CMS Releases Final Rule on Essential Health Benefits in Medicaid Alternative Benefit Plans, Eligibility Notices, Hearings, and Cost-Sharing
July 16, 2013
http://www.gpo.gov/fdsys/pkg/FR-2013-07-15/pdf/2013-16271.pdf
On July 5, 2013, CMS issued a final rule implementing provisions of the Affordable Care Act related to eligibility, enrollment, and benefits in Medicaid, the Children's Health Insurance Program (CHIP) and the Health Insurance Marketplace. This final rule addresses aspects of the Medicaid, CHIP and Marketplace eligibility notices and appeals processes; provides additional flexibility regarding benefits and cost sharing for state Medicaid programs; codifies several eligibility and enrollment provisions included in the Affordable Care Act and the Children's Health Insurance Program Reauthorization Act (CHIPRA) and provides operational guidance to help states implement their Health Insurance Marketplaces.
Click here for a CMS presentation on Essential Health Benefits in Medicaid Alternative Benefit Plans
Click here for a CMS presentation on the new eligibility and enrollment details in Medicaid and CHIP
