The Center for Consumer Information & Insurance Oversight
Maine Affordable Insurance Exchange Grants Awards List
Maine has received three grant awards to build its Affordable Insurance Exchange. This includes a Planning Grant, an Early Innovator Grant, and a Level One Establishment Grant.
Summaries of Maine’s applications for each grant are provided below:
Establishment Grant Level One Application Summary
Administrator: State of Maine Dirigo Health Agency
Award Amount: $5,877,676
Award Date: November 29, 2011
Application Due Date: September 30, 2011
Level of Funding: Level One
Summary: Maine will use the Level One funding to: identify opportunities to leverage existing services, functions, and resources; continue stakeholder consultation; design and begin to build the business operations and systems for the Exchange, including the integration of existing Medicaid eligibility systems with new Exchange eligibility systems; develop consumer assistance capabilities; examine opportunities to modify existing programs in light of the coverage consolidations available to the state; secure expert resources to support the State’s Exchange planning and implementation process; and, engage in all other activities required to develop an Exchange that meets minimum federal requirements. Maine anticipates that the Level One funding will provide support to the State to collect and analyze data, consider options, and establish the framework for a potential submission of a Level Two Exchange grant in 2012.
Early Innovator Grant
Grantee: University of Massachusetts Medical School
Award Amount: $35,591,333
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: Governor’s Office of Health Policy & Finance
Amount Awarded: $1,000,000
- Continue and complement the current efforts of the Health Reform Steering Committee, comprised of key State officials, and the Advisory Council on Health Systems Development (ACHSD) to provide oversight and stakeholder input on issues related to implementation of the Affordable Care Act.
- Support the development of a detailed implementation plan for the Exchange.
- Create a stakeholder process to answer policy and implementation questions in the areas of program integration, business operations, and technical infrastructure.
- Evaluate and model various options for Maine’s Exchange and develop implementation plan.
- March 5, 2020 Information Related to COVID–19 Individual and Small Group Market Insurance Coverage
- March 12, 2020 FAQs on Essential Health Benefits Coverage and the Coronavirus (COVID-19)
- March 18, 2020 FAQs on Catastrophic Plan Coverage and the Coronavirus Disease 2019 (COVID-19)
- March 24, 2020 FAQs on Availability and Usage of Telehealth Services through Private Health Insurance Coverage in Response to Coronavirus Disease 2019 (COVID-19)
- March 24, 2020 Payment and Grace Period Flexibilities Associated with the COVID-19 National Emergency
- March 24, 2020 FAQs on Prescription Drugs and the Coronavirus Disease 2019 (COVID-19) for Issuers Offering Health Insurance Coverage in the Individual and Small Group Markets
- April 11, 2020 FAQs about Families First Coronavirus Response Act and the Coronavirus Aid, Relief, and Economic Security Act Implementation
*This document was updated on April 15, 2020, to correct an error in footnote 10 regarding the current end date of the public health emergency related to COVID 19.
- April 13, 2020 Postponement of 2019 Benefit Year HHS-operated Risk Adjustment Data Validation (HHS-RADV)