CMS Issues Program Integrity Guidelines for Marketplace - Make Your Revenue Smarter

CMS released a proposed rule outlining program integrity guidelines for the Health Insurance Marketplace (Marketplace) and premium stabilization programs.

Through the Affordable Care Act, consumers and small businesses will have access to new Marketplaces where they can access quality, affordable private health insurance.  Consumers in every state will be able to buy insurance from qualified health plans directly through these Marketplaces and may be eligible for tax credits to lower the cost of their health insurance.

Many of the provisions in this rule build on guidance previously issued to states and other key stakeholders.  The policies offer clarity on oversight of various premium stabilization and affordability programs, build on state options regarding the Small Business Health Options Program, and provide technical clarifications.

With open enrollment only a few months away, consumers can look forward to receiving more information in the coming weeks and months about how to enroll in the Marketplace.
This summer, CMS will re-launch HealthCare.gov, where consumers will have access to real-time information and help to sign up for coverage during open enrollment in October.

The Marketplace call center will begin taking calls from consumers, beginning with educational information and then assisting with enrollment and plan selection on October 1.  CMS will also begin consumer assistance training this summer so that consumers will have the help they need in applying for and choosing the coverage that is right for them.

To access the proposed rule released today, visit: http://www.ofr.gov/inspection.aspx

To view a fact sheet on the proposed rule, visit:  http://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/pi-nprm-6-14-2013.html

For more information about Health Insurance Marketplaces, visit: www.healthcare.gov/marketplace

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