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HHS/CMS RIN: 0938-AR74 Publication ID: Spring 2013 
Title: ●Amendments to the Notice of Benefit and Payment Parameters; Cost-Sharung Reductions and Risk Corridors (CMS-9964-F3) 
Abstract: This rule finalizes standards implemented in the March 11, 2013 interim final rule. This rule adjusts risk corridor calculations to align with the single risk pool provision and sets standards permitting issuers of qualified health plans the option of using an alternate methodology for calculating the value of cost-sharing reductions provided for the purpose of reconciliation of advance payments of cost-sharing reductions. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 45 CFR 153; 45 CFR 155 
Legal Authority: PL 111-148 sec 1341 to 1343 
Legal Deadline:
Action Source Description Date
Final  Statutory    01/01/2014 
Timetable:
Action Date FR Cite
Interim Final Rule  03/11/2013  78 FR 15541 
Interim Final Rule Comment Period End  04/30/2013   
Final Action  08/00/2013   
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal, State 
Small Entities Affected: Businesses, Governmental Jurisdictions  Federalism: Yes 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Related RINs: Related to 0938-AR51 
Agency Contact:
Sharon Arnold
Director, Payment Policy and Financial Management Group
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Consumer Information & Insurance Oversight, Mail Stop 733H.02, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:301 492-4286
Email: sharon.arnold@cms.hhs.gov

 
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