Sec. 12. (a) Subject to subsections (b), (c), and (d), "navigator" means an individual who:
(1) is described in Section 1311(i) of PPACA (42 U.S.C. 18031(i));
(2) assists other individuals with application for and enrollment in a health benefit exchange or public health insurance program; or
(3) performs the functions of a navigator with respect to a health benefit exchange as established by the commissioner.
(b) In the commissioner's discretion, the term does not include an individual who does one (1) or more of the following:
(1) Provides assistance with application for and enrollment in Medicaid to other individuals who, based on preliminary information obtained by the individual, may be eligible for Medicaid without respect to the other individuals' income or assets.
(2) Provides other individuals with general information concerning the application process for enrollment in a public health insurance program, but does not participate with the other individuals in making application for the other individuals' enrollment in a public health insurance program.
(c) The term does not include an individual who makes presumptive eligibility determinations concerning other individuals' eligibility for enrollment in a public health insurance program.
(d) The term does not include a representative authorized by an individual to perform functions on behalf of the individual in connection with Medicaid.
As added by P.L.278-2013, SEC.27.
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