Cooperative Agreement to Support Navigators in Federally-facilitated and State Partnership Marketplaces - Cooperative Agreement Activities: The cooperative agreement will perform Navigator functions as outlined in 45 CFR § 155.210 and § 155.215. The ENTX Consortium, made up of three organizations in Dallas-Fort Worth Metropolitan area, will incorporate various approaches and activities to promote enrollment through community leadership and extensive collaborations. The organizations will implement outreach, maintain a unified and diverse network of Navigators and plan strategically for open enrollment periods to maximize access and efficiency in the enrollment process. Navigators will help targeted populations to compare health plans, review benefits, select QHPs, and apply for subsidies. Navigators will also assist consumers with re-enrollment, SEP enrollments, and Medicaid year-round. Budget Year One: For the first 12 months, $2,320,477 will fund a minimum of 30 Navigators for the following ENTX Consortium members: Lead agency, United Way of Metropolitan Dallas ($725,593); LBU Community Clinic ($808,379), and Prism Health North Texas ($786,145). Total Amount Requested: For the entire performance period of five years the total budget equals $11,588,129. Population: The ENTX Consortium selected 16 counties to cover, representing 1,313,300 eligible uninsured people or 26% of the Texas uninsured. According to CMS.gov, there are 617,297 individuals in the same 16 counties who have enrolled in the Marketplace last open enrollment and potentially will be re-enrolling this year. Vulnerable communities: The ENTX Consortium selected target populations based on the specific needs in the geographic region and the expertise of each consortium member. The ENTX Consortium intends to target the following vulnerable populations: • Racial/ethnic minorities and individuals with limited English proficiency • Lesbian, gay, bisexual, transgender, questioning, intersex, asexual, and other (LGBTQIA+) individuals • Low income, economically disadvantaged, and experiencing homelessness • Pregnant women, children, and women with children • Individuals with mental health or substance-related disorders • Individuals with HIV/AIDS • Formerly incarcerated persons • Youth transitioning from substitute care • Rural communities Counties Served: Collin, Cooke, Dallas, Denton, Ellis, Fannin, Grayson, Henderson, Hunt, Johnson, Kaufman, Navarro, Parker, Rockwall, Tarrant and Wise counties, all located in North Texas. Event and Marketing goals: Plan, organize and conduct 300 public outreach and enrollment education events and reach at least 3,225,000 consumers through marketing and promotion activities. Enrollment goals: Provide 90,000 consumers with 1:1 assistance in response to inquiries. Assist 1,250 consumers with enrolling or re-enrolling in a QHP. Assist 7,500 consumers with Medicaid/CHIP applications or referrals. Navigator goals: Train and certify at least 32 Navigators by October 1, 2024