This program is administered
by the Managed Risk Medical Insurance Board (MRMIB).

Fact Sheet
Elimination of EE Reimbursement Payment
June 26, 2009

We heard that the State has eliminated EE Reimbursements for Application Assistance, is this correct?

Yes, the Budget Conference Committee of the California Legislature adopted a proposal to eliminate funding for application assistance. The adoption of this proposal would save the about State $2.7 million dollars in General Funds for the upcoming fiscal year. In adopting the proposal, Committee members expressed their hopes that other revenue sources would become available in the future which would allow the re-instatement of EE reimbursements for application assistance.

When will EE payments stop?

EE will be reimbursed for all applications received and processed by July 31, 2009. The final payment should be issued to EEs in September 2009

How will CAAs be notified?

• HFP will be posting notices on the HFP website under Important Program Updates and on the Home page
• HFP will be sending HeApp blasts in English and Spanish to all HeApp users.
• HFP will be publishing articles in the June and August 2009 CAA Newsletters.
• MRMIB will send a letter via e-mail to all active EEs.

Will HFP be eliminating EEs and CAAs?

No, organizations can continue to assist families with paper applications, HeApps, and Annual Eligibility Reviews (AERs).

What services will be available to support EE and CAA activities?

The HFP will continue to support EE and CAA services after the elimination of the application assistance funding. This includes the annual revisions of the CAA Reference Manual, CAA Web Based Training, and EE Help Desk.

Will EEs and CAAs be able to continue to assist families with applications and AERs?

Yes, to the extent that there is enrollment capacity, CAAs may assist families with new applications. In addition, CAAs can continue to assist with AERs.

Can CAAs charge for application assistance to offset the loss of EE payments?

NO. Insurance Code Section 12693.32, states it is a crime to charge a family for application assistance. It is punishable by a $500 fine for each occurrence. The HFP and State will aggressively pursue any such allegations. In addition, this would be a violation of the EE and CAA agreement which may result in administrative sanctions (e.g., permanent ban from the EE and CAA program), as well as legal consequences.

How much has been paid to Enrollment Entities?

Since June 2005, over $20 million has been paid to Enrollment Entities (EEs) for application assistance.

How many applications did CAAs assist families to complete?

Since June 2005 CAAs have assisted with over 425,000 paper applications, HeApps, and Annual Eligibility Renewals (AERs).