CAC Application Form
Certified Application Counselor (CAC) Organizations must be approved by the Exchange prior to individual CACs obtaining Exchange appointment.
- In order to participate in Nevada’s Certified Application Counselor (CAC) Program, all organizations that want to be certified as CAC Organizations must initially fill out the form below.
- The organization must include a listing of staff members who plan to be certified as an Exchange Enrollment Facilitator (EEF/CAC) to help Nevadans enroll through Nevada Health Link. Staff names must be entered one at a time, first name then last name, ensuring there is no more than one staff member on one line. Note: Forms submitted incorrectly will not be reviewed.
- Organizations will be approved by Nevada Health Link and a list of the organizations (and approved staff) will receive notice from Nevada health Link regarding training information assisting consumers..
- If you are interested in receiving assistance to pay for the certification, please review the process and requirements outlined here.
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