<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 14.35.13.04" title_num="14" subtitle_num="35" chapter_num="13" heading="Scope of Authority.">
  <paragraph num="A.">
    <text>A certified application counselor may:</text>
    <paragraph num="(1)">
      <text>Provide information to consumers about the full range of qualified health plan and qualified dental plan options and insurance affordability programs, including advance premium tax credits and cost-sharing subsidies, the Maryland Medical Assistance Program, and the Maryland Children’s Health Program, for which they are eligible;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Assist consumers with the application process for determining eligibility for insurance affordability programs, including advance premium tax credits and cost-sharing subsidies, the Maryland Medical Assistance Program, and the Maryland Children’s Health Program;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Facilitate plan selection and enrollment of eligible individuals in qualified health plans, qualified dental plans, and access to advance premium tax credit and other cost-sharing subsidies; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Provide to consumers uniform, factual, and unbiased information approved by the Maryland Medical Assistance Program about all participating managed care organizations, including report cards, lists of enhanced benefits and covered services, and participating providers.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A certified application counselor may not express a personal or professional assessment about which Maryland Medical Assistance Program/Maryland Children’s Health Program managed care organization may be most appropriate for an eligible individual, may not make a managed care organization selection on the applicant’s behalf, and may not otherwise counsel an applicant about the selection of a managed care organization.</text>
  </paragraph>
  <paragraph num="C.">
    <text>If a Maryland Medical Assistance Program/Maryland Children’s Health Program eligible consumer seeks further counseling or additional assistance in choosing a managed care organization, a certified application counselor shall refer the consumer to the Consolidated Services Center or a local agency caseworker.</text>
  </paragraph>
  <paragraph num="D.">
    <text>A certified application counselor may not concurrently hold an Individual Exchange navigator certification.</text>
  </paragraph>
</regulation>