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PCIP Will Now Pay Enrollment Entities (EE) Application Assistance Payments

Enrollment Entities (EEs) and Certified Application Assistants (CAAs) are an invaluable resource for helping uninsured Californians get the health insurance they need. To help ensure that everyone who is eligible for the Pre-Existing Condition Insurance Plan (PCIP) applies, PCIP will pay EEs application assistance payments.  Qualified EEs will receive application assistance payments for PCIP certified CAAs whose application assistance result in a successful enrollment in the PCIP program.

The EE must be registered with the Healthy Families Program (HFP) and/or PCIP and the CAA must be certified for the PCIP program.

To be eligible for the Application Assistance Payment:

  • EEs currently registered with HFP do not need to re-apply.
  • EEs not currently registered with HFP need to submit an Invitation to Participate (ITP) Form to PCIP for approval. The link also provides Instructions for completing the ITP form.
  • CAAs need to complete PCIP certification.
    • The certification process:
      1. Requires CAAs to take a 2-hour training course, entitled "PCIP 101", CAAs who complete the PCIP 101 training course and pass the certification exam will be PCIP certified.

Additionally: In order for the EE to receive the PCIP application assistance payment, the PCIP certified CAA must complete Section 10 of the new PCIP/MRMIP Application. All applicable boxes for the EE/CAA must be filled out to qualify for the PCIP application assistance payment. Missing information will not be accepted at a later date for payment.

For further information about the EE/CAA process for the PCIP and CAA PCIP certification, please contact the EE/CAA Liaison Helpdesk at 1-800-279-5012. Or you may email ee-caaliaison@maximus.com.  Their business hours are Monday through Friday from 8:30 am to 5:00 pm.