Enrollment Assisters (CACs)

Enrollment Assisters is a broad term used to define those who are helping people apply for coverage through the health insurance exchange. 

Should a hospital choose to employ or contract staff to provide Exchange enrollment assistance, those staff typically will be Certified Application Counselors (CACs).   

For a list of other assisters identified by the federal government, visit:  http://www.cms.gov/CCIIO/Programs-and-Initiatives/Health-Insurance-Marketplaces/assistance.html

Federal Requirements and Training

Entities that wish to employ CACs must register with the federal exchange.  For a link to information about the registration and the registration form, visit: http://marketplace.cms.gov/technical-assistance-resources/assister-programs/cac.html

Upon approval of the applicant's registration, the entity will receive:

  • Agreement template for entering into a formal agreement with HHS
  • Agreement template to be signed between the entity and HHS
  • Standard operating procedures
  • Access to the training modules

CMS has issued a new FAQ document specifically for providers. Many providers have had questions about certified application counselors (CACs), including the process for designating an entity as a CAC organization, requirements of the CAC entity, and training. The document provides answers from CMS to several of these questions. You can find the FAQ here.

Federal Training for CACs

The federal Centers for Medicaid and Medicare Services (CMS) has updated the training curriculum for assisters, including navigators and certified application counselors, for the 2015 open enrollment period.

The updated training is available at the Medicare Learning Network Health Insurance Marketplace Learning Management System

State Requirements and Training

CAC Organizations must register with the State Insurance Commissioner's Office.


Wisconsin Continuing Education Requirements for CACs

As a reminder, under Wisconsin law, nonnavigator assisters including CACs are required to complete 8 hours of health insurance continuing education annually.   Entities must attest to OCI that their nonnavigator assisters have completed this training by October 1 of each year. 

Please note that OCI has clarified that the federal CAC assister calls and webinars are acceptable for continuing education training.  Documentation will need to include the course title, (CCIO Consumer Assistance Webinar on (insert topic), date of completion, course hours, mode of delivery (classroom, webinar, etc.) and location of class.


Agent and Broker List

OCI posted a list of insurance agents who have completed the approved BadgerCare Plus training and are willing to serve customers exploring insurance via the Federally Facilitated Exchange/Marketplace. http://ocidev.wigov/healthcare_reform.htm@badgercare-ce   The agent list is sorted by county of service