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. Four of CHAISR’s member health centers – Borrego Health, Morongo Basin, Mission City Community Network and SAC Health System 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.

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 Elizabeth Creager (She/her) Community Relations Representative Individual & Family Plans | CA Exchange Direct: 818.854.0679 elizabeth.m.creager@healthnet.com

Blue Shield

Veronica Kennedy Outreach Manager, Individual and Family Plans Office: 855.870.7019 | Cell: 909.561.4199 Veronica.Kennedy@blueshieldca.com

Quick Links

• Certified Enrollment Counselor Authorization Agreement (English)
• Federal Poverty Level Chart for 2022
• Self Attestation of Income (No Documentation Available)

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.