Not sure where to start in transitioning to a State-Based Marketplace? Below are some resources to help you start planning. Have questions? We’re here to help, just send us an email at hello@getinsured.com.

Model RFP for State-Based Marketplace

The RFP process ensures that the development and implementation of the SBM are done efficiently, transparently, and in the best interest of the state and its residents.

A model RFP (Request for Proposal) serves as a template or a guide for states when preparing for a real RFP. It helps streamline the process and ensures that all essential elements are included, ultimately resulting in a more efficient and effective procurement process.

Both a standard model RFP and a model RFP for states that would also like to implement Enhanced Direct Enrollment (EDE) are available.

Download EDE Model RFP
Download Non-EDE Model RFP

SBM Build-Out Timeline

There are critical activities that must be completed when looking to build a State-Based Marketplace. Below is a quick look at some of these.

State based marketplace timeline

Shopping on State-Based Marketplaces

Want to check out the state exchanges anonymously? Try one of the scenarios below:

Female, 54
Takes one prescription medication:

  • Prozac (brand name or generic)

Male, 55
Takes three prescription medications:

  • Lipitor (brand name or generic)
  • Prilosec (brand name or generic)
  • Xiidra (only brand name available)

News, Interviews & Additional Resources

Governor Letters Requesting an SBM

Governors are required to send a letter to CMS noting their intention to transition to a state-based marketplace. These are the publicly available letters that can be used as a model for future state letters.

2012

2018

2019

2020

State-Based Marketplace Blueprint

A “Blueprint”  is a document in which your state tells CMS a little about how you intend to build out and operate your exchange.

State-Based Exchange Cash Flow Illustration

SBE Cash Flow Illustration

The Affordable Care Act (ACA) & 1332 Waiver Guidance

Here you’ll find the actual text from the Patient Protection and Affordable Care Act (PPACA), which is often shortened to the Affordable Care Act (ACA). You can also find the latest guidance on how to utilize 1332 waivers.

State-Based Marketplace Vendors & Key Organizations

There are experienced vendors who can help you each step of the way in your transition to a state-based marketplace.

Organizations assisting with the operation and formation of SBMs:

Get in touch

Want to learn how an SBM can specifically help your state, as well as estimate your savings? Email GetInsured’s Business Development at hello@getinsured.com.