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The Center for Consumer Information & Insurance Oversight

 

District of Columbia Health Insurance Marketplace Grants Awards List

District of Columbia has received multiple grant awards to build its Health Insurance Marketplace. This includes a Planning Grant, two Level One Establishment Grants, and a Level Two Establishment Grant.

Summaries of the District of Columbia's applications for each grant are provided below:

 

Establishment Grant Level Two Application Summary

 

Administrator: District of Columbia Department of Health Care Finance
Award Amount: $72,985,333
Award Date: September 27, 2012
Application Due Date: August 15, 2012
Administrative Supplement Award Amount: $16,969,089 (June 13, 2013)


Level of Funding: Level Two

Summary: The District of Columbia is receiving a Level Two award to provide assistance to hire staff and consultants to manage activities related to the creation and first year of operations for testing and enhancement of the Exchange. In addition, a substantial portion of the requested funding will be used to develop an IT system that facilitates critical Exchange functions including eligibility, enrollment, and information exchange among individuals, employers, insurance carriers, and state and federal government agencies.

 

Establishment Grant Level One Application Summary

 

Administrator: District of Columbia Department of Health Care Finance
Award Amount: $8,200,716; $34,418,790; $25,832,931
Award Date: August 12, 2011; October 23, 2013; July 25, 2014
Application Due Date: June 30, 2011; August 15, 2013; May 15, 2014
Level of Funding: Level One

Summary: Washington, DC will use its Level One Establishment Grant Funds continue and complete current planning and implementation efforts that would enable the District to establish a certified and functioning exchange by January 2014. The District estimates that approximately 225,000 of the District's residents are expected to utilize District Exchange Services. The District's Exchange project development staff has been working to establish a planning and requirements gathering framework for designing an Exchange that is representative of the unique health insurance needs of District residents and that reflects the preferences of stakeholders. This Level One funding will leverage the data, information and indicators gathered in the preliminary planning effort into a comprehensive project design document to be used to stand up the exchange in Level Two.

The District of Columbia’s second Level One Establishment grant will be used to evaluate the implementation of the District’s consumer assistance programs, build a quality rating system, and support upgrades to the DC Health Link IT system.  

DC Health Benefit Exchange Authority is serving residents across the District of Columbia and is working towards key improvements.  Specific projects to be completed in this request include: features to support SHOP enrollment; newly identified user and operational support functions; filling identified IT automation gaps, business capability; security; EDI; and IT Infrastructure, and extending the functionality of Release 1.

 

State Planning Grant

 

Awarded September 30, 2010

Administrator: Department of Health Care Finance

Amount Awarded: $1,000,000

  • Conduct research and assess the District's insurance marketplace, identifying coverage gaps.
  • Identify requirements for Exchange implementation.
  • Conduct an analysis of the viability of available models, including cost-benefit analysis.
  • Identify potential Exchange partners.
  • Develop policy, operational, and infrastructure recommendations for implementing the Exchange and requisite modifications to the Medicaid and other related public programs.
  • Establish implementation timelines and work plans.
  • Develop a final report summarizing information and findings resulting from the completion of grant activities.

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