AHM-250

The AHIP AHM-250 exam, covering the Affordable Care Act (ACA) and related regulations, focuses on several key areas. There isn't a publicly available, definitive list of every point covered, but the main points generally revolve around these topics:

• ACA Marketplaces (exchanges): Understanding how the marketplaces function, including enrollment periods, eligibility determination, plan selection, and consumer assistance programs. This includes knowledge of the different metal tiers (bronze, silver, gold, platinum) and their cost-sharing responsibilities.

• Eligibility and Enrollment: Deep understanding of eligibility criteria for marketplace subsidies (based on income, household size, etc.), as well as the enrollment process and deadlines. This also includes understanding special enrollment periods and qualifying life events.

• Health Plan Benefits and Cost-Sharing: Thorough knowledge of essential health benefits (EHBs) mandated by the ACA, cost-sharing reduction (CSR) programs, and how different plans vary in their premiums, deductibles, copays, and out-of-pocket maximums.

• Medicaid and CHIP: Understanding the role of Medicaid and the Children's Health Insurance Program (CHIP) in providing health coverage, including eligibility requirements, enrollment procedures, and how they interact with the ACA marketplaces.

• Consumer Protections: Understanding the consumer protections offered under the ACA, such as guaranteed issue, community rating, and protections for pre-existing conditions.

• Navigating Marketplace Tools and Resources: Familiarity with the HealthCare.gov website and other resources available to assist consumers in navigating the marketplace.

• Compliance and Regulations: A foundational understanding of relevant federal and state regulations related to the ACA and health insurance sales.

• HIPAA: While not the central focus, knowledge of HIPAA regulations related to patient privacy and data security is often relevant.

In summary: The AHIP AHM-250 exam tests your comprehensive understanding of how the ACA impacts individuals seeking health insurance through the marketplaces, and the procedures and regulations surrounding that process. The exam is designed to ensure that those who pass possess the knowledge and skills to effectively assist consumers in understanding and navigating their options. To prepare effectively, review official government resources (healthcare.gov) and AHIP's own study materials.