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HHS Releases Navigator Final Rule

The U.S. Department of Health and Human Services (HHS) released July 12 a final rule regarding navigators and other personnel who will help consumers obtain health insurance coverage offered through the exchanges and other public programs such as Medicaid. The final rule applies to navigators in exchanges run by the federal government or through a partnership between the federal government and a state. State-run exchanges can use this guidance or develop their own. The final rule also applies to non-navigator assistance personnel in state-run exchanges that are funded by federal grants.

The rule establishes standards for training and certification, conflict-of-interest, and access for people with limited English language proficiency and/or disabilities. It also states that exchanges must designate organizations to train and certify application counselors who will help consumers with their exchange enrollment applications.


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