Sec. 6652 - Certified Enrollment Entities

§ 6652. Certified Enrollment Entities

(a) The following entities and individuals are eligible to apply to become a Certified Enrollment Entity in the In-Person Assistance Program pursuant to Section 6654:

(1) American Indian Tribes or Tribal Organizations;

(2) Chambers of Commerce;

(3) Cities, Counties, and Local Government Agencies;

(4) Commercial fishing industry organizations;

(5) Community Colleges and Universities;

(6) Faith-Based Organizations;

(7) Indian Health Services Facilities;

(8) Labor Unions;

(9) Licensed attorneys (e.g., family law attorneys who have clients that are experiencing life transitions);

(10) Licensed health care clinics;

(11) Licensed health care institutions;

(12) Licensed health care providers;

(13) Non-Profit Community Organizations;

(14) Ranching and farming organizations;

(15) Resource partners of the Small Business Administration;

(16) School Districts;

(17) Tax preparers as defined in Section 22251(a)(1)(A) of the Business and Professions Code;

(18) Trade, industry, and professional organizations;

(19) Other public or private entities or individuals who meet the requirements of this Article except for:

(A) Entities and individuals who are licensed by the Department of Insurance.

(b) The following entities and individuals are eligible to apply to become a Certified Enrollment Entity in the Navigator Program pursuant to Section 6656:

(1) American Indian Tribes or Tribal Organizations;

(2) Chambers of Commerce;

(3) Cities, Counties, and Local Government Agencies;

(4) Commercial fishing, industry organizations;

(5) Community Colleges and Universities;

(6) Faith-Based Organizations;

(7) Indian Health Services Facilities;

(8) Labor Unions;

(9) Licensed attorneys (e.g., family law attorneys who have clients that are experiencing life transitions);

(10) Non-Profit Community Organizations;

(11) Ranching and farming organizations;

(12) Resource partners of the Small Businesses Administration;

(13) School Districts;

(14) Tax preparers as defined in Section 22251(a)(1)(A) of the Business and Professions Code;

(15) Trade, industry, and professional organizations;

(16) Safety Net Clinics:

(A) Community Clinics as defined in Health and Safety Code Section 1204, subdivision (a)(1)(A);

(B) Free Clinics as defined in Health and Safety Code Section 1204, subdivision (a)(1)(B);

(C) Federally Qualified Health Centers (FQHCs) under Section 330 of the Public Health Service Act, 42 U.S.C. § 254b;

(D) FQHC Look-Alikes designated by the U.S. Department of Health and Human Services, Health Resources and Services Administration, 42 U.S.C. §§ 1395x and 1396d;

(E) Health care facilities directly managed and funded by the Indian Health Services under the Indian Self-Determination and Education Assistance Act of 1975, 25 U.S.C. § 450 et seq.;

(F) 638 Contracting or Compacting Clinics funded by the Indian Health Services under the Indian Self-Determination and Education Assistance Act of 1975, 25 U.S.C. § 450 et seq.;

(G) Urban Indian Health Centers under Title V of the Indian Health Care Improvement Act, 25 U.S.C. § 1601, et seq; and

(17) Other public or private entities or individuals who meet the requirements of this Article except for:

(A) Entities and individuals who are licensed by the Department of Insurance;

(B) Health insurance issuers or stop loss insurance issuers;

(C) Except for the Safety Net Clinics listed in subdivision (b)(16) above, Licensed Health Care Clinics;

(D) Licensed Health Care Institutions; and

(E) Licensed Health Care Providers.

(c) The Exchange may require proof of a current or valid license, authority, certificate, or registration by the appropriate regulatory or licensing entity as a condition of eligibility to be registered as a Certified Enrollment Entity.

(1. New section filed 7-15-2013 as an emergency; operative 7-15-2013 (Register 2013, No. 29). A Certificate of Compliance must be transmitted to OAL by 1-13-2014 or emergency language will be repealed by operation of law on the following day. 2. Repealed by operation of Government Code section 11346.1(g) (Register 2014, No. 7). 3. New section filed 2-10-2014 as an emergency pursuant to Government Code section 11346.1, subdivision (h); operative 2-10-2014 (Register 2014, No. 7). A Certificate of Compliance must be transmitted to OAL by 5-12-2014 or emergency language will be repealed by operation of law on the following day. 4. New section refiled 5-12-2014 as an emergency pursuant to Government Code section 11346.1, subdivision (h); operative 5-12-2014 (Register 2014, No. 20). A Certificate of Compliance must be transmitted to OAL by 8-11-2014 or emergency language will be repealed by operation of law on the following day. 5. New section refiled 7-21-2014 as an emergency pursuant to Government Code section 100504(a)(6), as modified by Senate Bill 857 (Stats 2014, c. 31); operative 7-21-2014 (Register 2014, No. 30). A Certificate of Compliance must be transmitted to OAL by 7-15-2015 pursuant to Government Code section 100504 or emergency language will be repealed by operation of law on the following day.)

Note: Authority cited: Sections 100502 and 100504, Government Code. Reference: Sections 100502 and 100503, Government Code; and 45 C.F.R. §§ 155.205, 155.210 and 155.215.

The following state regulations pages link to this page.