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Cooperative Agreement to Support Navigators in Federally-facilitated Exchanges

$438,024,410

Total Assistance, FY 2008 to Present
Agency: CENTERS FOR MEDICARE AND MEDICAID SERVICES, HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Assistance Type: COOPERATIVE AGREEMENTS
Popular Name: Navigator Grants
CFDA Number
93.332

Objectives: The Cooperative Agreement to Support Navigators in Federally-facilitated Exchanges (Funding Opportunity) will enable recipients to operate as Exchange Navigators in states with a Federally-facilitated Exchange (FFE), as authorized by the Affordable Care Act (ACA). Section 1311(i) of the ACA requires Exchanges to establish a Navigator grant program. The Updating Payment Parameters, Section 1332 Waiver Implementing Regulations, and Improving Health Insurance Markets for 2022 and Beyond Final Rule (2022 Payment Notice (PN)) amended 45 C.F.R. § 155.210(e)(9) to reinstitute the requirement that Navigators in the FFEs provide information and assistance with regard to certain post-enrollment topics, such as the Exchange eligibility appeals process, the Exchange-related components of the Premium Tax Credit (PTC) reconciliation process, and the basic concepts and rights of health coverage and how to use it.

 
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