A customer seeking healthcare options at the Federally Facilitated Marketplace may request financial assistance to help pay for health insurance, including pursuing Medicaid eligibility. Using Nebraska Medicaid specific eligibility rules, the Marketplace assesses Medicaid eligibility. The Marketplace will not make any Nebraska Medicaid determinations. The customer may request a Medicaid determination regardless of the Marketplace assessment. Either way the Marketplace transfers the application to Nebraska via an Account Transfer.
The Account Transfer information is converted to a Healthcare Marketplace (HCMP) Electronic Application. The corresponding PDF will have the same look and feel of the new Healthcare Nebraska e-application (HCNE) that will be release at a later date.
When an application is transferred from the Marketplace to Nebraska, the eligibility decision is returned to the Marketplace via an outbound Account Transfer.
NOTE: The response to the Marketplace from N-FOCUS occurs in a nightly process after a worker has determined the eligibility for the applicants.
When e-apps are received from the Marketplace to Nebraska, the Type field on the Detail Electronic Applications window in the mainframe will indicate Healthcare Marketplace. A Federal Referral ID will be generated for each applicant in the household.
(12-2018)