45 CFR § How to obtain these aids and services. 92.8(a)(4) Language 45 CFR § Contract must identify and provide contact information for the Access (Cont’d) 92.8(a)(5) Discrimination responsible employee designated to coordinate its (Cont’d) nondiscrimination efforts, including complaints. 45 CFR § Contract must notify enrollee of the availability of the grievance 92.8(a)(6) procedure and how to file a grievance, and how to file a and (7) discrimination complaint with the federal Office of Civil Rights. 45 CFR § Contract must include taglines in at least the top 15 languages 92.8(d)(1) spoken by individuals with limited English proficiency of the relevant State or States. Pediatric Oral Requirement A health plan must include pediatric dental benefits as an 42 USC Services (EHB) to Cover embedded set of benefits, or through a combination of a health §18021 Pediatric Oral benefit plan and a dental plan that includes pediatric (a)(1)(B); Services dental benefits certified as a qualified dental plan. WAC 42 USC 18022 (b)(1)(J) Plan must satisfy the requirement in one of two ways: The plan includes pediatric dental benefits as an embedded WAC benefit (issuer must submit the “Embedded Pediatric Dental EHB Checklist” in addition to this checklist); or The plan does not have pediatric dental benefits, and the issuer WAC receives reasonable assurance that the applicant has obtained or will obtain pediatric dental benefits through a stand-alone QDP. This reasonable assurance must be received by the issuer within 60 days.
45 CFR § 92.8(a)(4) How to obtain these aids and services. (Cont’d) Language Access (Cont’d) 45 CFR § 92.8(a)(5) Contract must identify and provide contact information for the responsible employee designated to coordinate its nondiscrimination efforts, including complaints. 45 CFR § 92.8(a)(6) and (7) Contract must notify enrollee of the availability of the grievance procedure and how to file a grievance, and how to file a discrimination complaint with the federal Office of Civil Rights. 45 CFR § 92.8(d)(1) Contract must include taglines in at least the top 15 languages spoken by individuals with limited English proficiency of the relevant State or States. Pediatric Oral Services (EHB) Requirement to Cover Pediatric Oral Services 42 USC §18021 (a)(1)(B); 42 USC 18022 (b)(1)(J) A health plan must include pediatric dental benefits as an embedded set of benefits, or through a combination of a health benefit plan and a dental plan that includes pediatric dental benefits certified as a qualified dental plan. WAC WAC Plan must satisfy the requirement in one of two ways: The plan includes pediatric dental benefits as an embedded benefit (issuer must submit the “Embedded Pediatric Dental EHB Checklist” in addition to this checklist); or WAC The plan does not have pediatric dental benefits, and the issuer receives reasonable assurance that the applicant has obtained or will obtain pediatric dental benefits through a stand-alone QDP. This reasonable assurance must be received by the issuer within 60 days. Discrimination
checklist-forms-2018-disability-individual-analyst-checklist.docx