Covered California

Covered California

Member Resources Page

The Community Health Association Inland Southern Region (CHAISR) is currently participating in Covered California’s Navigator Program – a partnership with community organizations across the state who have experience in reaching and assisting California’s diverse populations and have proven success enrolling individuals and families in health care programs. Five of CHAISR’s member health centers and one consultant – Borrego Health, DAP Health, Morongo Basin, Mission City Community Network, Quatre Consulting and SAC Health are participating as subcontractors of the Navigator Program. If you are interested in becoming a subcontractor and receiving reimbursement for enrollments your health center completes, please reach out to ssanchez@chaisr.org. Below, you will find resources related to the Covered California Navigator Program, Medi-Cal, programs for the under/un – insured and outreach and enrollment.

Important Dates
Medi-Cal

Open enrollment all year long.

Covered California

Active Renewals: October 18, 2022 – October 31, 2022

Passive (Auto) Renewals: October 18, 2022 – December 31, 2022 – Passive renewals means that the individual continues to pay their premium and make no changes to their plan.

Open Enrollment: November 1, 2022 – January 31, 2023

Important Phone Numbers
CEC Service Center

(855)324-3147

Consumer Service Center

(800) 300-1506

Health Plan Contacts:

If you have a consumer that has specific questions for a health plan please use the contacts below.


Ambetter from Health Net

enrollersolutions@healthnet.com

Blue Shield

Veronica Kennedy

Outreach ManagerIndividual and Family Plans

Office: 855.870.7019 | Cell: 909.561.4199

Veronica.Kennedy@blueshieldca.com

Molina Healthcare of CA

Jackie Portilla

Community Engagement, Sr. Specialist

1.800.232.9998 Ext. 127742

Jacqueline.Portilla@molinahealthcare.com




Tax Penalty:

Increase for 2022! The penalty for an adult is $800 and for  a child is $400 or 2.5% of the family’s household income above the tax filing threshold (whichever is higher).

Report Types:

Fall Out Report: The Fall Out Report contains a list of your consumers who did not renew their health plan for the 2022 plan year. The consumers on the list may have chosen not to renew their health plan or may be unaware that their health plan did not renew.

Consent Report: When a consumer fills out their application, they choose to allow Covered California to verify the information in their application electronically  – this is called Consent for Verification. Consumers may authorize Covered California to verify their information electronically for a period of zero (0) to five (5) years. The Consent Report contains a list of your consumers whose consent for verification may be expiring.

Carry Forward Status Report: Carry Forward Status means that when a consumer is being re-determined for Medi-Cal eligibility, they will continue with Covered California coverage until the county completes a full Medi-Cal determination. The purpose of the CFS is to reduce gaps in coverage while consumers transition between Covered California and Medi-Cal pending county eligibility determination. You can utilize this report to confirm your internal enrollment data and contact your consumers as necessary to ensure they have reported income accurately.