Jan. 15 — A new proposed rule from the U.S. Department of Health and Human Services (HHS) would allow state-based exchanges to rely on HHS to verify whether an individual has employer-sponsored coverage and conduct some types of appeals. The proposed rule also would give states more flexibility in designing benefits and determining cost sharing in state Medicaid programs.
The proposed rule, announced Monday by HHS Secretary Kathleen Sebelius, lays out consistent standards and systems for coordinating Medicaid, the Children’s Health Insurance Program (CHIP), and health insurance exchange eligibility notices and appeals. Several provisions included in the Affordable Care Act and Children’s Health Insurance Program Reauthorization Act (CHIPRA) would be codified under the proposed rule.
For more information on this proposed rule, see the fact sheet.
Publication Date: Tuesday, January 15, 2013