Please note that prior to May 6, 2013, Connect for Health Colorado was known as the Colorado Health Benefit Exchange (COHBE), the legal name created by SB 11-200.

Approach to Interoperability with State IT Systems
Minimum Interoperability Approach and Background Analysis

  • The Board voted on March 12, 2012 to establish minimum interoperability with the state Medicaid/CHP system, including the shared use of an eligibility determination system and sharing of customer data.

Facilitated Enrollment:
Facilitated Enrollment
Consumer Feedback on Notices Regulated by DOI

  • On April 8, 2013, the Board voted to allow COHBE to partner with carriers and stakeholders to develop an approach that allows carrier’s existing consumers to make an active Exchange product selection directly from their carrier. In this process, consumers should be notified of the Exchange and their right to shop in the market, but they should not be required to do so.

Certification of Exemption from the Individual Mandate
Overview of Certification of Exemption from Individual Mandate
Response to Questions Related to Certification of Exemption from the Individual Mandate
Table of Exemptions & System Verification Requirements

  • The Board voted on June 11, 2012 to use the federal service for certifying exemptions from the individual mandate in its initial years of operation and to review the decision after the initial operating period.

Management of Eligibility Appeals
Management of Eligibility Appeals

  • The Board voted on July 9, 2012 to adopt guiding principles that include implementing a process to handle appeals in the areas in which the Exchange has control, directing people to the programs for which they are eligible, building a technology solution that will facilitate a “no wrong door” approach to coverage options, adopting best practices to ensure the verification and appeals process is automated as much as possible, and defining a process for individuals and employers to verify their information and appeal eligibility decisions.

Single Streamlined Application (Uniform Enrollment Application)
Single Streamlined Application

  • The Board voted on August 13, 2012 to use the baseline application data elements set forth in federal guidelines, with the addition of primary care provider, gender neutral identifiers and inclusive relationship reporting terminology, and to clarify what is needed to properly screen for eligibility.