760 IAC 4-3-7 - Duties
Authority: IC 27-19-1-4
Affected: IC 27-19-1-4
Sec. 7.
(a) An
application organization or navigator shall carry out, at a minimum, the
following duties:
(1) Maintain expertise in
eligibility, enrollment, and program specifications related to QHPs available
on the health benefit exchange and public health insurance programs.
(2) Provide information and assistance to an
individual in a fair, accurate, and impartial manner. Information provided
regarding QHPs must acknowledge all QHPs available to the individual on the
health benefit exchange.
(3)
Provide referrals to the department for any person who has a grievance,
complaint, or question regarding a navigator, application organization,
program, provider, or the certification, registration, or renewal procedures
provided in this article or IC 27-19.
(4) Provide referrals to the appropriate
person for any individual who has a grievance, complaint, or question regarding
their QHP or public health insurance program coverage.
(5) Provide assistance in a manner that is
culturally and linguistically appropriate to the needs of the individuals being
assisted and ensure accessibility to individuals with disabilities in
accordance with the federal Americans with Disabilities Act and Section 504 of
the federal Rehabilitation Act.
(b) An application organization or navigator
shall comply with the conflict of interest policy and privacy and security
agreements pursuant to
760 IAC 4-5.
(c) If a navigator or application
organization does not comply with the requirements of this rule, the
commissioner may initiate an enforcement action against the navigator or
application organization under
760 IAC 4-7.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.