14 Va. Admin. Code § 7-10-50 - Certification of application counselors
A. A CDO may certify an individual staff
member or volunteer to perform the duties of a certified application counselor
only if the individual staff member or volunteer:
1. Completes exchange-approved training
regarding qualified health plan and qualified dental plan options, insurance
affordability programs, eligibility, and benefits rules and regulations
governing all insurance affordability programs operated in Virginia, as
implemented in Virginia, and completes and achieves a passing score on all
exchange-approved certification examinations, prior to functioning as a
certified application counselor;
2. Discloses to the CDO and potential
applicants any relationships the certified application counselor or sponsoring
agency has with any qualified health plan, qualified dental plan, insurance
affordability program, or other potential conflicts of interest;
3. Complies with the exchange's privacy and
security standards adopted consistent with
45 CFR
155.260 and applicable authentication and
data security standards;
4. Agrees
to act in the best interest of the applicants assisted;
5. Provides, either directly or through an
appropriate referral to a navigator or non-navigator assistance personnel
authorized under
45 CFR
155.205(d) and (e) or 45 CFR
155.210 or to the exchange call center, information in a manner that is
accessible to individuals with disabilities, as defined by the Americans with
Disabilities Act (
42 USC §
12101 et seq.) and § 504 of the
Rehabilitation, Comprehensive Services, and Developmental Disabilities Act (
29 USC §
794 ); and
6. Enters into an agreement with the CDO
regarding compliance with the standards specified in
45 CFR
155.225(d), (f), and (g).
B. The CDO may
recertify a certified application counselor on at least an annual basis after
the certified application counselor has successfully completed recertification
training as required by the exchange.
C. A CDO shall withdraw certification from or
refuse to recertify an individual certified application counselor upon a
finding of noncompliance with the requirements for certification or any failure
to perform required duties in accordance with this chapter.
D. A CDO that does not renew or is no longer
designated by the exchange shall result in all application counselors certified
by that CDO to become decertified.
Notes
Statutory Authority: 12.1-13, 38.2-223, and 38.2-6515 of the Code of Virginia.
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