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

ICR 202110-0938-014

OMB: 0938-1205

Federal Form Document

IC Document Collections
IC ID
Document
Title
Status
241050 Unchanged
220357
Unchanged
220355
Unchanged
220354
Unchanged
220353
Unchanged
220352
Unchanged
220351
Unchanged
216275
Unchanged
216274 Unchanged
216273
Unchanged
216272 Unchanged
216271 Unchanged
208217 Unchanged
208216 Unchanged
208215 Unchanged
208214 Unchanged
208213 Unchanged
207940 Unchanged
207939
Unchanged
207938 Unchanged
207937
Unchanged
207874
Unchanged
207873 Unchanged
207872 Modified
ICR Details
0938-1205 202110-0938-014
Received in OIRA 201810-0938-013
HHS/CMS CCIIO - 10494
Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel - CAC (CMS-10494)
Revision of a currently approved collection   No
Regular 11/03/2021
  Requested Previously Approved
36 Months From Approved 03/31/2024
4,858,018 4,858,018
857,046 857,046
0 0

Section 1413 of the Affordable Care Act directs the Secretary of HHS to establish, subject to minimum requirements, a streamlined enrollment system for qualified health plans offered through the Exchange and insurance affordability programs. In addition, section 1321(a)(1) of the Affordable Care Act directs and authorizes the Secretary to issue regulations setting standards for meeting the requirements under title I of the Affordable Care Act, with respect to, among other things, the establishment and operation of Exchanges. Pursuant to this authority, regulations establishing the certified application counselor program are being finalized at 45 CFR 155.225. Specifically, 45 CFR 155.225(a) requires an Exchange to establish a certified application counselor program that complies with the requirements of the rule. Section155.225(b)(1) allows each Exchange to designate certain organizations, including organizations designated by state Medicaid or CHIP agencies, which will certify their staff and volunteers to act as certified application counselors. In accordance with 45 CFR 155.225(b)(2), Exchanges may choose to certify directly individuals who seek to act as certified application counselors, designate certain organizations which will certify staff or volunteers to perform application services, or do both.

PL: Pub.L. 111 - 148 1321(a)(1)(A) and (D) Name of Law: State Flexibility in Operation and Enforcement of Exchanges and Related Requirements
   PL: Pub.L. 111 - 148 1413 Name of Law: Streamlining of procedures for enrollment through an exchange
  
PL: Pub.L. 111 - 148 1321(A) and (D) Name of Law: State Flexibility in Operation and Enforcement of Exchanges and Related Requirements
PL: Pub.L. 111 - 148 1413 Name of Law: Streamlining of procedures for enrollment through an exchange

Not associated with rulemaking

  86 FR 32049 06/16/2021
86 FR 59165 10/26/2021
No

24
IC Title Form No. Form Name
155.225(b)(1) (organization designation by Exchange) CMS-10494 Individual CAC Agreement
155.225(b)(1) (organization follow-up for application) CMS-10494 CAC Organization Application
155.225(b)(1) (organization list)
155.225(b)(1) Organization designation by Exchange Information Updates CMS-10494 Find Local Help Instrument
155.225(b)(1)(i) (certificate issuance) CMS-10494, CMS-10494, CMS-10494 Training Certificate ,   Training Certificate (English) ,   Sample Certification Certificate (Spanish)
155.225(b)(1)(i) (organization attestation)
155.225(b)(1)(ii) - Identification number record retention CMS-10494 Registration
155.225(b)(1)(ii) - Issuance of unique registration identification number CMS-10494 Registration Portal
155.225(d)(1) - Training Registration CMS-10494 Registration
155.225(d)(1) - Training certificate proof CMS-10494 Registration
155.225(d)(1) - Training certificate retention CMS-10494 Registration
155.225(d)(1) and (7) Training Quality Optional Questionnaire CMS-10494 Training Quality Questionnaire
155.225(d)(2) and (f) (CAC authorization to consumer) CMS-10494, CMS-10494, CMS-10494 CAC Agreement ,   Model Authorization Form (English) ,   Model Authorization Form (Spanish)
155.225(d)(2) and (f) (organization record of authorization)
CAC Recertification
Certified Counselor Designated Organization (CDO Application) CMS-10494 CDO Agreement
Recertification Training
Recertification request by organization CMS-10494 Recertification Request Form
§155.225 (b)(1)(iii)- (reporting by organizations)
§155.225 (b)(1)(iii)- (review by State Exchange)
§155.225 (b)(ii) (performance tracking form by organization)
§155.225 (b)(ii) (recordkeeping performance data by organization)
§155.225 (b)(ii) (reporting performance data by certified application counselor)
§155.225(b)(1)(iii)-(review byFederally-facilitatedExchange)

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,858,018 4,858,018 0 0 0 0
Annual Time Burden (Hours) 857,046 857,046 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$65,520
No
    No
    No
Yes
No
No
No
Jamaa Hill 301 492-4190

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/03/2021


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