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HHS/CMS | RIN: 0938-AS19 | Publication ID: Fall 2014 |
Title: CY 2016 Notice of Benefit and Payment Parameters (CMS-9944-P) | |
Abstract:
This proposed rule would set forth payment parameters and provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges. It would also provide additional standards for the annual open enrollment period for 2016, essential health benefits, network adequacy, essential community providers, quality improvement strategies, the sale of non-qualified health plans through Exchanges, the good faith compliance enforcement safe harbor, a suppression status for QHPs, the Small Business Health Options Program, guaranteed availability and guaranteed renewability, minimum essential coverage, and the medical loss ratio program. |
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Agency: Department of Health and Human Services(HHS) | Priority: Economically Significant |
RIN Status: Previously published in the Unified Agenda | Agenda Stage of Rulemaking: Proposed Rule Stage |
Major: Yes | Unfunded Mandates: State, local, or tribal governments; Private Sector |
CFR Citation: 45 CFR 153 45 CFR 155 45 CFR 156 | |
Legal Authority: PL 111-148, title I |
Legal Deadline:
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Timetable:
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Regulatory Flexibility Analysis Required: No | Government Levels Affected: Federal, Local, State, Tribal |
Federalism: Yes | |
Included in the Regulatory Plan: No | |
RIN Data Printed in the FR: No | |
Agency Contact: Laurie McWright Director, Payment Policy and Financial Management Group Department of Health and Human Services Centers for Medicare & Medicaid Services Center for Consumer Information and Insurance Oversight, MS: 733H.02, 7500 Security Boulevard, Baltimore, MD 21244 Phone:301 492-4311 Email: laurie.mcwright@cms.hhs.gov |