Medicaid Agency Training for Consumer Assisters in Federally Facilitated Marketplace States
Various types of assisters are at work across the country to support consumers with enrollment in health coverage. Consumers will be screened for eligibility for both Medicaid and the marketplace and will be referred to the appropriate program for enrollment, regardless of where they first seek coverage. State Medicaid agencies can play an important role to help ensure marketplace assisters are trained on the essentials of the Medicaid program. Medicaid agencies are also offering information on the marketplace to their staff. This brief provides an overview of federal training for marketplace assisters as well as examples of how state Medicaid agencies in Federally Facilitated Marketplace (FFM) and State Partnership Marketplace (SPM) states have worked with a diverse set of partners to advise on, develop and deliver state-specific consumer assistance training.
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For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
