read materials during the training.

  3. Hands-on, interactive exercises or content.







19. Please rank in order of importance the following training features by how useful they are in helping you understand the material after the training:

  1. Real-time help with complex consumer scenarios

  2. Specific examples of how to assist consumers with complex scenarios and/or Continuing education webinars

  3. Fact sheets, FAQs, and other printed materials

  4. Standard operating procedures

  5. Examples of best practices from other assisters

  6. More in-depth assister certification training

a.

b.

c.

d.

e.

f.

a.

b.

c.

d.

e.

f.

a.

b.

c.

d.

e.

f.

a.

b.

c.

d.

e.

f.

a.

b.

c.

d.

e.

f.

a.

b.

c.

d.

e.

f.

Tell Us What You Think?


Please use the space below to answer the following question:

What other information would you have liked to see included in the training?”


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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleMLMS Assister Training Feedback
SubjectMLMS Assister Training Feedback
AuthorCMS
File Modified0000-00-00
File Created2021-01-22

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