Exchanges are required to establish a navigator program that provides grants to community or consumer-focused nonprofits and other organizations to conduct outreach and help consumers and small employers connect to health coverage. States have broad flexibility in designing their programs as long as minimum federal guidelines are met. While similar to existing models of consumer assistance in Medicaid and Medicare, navigator programs are newly created to specifically help consumers navigate the expanded health coverage options under the Affordable Care Act. This brief describes what is required of navigator programs and outlines the steps and considerations that are important as states design their own programs.
- The ACA has the potential to cut the number of uninsured children by 40%. (Source:Improving Coverage for Children Under Health Reform)
- The ACA has helped maintain or improve access to preventive services for 54% of children. (Source: ACA Protects and Improves Access to Preventive Care for Children)
- 47 states have applied for or received increased federal funds to make major upgrades to Medicaid enrollment systems (Source: Getting Into Gear for 2014)
- In 2012, 92.8% of children in the United States had health insurance coverage. (Source: Children's Health Coverage on the Eve of the Affordable Care Act)
- In January 2014, eligibility levels for parents and childless adults will significantly increase in the 26 states, including DC, that are expanding Medicaid to adults. (Source: New! Getting Into Gear for 2014)