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Healthcare Frequently Asked Question

What is an “assister?”...
April 2, 2013

What is an “assister?”


The Affordable Care Act (ACA), along with subsequent regulations from the U.S. Department of Health and Human Services (HHS), provides relatively detailed guidance on the role of navigators but leaves wide discretion to the states on the role of other “facilitators” or “assisters.” Some states plan to utilize navigators and assisters quite extensively, while other states plan to continue to utilize licensed agents and brokers to assist consumers with choosing a health plan that is right for them.

For example, in California certified “Application Assisters” are people who have been trained, passed a certification test and provide application assistance to consumers applying for certain state health programs.

In Arkansas, the state is considering an “In-Person Assister” program. These assisters may be very similar to a navigator and assist with education efforts and enrollment in a Qualified Health Plan. The state is considering allowing agents and brokers to become an “In-Person Assister,” though restrictions may be placed on how they are compensated.

To view more healthcare FAQs, visit: http://www.pianet.com/faq/health-care-reform-faq.

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