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HHS releases proposed rule on exchange implementation

Source: Mondaq

  June 18. 2013 8:00AM - Last modified: June 18. 2013 8:55AM

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On June 14th,CMS released a proposed rule with program integrity guidelines for the Health Insurance Marketplace.

Among other things, the proposed rule requires all qualified health plans to accept additional payment options for premiums including money orders, cashier's checks, and prepaid cards. By allowing these addition forms of payment, CMS is seeking to assuage concerns that underbanked consumers can still purchase health coverage with federal subsidies through online insurance marketplaces. In addition, the proposed rule would:

  •     Ensure that data sharing requirements will not apply for states opting to only run the SHOP exchange while HHS operates the individual exchange. Utah is the only state that has such a system.
  •     Build on existing standards for agents and brokers by clarifying the pathways through which they can help consumers and small businesses in Federally-facilitated Marketplaces.
  •     Establish standards for HHS-approved enrollee satisfaction surveys.

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