AHA Final Health Insurance Marketplace Rules

CMS published a final rule for Strengthening Medicaid, The Children’s Health Insurance Program and the Health Insurance Marketplace on July 5, 2013.  It will be published in the Federal Register on July 15, 2013. 

The final rule addresses aspect of the Medicaid, (CHIP) and Marketplace eligibility notices and appeals process.  Some of the key provisions are listed below:

•               Coordination of Appeals of Eligibility Determinations
•        Changes in Medicaid Benefits
•        Changes in Medicaid Cost Sharing
•               Open enrollment period for Medicaid, CHIP, and Exchanges
•        Verification of employer-sponsored coverage
•        Presumptive Eligibility

For more information please utilize the temporary link below:

http://www.ofr.gov/(X(1)S(1dtx2qisx2r5f5wtwiilfqf4))/OFRUpload/OFRData/2013-16271_PI.pdf