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Vermont Health Insurance Marketplace Grants Awards List

Vermont has received six grant awards to build its Health Insurance Marketplace - Opens in a new window . This includes a Planning Grant, an Early Innovator Grant, three Level One Establishment Grants, and a Level Two Establishment Grant.

Summaries of Vermont's applications for each grant are provided below:

 

Establishment Grant Level Two Application Summary

 

Administrator: Department of Vermont Health Access (DVHA)
Award Amount: $104,178,965
Award Date: August 23, 2012
Application Due Date: June 29, 2012
Level of Funding: Level Two

Summary: Vermont is receiving a Level Two Establishment grant to complete the projects necessary to meet the Exchange certification requirements and to ensure that the Exchange is ready to begin operations in October 2013. Act 48 established the Exchange in the Department of Vermont Health Access (DVHA), the agency responsible for the management of Vermont's publicly funded health insurance programs. This funding will primarily be used to develop the IT systems to facilitate the critical functions of the Exchange, and ensure operability with other State health care systems built as part of the greater eligibility modernization project. The development of these systems, and the associated business processes, will be supported by additional staff hired to assist the Exchange in meeting federal deadlines. Other specific projects that would be implemented include an outreach and training strategy, an organizational structure review to ensure a 21st century enrollment experience for consumers, and a comprehensive Exchange evaluation plan.

 

Establishment Grant Level One Application Summary

 

Administrator: Vermont Agency of Human Services
Award Amount: $18,090,369; $2,167,747; $42,687,000
Award Date: November 29, 2011; January 17, 2013; July 9, 2013
Administrative Supplement Award Amount: $4,517,000 (January 29, 2013)
Application Due Date: September 30, 2011; November 15, 2012; May 15, 2013
Level of Funding: Level One

Summary: Vermont will use Level One funding to further its planning, development, and design of the Vermont Health Benefits Exchange (Exchange). Funding will support further development or continuance of a number of activities that Vermont initiated during its Planning Grant phase, including stakeholder engagement, program integration, financial management, health insurance market reforms, business operations, and the development of an information technology platform that collects and manages information in a streamlined process across various state and federal agencies. Vermont will also use funds to support a number of staff positions for the Exchange and its sister agencies to ensure that Exchange implementation activities and coordination work move forward as planned. Funding for implementing Vermont's health insurance exchange platform is also included. Vermont intends to continue moving forward in the design of an Exchange that will provide interoperability with other government health care programs in the State, and a platform for the evolution of the single-payer health care system envisioned in Vermont statute.

Vermont will use its second Level One Establishment grant to implement and operate an In-Person Assister program. Vermont's In-Person Assister program will ensure that all Vermonters have access to enrollment assistance when seeking coverage on the marketplace (Exchange), especially for those who may be selecting an insurance plan for the first time. This program will operate as a complement to the Navigator program.

Vermont’s third Level One award will support the design, development, and implementation of the Marketplace portion of fully integrating Medicaid and CHIP into Vermont’s new integrated Marketplace eligibility environment; consumer support center functionality; individual and SHOP premium processing; a third-party administrator for Vermont’s SHOP employer assistance program; and additional staffing and technological resources needed to ensure operational readiness on October 1, 2013.

Early Innovator Grant

 

Grantee: University of Massachusetts Medical School
Award Amount: $35,591,333

Summary: This is a multi-state consortia proposal led by the University of Massachusetts Medical School and will benefit individuals and small businesses in Connecticut, Maine, Massachusetts, Rhode Island, and Vermont. These consumers will be able to shop for, select, and purchase affordable and high-quality health plans consistent with national reform goals for 2014. The proposed project approach will be to create and build a flexible Exchange information technology framework in Massachusetts and share those products with other New England states. The proposal hopes to learn from the Massachusetts Exchange implementation and gain efficiencies so it can accelerate Exchange development for participating New England states.

 

State Planning Grant

 

Awarded September 30, 2010

Administrator: Vermont Department of Human Services

Amount Awarded: $1,000,000

  • Analyze the current insurance market to determine the quality and type of health insurance coverage, the appropriate regulatory environment for implementing the Exchange, and the potential impacts on the market of various options.
  • Assess various Exchange organizational models and the policy and fiscal implications of each, as well as resources needed to operate the Exchange
  • Model potential funding mechanisms to achieve Exchange sustainability.
  • Develop proposed legislation for the 2011 and 2012 sessions.

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