Resources from the Federal Government

The Center for Consumer Information and Insurnace Oversight (CCIIO) has released guidance for states that are considering implementing a State Partnership Exchange. This guidance provides a framework and roadmap, in addition to describing how the Department of Health and Human Services (HHS) will work with states independent of State Partnership Exchange.

This letter to state Medicaid Directors details the Affordable Care Act provisions for converting current net income eligibility thresholds to equivalent modified adjusted gross income (MAGI) thresholds in the Medicaid program and Children's Health Insurance Program (CHIP), the conversion methodology and process, and the timeframes for executing the conversions.

CMS has published answers to frequently asked questions on health insurance exchanges, market reforms, and Medicaid expansion

This proposed rule, released by the Deparment of Health and Human Services, addresses market reform regulation, covering guaranteed issue, community rating and rate review.

This proposed rule outlines Exchange and issuer standards related to coverage of essential health benefits and actuarial value, and it proposes a timeline for qualified health plans to be accredited in Federally-facilitated Exchanges and an amendment which provides an application process for the recognition of additional accrediting entities for purposes of certification of qualified health plans.

This document proposes amendments to regulations, consistent with the Affordable Care Act, regarding nondiscriminatory wellness programs in group health coverage.

This proposed rule covers topics including the federal risk adjustment model, reinsurance parameters, cost-sharing reduction payment methodology, and user fees for insurers offering QHPs in federal exchanges.

The U.S. Office of Personnel Management (OPM) has issued a proposed rule to implement the Multi-State Plan Program (MSPP).

This final Blueprint includes the declaration letter and application form which must be submitted by a state that elects to operate a state-based or partnership exchange

The Center for Medicaid and CHIP Services sent out a letter to State Medicaid Directors providing guidance on Medicaid benchmark benefit coverage options, which will now be referred to as “Alternative Benefit Plans.”