IR-2021-31, February 8, 2021. The notice also reiterates that vaccinations continue to be considered preventive care under section 223(c)(2)(C) of the Code for purposes of determining whether a health plan is an HDHP. As noted above, they can work with their plan or issuer to extend the special enrollment period beyond the minimum 60 days required by statute. Office of the Medicaid Inspector General to Initiate Compliance Program Reviews. Nationwide, tens of millions of people will have their Medicaid or CHIP eligibility redetermined in the coming months. (15) The November 2020 interim final rules also implement the 15-business-day requirement. PDF Families First Coronavirus Response Act "(42) CMS will update HealthCare.gov so that Marketplace-eligible consumers who submit a new application or update an existing application between March 31, 2023, and July 31, 2024, and attest to a last date of Medicaid or CHIP coverage within the same time period, are eligible for an "Unwinding SEP." Consumers who are eligible for the Unwinding SEP will have 60 days from the date they submit or update their application to select a Marketplace plan with coverage that starts the first day of the month after they select a plan. .usa-footer .container {max-width:1440px!important;} The Families First Coronavirus Response Act (FFCRA or Act) requires certain employers to provide their employees with paid sick leave or expanded family and medical leave for specified reasons related to COVID-19. On February 9, 2023, the CDC approved the 2023 child and adolescent and adult immunization schedules recommended by ACIP, including COVID-19 vaccines, which are available on the CDC immunization schedule website at. the 60-day election period for COBRA continuation coverage. Nationwide Waiver of Meal Service Time Restrictions for Summer 2022 The April 12, 2022, PHE extension announcement, which extended the PHE effective April 16, 2022, means the PHE will be in place through at least July 15, 2022. On January 10, 2022, the Departments issued FAQs about Affordable Care Act Implementation Part 51, Families First Coronavirus Response Act and Coronavirus Aid, Relief, and Economic Security Act Implementation (FAQs Part 51). 6201 (116th): Families First Coronavirus Response Act . 26 CFR 54.9815-2713(a)(3); 29 CFR 2590.715-2713(a)(3); 45 CFR 147.130(a)(3). Medicaid Coverage Protections in Families First Act: What They Require This requirement is specified in section 3202(b) of the CARES Act and implementing regulations at 45 CFR Part 182. (18) Therefore, after the end of the PHE, plans and issuers subject to section 3203 of the CARES Act must continue to cover, without cost sharing, qualifying coronavirus preventive services, including, consistent with the applicable ACIP recommendation, all COVID-19 vaccines within the scope of the Emergency Use Authorization (EUA) or Biologics License Application (BLA) for the particular vaccine and their administration,(19) pursuant to section 2713(a) of the PHS Act and its implementing regulations. Individual A is eligible to elect COBRA coverage under Employer Xs plan and is provided a COBRA election notice on May 1, 2023. 6201, the Families First Coronavirus Response Act (FFCRA), was in effect April 1, 2020 through Dec. 31, 2020. As a result, the individuals covered by such a plan will not fail to be eligible individuals under section 223(c)(1) of the Code who may contribute to an HSA merely because of the provision of those health benefits for testing and treatment of COVID-19. Infection Radar. Subsequent monthly COBRA premium payments would be due the first of each month, subject to a 30-day grace period. Tax Credits for Paid Leave Under the Families First Coronavirus Response Act for Leave Prior to April 1, 2021 Tax Credits for Paid Leave Under the Families First Coronavirus Response Act for Leave Prior to April 1, 2021 These updated FAQs were released to the public in Fact Sheet 2022-16 PDF, March 3, 2022. the date within which individuals may file a benefit claim under the plans claims procedure. Because Individual C became eligible for special enrollment on May 12, 2023, after the end of the COVID-19 National Emergency but during the Outbreak Period, the extensions under the emergency relief notices still apply. Similarly, section 3202(b) of the CARES Act, which requires COVID-19 diagnostic test providers to make public the cash price of a COVID-19 diagnostic test on the providers public internet website, applies only during the PHE beginning on or after March 27, 2020. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} However, providers of diagnostic tests for COVID-19 are encouraged to continue to make the cash price of a COVID-19 diagnostic test available on the providers public internet website for a sufficient time period (e.g., at least 90 days) after the end of the PHE. They may also encourage employees to respond promptly to any communication from the state. The .gov means its official. Facts: Individual A works for Employer X and participates in Employer Xs group health plan. H.R. the date within which claimants may file an appeal of an adverse benefit determination under the plans claims procedure. On December 28, 2022, Title 18 of the New York Codes, Rules and Regulations (NYCRR) Part 521, located in the Office of the Medicaid Inspector General (OMIG) Summary of Regulation document, was adopted, outlining the requirements for effective compliance programs in the Medicaid program. Therefore, timeframes to complete elections or other actions subject to the Joint Notice, EBSA Notice, and Notice 2021-58 (together, the emergency relief notices) are extended until 1 year from the date the participant, beneficiary, or plan was first eligible for relief or 60 days after the announced end of the COVID-19 National Emergency (i.e., 1 year after the date they were first eligible or the end date for the Outbreak Period), whichever is earlier. 8. The CARES Act was enacted on March 27, 2020.3 Section 3201 of the CARES Act amended section 6001 of the FFCRA to include a broader range of diagnostic items and services that plans and issuers must cover without any cost-sharing requirements, prior authorization, or other medical management requirements.4 Section 3202(a) of the CARES Act requires Families First Coronavirus Response Act - Minnesota Department of Human Reminders to Qualified Health Plan Issuers: CMS QHP Agreement Requirements for PII Breach and Security Incident Reporting (PDF), HHS Notice of Benefit and Payment Parameters Fact Sheet, for 2019 Benefit Year Cost-sharing Reduction (CSR) Data Submission, for 2020Benefit Year Cost-sharing Reduction (CSR) Data Submission, In-Person Assistance in the Health Insurance Marketplaces, Summary of Benefits and Coverage and Uniform Glossary, Language Access Taglines for Exchanges, Qualified Health Plan (QHP) Issuers, and Web-Brokers, Pre-Existing Condition Insurance Plan (PCIP), Consumer Operated and Oriented Plan (CO-OP) Program, Self-Funded Non-Federal Governmental Plans, Information Related to COVID19 Individual and Small Group Market Insurance Coverage (PDF), FAQs on Essential Health Benefits Coverage and the Coronavirus (COVID-19) (PDF), FAQs on Catastrophic Plan Coverage and the Coronavirus Disease 2019 (COVID-19) (PDF), FAQs on Availability and Usage of Telehealth Services through Private Health Insurance Coverage in Response to Coronavirus Disease 2019 (COVID-19) (PDF), Payment and Grace Period Flexibilities Associated with the COVID-19 National Emergency (PDF), FAQs on Prescription Drugs and the Coronavirus Disease 2019 (COVID-19) for Issuers Offering Health Insurance Coverage in the Individual and Small Group Markets (PDF), COVID-19 and Suspension of Certain Activities Related to the Health Insurance ExchangeQuality Rating System, QHP Enrollee Experience Survey (QHP Enrollee Survey) andQuality ImprovementStrategy Program (PDF), FAQs on Issuer Flexibilities for Utilization Management and PriorAuthorization (PDF), Temporary Period of Relaxed Enforcement of Certain Timeframes Related to Group Market Requirements under the Public Health Service Act in Response to the COVID-19 Outbreak (PDF), Letter to Sponsors of non-Federal Governmental Plans Regarding COVID-19 Guidance (PDF), Temporary Period of Relaxed Enforcement for Submitting the 2019 MLR Annual Reporting Form and Issuing MLR Rebates in Response to the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (PDF), Leveraging Existing Health and Disease Management Programs to Provide Mental Health and Substance Use Disorder Resources During the COVID-19 Public Health Emergency (PHE) (PDF), Risk Adjustment Telehealth and Telephone Services During COVID-19 FAQs (PDF), Temporary Policy on 2020 Premium Credits Associated with the COVID-19 Public Health Emergency (PDF), Technical Fact Sheet: CCIIO Premium Reductions: Medicare and Medicaid Programs, Clinical Laboratory Improvement Amendments (CLIA), and Patient Protection and Affordable Care Act; Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency (PDF), Medicare and Medicaid Programs, Clinical Laboratory Improvement Amendments (CLIA), and Patient Protection and Affordable Care Act; Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency (PDF), Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency Interim Final Rule (CMS-9912-IFC) (PDF), COVID-19 Vaccines: Information for Providers, Health Insurance Issuers, State Medicaid Programs, and Childrens Health Insurance Programs (CHIP) and Basic Health Programs (BHP), Toolkit on COVID-19 Vaccine: Health Insurance Issuers and Medicare Advantage Plans (PDF), FAQs about Families First Coronavirus Response Act and the Coronavirus Aid, Relief, and Economic Security Act Implementation (Set 44) (PDF), Risk Adjustment Telehealth and Telephone Services During COVID-19 FAQs (PDF), Temporary Policy on 2021 Premium Credits in the Small Group Market Only Associated with the COVID-19 Public Health Emergency (PDF), Toolkit on COVID-19 Vaccine: Health Insurance Issuers and Medicare Advantage Plans (PDF), FAQs about Affordable Care Act Implementation, Families First Coronavirus Response Act, and Coronavirus Aid, Relief, and Economic Security Act Implementation (Set 51), How to get your At-Home Over-The-Counter COVID-19 Test for Free, Families First Coronavirus Response Act and Coronavirus Aid, Relief, and Economic Security Act Implementation (Set52), Risk Adjustment Telehealth and Telephone Services During COVID-19 FAQs(PDF), FAQs about Families First Coronavirus Response Act, Coronavirus Aid, Relief, and Economic Security Act and Health Insurance Portability and Accountability Act Implementation (Set 58), FAQs about Affordable Care Act and Coronavirus Aid, Relief, and Economic Security Act Implementation (Set 59), Affordable Care Act Implementation FAQs (Set 1), Affordable Care Act Implementation FAQs (Set 2), Affordable Care Act Implementation FAQs (Set 3), Affordable Care Act Implementation FAQs (Set 4), Affordable Care Act Implementation FAQs (Set 5), Affordable Care Act Implementation FAQs (Set 6), Affordable Care Act Implementation FAQs (Set 7), Frequently Asked Questions from Employers Regarding Automatic Enrollment, Employer Shared Responsibility, and Waiting Periods (PDF - 93 KB) (PDF), Affordable Care Act Implementation FAQs (Set 8), Affordable Care Act Implementation FAQs (Set 9), Affordable Care Act Implementation FAQs (Set 10), Affordable Care Act Implementation FAQs (Set 11), Affordable Care Act Implementation FAQs (Set 12), Affordable Care Act Implementation FAQs (Set 13), Affordable Care Act Implementation FAQs (Set 14), Affordable Care Act Implementation FAQs (Set 15), Affordable Care Act Implementation FAQs (Set 16), Affordable Care Act Implementation FAQs (Set 17), Affordable Care Act Implementation FAQs (Set 18), Affordable Care Act Implementation FAQs (Set 19), Affordable Care Act Implementation FAQs (Set 20) (PDF), Affordable Care Act Implementation FAQs (Set 21) (PDF), Affordable Care Act Implementation FAQs (Set 22) (PDF), Affordable Care Act Implementation FAQs(Set 23) (PDF), Affordable Care Act Implementation FAQs(Set 24), Affordable Care Act Implementation FAQs(Set 25) (PDF), Affordable Care Act Implementation FAQs(Set 26) (PDF), Affordable Care Act Implementation FAQs(Set 27) (PDF), Affordable Care Act Implementation FAQs(Set 28) (PDF), Affordable Care Act Implementation FAQs(Set 29) (PDF), Affordable Care Act Implementation FAQs(Set 30) (PDF), Affordable Care Act Implementation FAQs (Set 31) (PDF), Affordable Care Act Implementation FAQs(Set 32) (PDF), Affordable Care Act Implementation FAQs(Set 33), Affordable Care Act Implementation FAQs(Set 34), Affordable Care Act Implementation FAQs (Set 35) (PDF), Affordable Care Act Implementation FAQs (Set 36) (PDF), Affordable Care Act Implementation FAQs (Set 37) (PDF), Affordable Care Act Implementation FAQs (Set 38) (PDF), Affordable Care Act Implementation FAQs (Proposed Set 39), Affordable Care Act Implementation FAQs (Set 40) (PDF), Affordable Care Act Implementation FAQs (Final Set 39) (PDF), Affordable Care Act Implementation FAQs (Set 41) (PDF), Families First Coronavirus Response Act and Coronavirus Aid, Relief, and Economic Security Act Implementation FAQs (Set 44) (PDF), Affordable Care Act Implementation FAQs (Set 45) (PDF), Affordable Care Act Implementation FAQs (Set 46) (PDF), Affordable Care Act Implementation FAQs (Set 47) (PDF), Affordable Care Act Implementation FAQs (Set 48) (PDF), Affordable Care Act Implementation FAQs (Set 49) (PDF), Affordable Care Act Implementation FAQs (Set 50) (PDF), FAQs about Affordable Care Act Implementation, Families First Coronavirus Response Act, and Coronavirus Aid, Relief, and Economic Security Act Implementation (Set 51) (PDF), Families First Coronavirus Response Act and Coronavirus Aid, Relief, and Economic Security Act Implementation FAQs (Set 52) (PDF), Affordable Care Act Implementation FAQs (Set 53) (PDF), Affordable Care Act Implementation FAQs (Set 54) (PDF), FAQs about Affordable Care Act and Consolidated Appropriations Act, 2021 Implementation (Set 55) (PDF), FAQs about Affordable Care Act and Consolidated Appropriations Act, 2021 Implementation (Set 56), FAQs about Consolidated Appropriations Act, 2021 Gag Clause Implementation (Set 57), State Consumer Assistance Program Participation in Exchange Core Area 10 (PDF), New Funding Opportunity for Consumer Assistance Programs, Consumer Assistance Program Grants: Helping States Give Consumers Greater Control of their Health Care, Consumer Assistance Program Grants: How States Are Using New Resource to Give Consumers Greater Control of their Health Care, CAP Limited Competition Funding Opportunity Announcement, New Consumer Assistance Programs Funding Opportunity for all States and Territories, CAP Limited Competition Funding Opportunity Announcement (PDF), Affordable Care Act: Working with States to Protect Consumers, HHS-Administered Federal External Review Process, 2013 County Data for Culturally and Linguistically Appropriate Services (PDF), Culturally and Linguistically Appropriate Services (CLAS) County Data (PDF), Providing Clear and Consistent Information to Consumers about Their Health Insurance Coverage, Proposed Summary of Benefits and Coverage and Uniform Glossary Rules (PDF), Summary of Benefits and Coverage and Uniform Glossary Final Rule (PDF), SBC Online Posting of Policy and Certificate of Coverage (PDF), FAQs Regarding the Summary of Benefits and Coverage (SBC) Related to Rate Filing and QHP Certification (PDF), FAQs on the Summary of Benefit and Coverage Applicability Date (PDF), FAQs on the Applicability Date of the Updated Summary of Benefits and Coverage Template, Calculator, and Related Materials (PDF), State Consumer Assistance Brochure (PDF 2 MB) (PDF), Language Access Tagline Frequently Asked Questions (PDF), Establishing the Web Portal Called For in the Affordable Care Act (PDF 115 KB) (PDF), About the New Pre-Existing Condition Insurance Plan, State by State Enrollment in the Pre-Existing Condition Insurance Plan, Special Enrollment Period for Individuals Losing Coverage through the Pre-Existing Condition Insurance Program (PCIP) on April 30, 2014 (PDF), State Health Insurance Marketplaces (List of Conditionally Approved Exchanges), Marketplace Timeline (PDF - 240 KB) (PDF), Narrative Description of Marketplace Timeline (PDF - 204 KB) (PDF), Notice of Proposed Rulemaking on Program Integrity, HHS Final Rule and Treasury Notices on Individual Shared Responsibility Provision Exemptions, Minimum Essential Coverage, and Related Topics, Eligibility Final Rule: Strengthening Medicaid, The Childrens Health Insurance Program and The New Health Insurance Marketplace, Program Integrity Rule: Exchanges, SHOP, Eligibility Appeals: Safeguarding Federal Funds and Furthering Consumer Protection, Program Integrity Rule: Exchanges, Premium Stabilization Programs and Market Standards; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014, Special Enrollment Periods and the Consumer Operated and Oriented Plan Program (PDF), Pre-Enrollment Verification for Special Enrollment Periods (PDF), Promoting Transparency and Appropriate Coverage for Dialysis Patients (PDF), Fact Sheet for Exchange Program Integrity Proposed Rule (PDF), State Exchange Implementation Questions and Answers (PDF 135 KB) (PDF), Frequently Asked Questions on the Blueprint for Exchanges, Exchanges, Market Reforms and Medicaid Frequently Asked Questions (PDF - 356 KB) (PDF), Frequently Asked Questions on Reuse of Exchange for Ancillary Products (PDF - 127 KB) (PDF), Frequently Asked Questions on Health Insurance Marketplaces (PDF 86 KB) (PDF), Question and Answer on Assessment Fees Collected in a State-based Marketplace (PDF 124 KB) (PDF), Question and Answer on Health Insurance Marketplaces and Income Verification (PDF 104 KB) (PDF), Question and Answer on Members of Congress and Staff Accessing Coverage through Health Insurance Exchanges (Marketplaces) (PDF), Question and Answer on Enrollment Period (PDF), Question and Answer on Third Party Payments of Premiums for Qualified Health Plans in the Marketplaces (PDF), Question and Answer on Choice of Methodology for Cost-Sharing Reduction Reconciliation (PDF), Third Party Payments of Premiums for Qualified Health Plans in the Marketplaces (PDF), Question and Answer on Medicaid Managed Care Contractors Outreach to Former Enrollees (PDF), Question and Answer on Cost-Sharing Reductions for Contract Health Services (PDF), Frequently Asked Questions on Essential Community Providers (PDF 106 KB) (PDF), Frequently Asked Questions on State-Based SHOP Direct Enrollment (PDF), Frequently Asked Questions on State-based Marketplace Options for Implementing Exemptions from the Shared Responsibility Payment (PDF), Frequently Asked Questions Regarding Agents and Brokers Operating in the SHOP Marketplace (PDF), Frequently Asked Questions Regarding the Federally-Facilitated Marketplaces (FFM) 2016 Employer Notice Program (PDF), Frequently Asked Questions On The Applicability Of The Minimum Acceptable Risk Standards for Exchanges (MARS-E) 2.0 To Qualified Health Plan (QHP) Issuers (PDF), Frequently Asked Questions on Incarceration and the Marketplace (PDF), Frequently Asked Questions on Annual Income Threshold Adjustment (PDF), Frequently Asked Questions Regarding Third-party Auditor Operational Readiness Reviews for the Proxy Direct Enrollment Pathway (PDF), FAQs Regarding Spanish Translation and Audit Requirements for Enhanced Direct Enrollment (EDE) Entities Serving Consumers in States with FFEs (PDF), FAQs for Agents, Brokers and Assisters Providing Consumers with Details on Plan Coverage of Certain Abortion Services (PDF), 2019 Frequently Asked Questions on the Blueprint for Exchanges (PDF), FAQ: Enhanced Direct Enrollment Calendar Year 2019 Timeline (Updated) (PDF), Blueprint for Approval of State-Based Health Insurance Exchanges (PDF), FAQ: Enhanced Direct Enrollment Calendar Year 2020 Timeline (PDF), FAQ: Quality Rating Information Bulletins (Quality Bulletins) Display Guidelines for Direct Enrollment (DE) Entities (PDF), FAQ: Medicaid/CHIP Periodic Data Matching, Temporary Special Enrollment Period (SEP) for Consumers Losing Medicaid or the Childrens Health Insurance Program (CHIP) Coverage Due to Unwinding of the Medicaid Continuous Enrollment Condition Frequently Asked Questions (FAQ), Helping Consumers Apply & Enroll Through the Marketplace (PDF - 213KB) (PDF), Navigator Funding Opportunity Announcement, Frequently Asked Questions: Navigator Funding Opportunity Announcement, Overview of Applying for the Cooperative Agreement to Support Navigators in Federally-facilitated and State Partnership Marketplaces (PDF - 381 KB) (PDF), Essential Health Benefits Standards: Ensuring Quality, Affordable Coverage, 2019 Draft Annual Letter to Issuers for 2019, Frequently Asked Questions on the Essential Health Benefits Bulletin (PDF 88 KB) (PDF), State Evaluation of Plan Management Activities of Health Plans and Issuers (PDF - 35 KB) (PDF), Auto Re-enrollment for QHPs no longer available in the Marketplace (PDF), Frequently Asked Questions on Health Insurance Marketplace Standards (PDF), Second Lowest Cost Silver Plan Technical FAQs (PDF), FAQ on Compliance Safe Harbor for Issuers Affected by the Extension of the Enrollment Deadline to December 19, 2016 (PDF), Frequently Asked Questions on Medicaid Managed Care Organizations (PDF), Machine-Readable FAQ for FF-SHOP QHPs (PDF), FAQ on Compliance Standard for Issuers in Federally-facilitated Marketplaces (PDF), FAQ on Defrayal of State Required Additional Benefits (PDF), Health Insurance Exchanges: State Planning and Establishment Grants, Health Insurance Exchange Establishment Grants Fact Sheet, Creating a New Competitive Marketplace: Health Insurance Exchange Establishment Grants Awards List, Exchange Establishment Cooperative Agreement Funding FAQs, Consolidated Exchange Establishment Cooperative Agreement Funding FAQs, Using Section 1311(a) Funding for Marketing Activities in a Plan Management State Partnership Marketplace or Federally-facilitated Marketplace, Allowable Uses of Section 1311 Funding for States in a State Consumer Partnership Marketplace, Allowable Uses of Section 1311 Funding for States in a State Partnership Marketplace or in States with a Federally-Facilitated Marketplace, Frequently Asked Questions on Use of 1311 funding for Change Orders and Congressional Inquiries, State-based Marketplaces (SBMs): Frequently Asked Questions on the State-based Marketplace Annual Reporting Tool (SMART) (PDF), CMS Bulletin to Marketplaces on Availability of Retroactive Advance Payments of the PTC and CSRs in 2014 Due to Exceptional Circumstances (DOCX), Use of 1311 Funds and No Cost Extensions (PDF), The Use of 1311 Funds, Project Periods, and Updating the Cost Allocation Methodology (PDF), Clarification of the Use of 1311 Funds for Establishment Activities (PDF), States Leading the Way on Implementation: HHS Awards Early Innovator Grants to Seven States, Territory Cooperative Agreements for the Affordable Care Acts Exchanges, Technical Fact Sheet: Draft Notice of Payment and Benefit Parameters(PDF 117 KB) (PDF), HHS Notice of Benefit and Payment Parameters, Technical Fact Sheet: HHS Notice of Benefit and Payment Parameters for 2014 (PDF - 234 KB) (PDF), Proposed 2015 HHS Notice of Benefit and Payment Parameters, Proposed 2016 HHS Notice of Benefit and Payment Parameters Fact Sheet (PDF), Final 2016 HHS Notice of Benefit and Payment Parameters Fact Sheet (PDF), Proposed 2017 HHS Notice of Benefit and Payment Parameters Fact Sheet (PDF), Final 2017 HHS Notice of Benefit and 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Health and Substance Use Disorder Parity Task Force Announces New Actions and Recommendations, Compliance Assistance Materials Index (PDF), Mental Health Parity Implementation (ACA FAQs Set 5), Mental Health Parity Implementation (ACA FAQs Set 7), Mental Health Parity Implementation (ACA FAQs Set 17), Mental Health Parity Implementation (ACA FAQs Set 18), Mental Health Parity Implementation (ACA FAQs Set 29) (PDF), Mental Health Parity Implementation (ACA FAQs Set 31) (PDF), Mental Health Parity Implementation (ACA FAQs Set 34) (PDF), Mental Health Parity Implementation (ACA FAQs Set 38) (PDF), Mental Health Parity Implementation (ACA FAQs Set 39 - Proposed), Mental Health Parity Implementation (ACA FAQs Set 39 - Final) (PDF), Mental Health Parity Implementation (ACA FAQs Set 45) (PDF), Newborns' and Mothers' Health Protection Act of 1996 (NMHPA), Women's Health and Cancer Rights Act of 1998 (WHCRA), Technical Fact Sheet: Proposed Rule for Health Insurance Market Reforms (PDF - 128 KB) (PDF), Final Rule for Health Insurance Market Reforms, Technical Fact Sheet: Health Insurance Market Reforms (PDF - 75 KB) (PDF), Ensuring Health Insurance Protections for Consumers, Exchange and Insurance Market Standards for 2015 and Beyond and Final 2015 Letter to Issuers in the Federally-facilitated Marketplace, Exchange and Insurance Market Standards for 2015 and Beyond, Questions and Answers Related to the Health Insurance Market Reforms, Frequently Asked Questions on Health Insurance Market Reforms and Marketplace Standards (PDF), Frequently Asked Question on Qualified Health Plans and Guaranteed Availability Standards (PDF), Frequently Asked Questions on Health Insurance Market Reforms and Wellness Programs (PDF), Frequently Asked Questions on Uniform Modification and Plan/Product Withdrawal (PDF), Frequently Asked Questions on the Impact of PACE Act on State Small Group Expansion (PDF), Frequently Asked Questions on the 2017 Moratorium on Health Insurance Provider Fee (PDF), Frequently Asked Question on Health Insurance Market Reforms and Marketplace Standards (PDF), Frequently Asked Questions on Agent/Broker Compensation and Discriminatory Marketing Practices (PDF), Frequently Asked Questions on Agent/Broker Compensation and Guaranteed Availability of Coverage (PDF), Clarifying Guidance on the Frequently Asked Questions on Agent/Broker Compensation and Guaranteed Availability of Coverage, Questions and Answers Related to Annual Limit Waivers, Young Adults and the Affordable Care Act: Protecting Young Adults and Eliminating Burdens on Families and Businesses, Young Adults and the Affordable Care Act: Protecting Young Adults and Eliminating Burdens on Businesses and Families, Amendment to Regulation on Grandfathered Health Plans under the Affordable Care Act, Medical Loss Ratio: Getting Your Moneys Worth on Health Insurance, Potential Estimated Rebates Saved by HHS Determinations on State MLR Adjustment Applications, Technical Fact Sheet: Draft Notice of Payment and Benefit Parameters (PDF 117 KB) (PDF), Women's Preventive Services Coverage and Non-Profit Religious Organizations, Shining a Light on Health Insurance Rate Increases, Nearly $200 Million Available to Help States Fight Health Insurance Premium Increases, Fighting Unreasonable Health Insurance Premium Increases, Over $100 Million to Help States Crack Down on Unreasonable Health Insurance Rate Hikes, Rate Review Grant Map: State-by-State Summary of Rate Review Grants, Technical Fact Sheet: Proposed Effective Rate Review Rule Changes for Health Insurance Market Reforms (PDF - 70 KB) (PDF), States with Effective Rate Review Programs, Rate Review Training: Technical FAQs - Set 1, Rate Review Training: Technical FAQs - Set 2, Rate Review Grants: Cycle III funding opportunity FAQs - Set 1, Rate Review Grants: Cycle III funding opportunity FAQs - Set 2, Improving Health Insurance Protections for Students, Status of Student Health Insurance Coverage with Policy Years Starting Prior to January 1, 2012, Information Related to COVID19 Individual and Small Group Market Insurance Coverage, FAQs on Essential Health Benefits Coverage and the Coronavirus (COVID-19), FAQs on Catastrophic Plan Coverage and the Coronavirus Disease 2019 (COVID-19), FAQs on Availability and Usage of Telehealth Services through Private Health Insurance Coverage in Response to Coronavirus Disease 2019 (COVID-19), Payment and Grace Period Flexibilities Associated with the COVID-19 National Emergency, FAQs on Prescription Drugs and the Coronavirus Disease 2019 (COVID-19) for Issuers Offering Health Insurance Coverage in the Individual and Small Group Markets, FAQs about Families First Coronavirus Response Act and the Coronavirus Aid, Relief, and Economic Security Act Implementation, Postponement of 2019 Benefit Year HHS-operated Risk Adjustment Data Validation (HHS-RADV), August 16, 2021 (Updatedreplaces the July 23.
