Navigator Examination and Licensing Procedures and Standards

PURPOSE: This rule prescribes the application process, fees, examination, and initial training for navigators. (1) Application and Fees. Application for a navigator license shall include the following, as applicable: (A) Initial Licensure. 1. Individual navigator. A. A completed application form, which is included herein as Exhibit 1 of this rule revised July 24, 2013, or any form which substantially comports with the specified form. B. Twenty-five dollar ($25) application fee. 2. Entity navigator. A. A completed application form, which is included herein as Exhibit 2 of this rule revised July 24, 2013, or any form which substantially comports with the specified form. B. Fifty dollar ($50) application fee. C. List of all Missouri-licensed navigators conducting business on behalf of the entity. (2) Required Examination. (A) Before an individual may be licensed as a navigator, the applicant must first take and pass an examination testing the individual’s knowledge regarding health insurance, health insurance exchanges, and navigator roles and responsibilities. The department may contract with an independent testing service(s) to administer an examination. In order to take the examination, an individual must register and pay an applicable testing fee. (B) An individual may satisfy the examination requirement by demonstrating achievement of a passing score on any approved certification examination that allows the individual to perform duties identified in 42 U.S.C. section 18031(i) or related duties, irrespective of whether the examination is for purposes of serving as a navigator, certified application counselor, in-person assister, or health center outreach and enrollment assistance worker. (3) Initial Training. Initial training shall be that training which is sufficient to pass the examination referenced in section (2) above. AUTHORITY: sections 374.045 and 376.2000–376.2014, RSMo Supp. 2013.* Emergency rule filed July 24, 2013, effective Aug. 3, 2013, expired Jan. 29, 2014. Original rule filed July 24, 2013, effective Jan. 30, 2014. *Original authority: 374.045, RSMo 1967, amended 1993, 1995, 2008; 376.2000, RSMo 2013; 376.2002, RSMo 2013; 376.2004, RSMo 2013; 376.2006, RSMo 2013; 376.2008, RSMo 2013; 376.2010, RSMo 2013; 376.2011, RSMo 2013; 376.2012, RSMo 2013; and 376.2014, RSMo 2013.