United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2013_register executive 2013-08-29 article Part VI Rules and Regulations D09002ee1c7fb0db4 D09002ee1c7fb0ea7 United States Department of Health and Human Services originator org United States Government Agency or Subagency This final rule implements provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act). Specifically, this final rule outlines Exchange standards with respect to eligibility appeals, agents and brokers, privacy and security, issuer direct enrollment, and the handling of consumer cases. It also sets forth standards with respect to a State's operation of the Exchange and Small Business Health Options Program (SHOP). It generally is finalizing previously proposed policies without change. 78 FR 54070 https://www.govinfo.gov/app/details/FR-2013-08-30/2013-21338 2013-21338 fr30au13-24 RIN 0938-AR82 4120-01-P CMS-9957-F https://www.govinfo.gov/app/details/FR-2013-08-30/2013-21338 https://www.govinfo.gov/content/pkg/FR-2013-08-30/html/2013-21338.htm https://www.govinfo.gov/content/pkg/FR-2013-08-30/pdf/2013-21338.pdf Health Care Health Insurance Reporting and Recordkeeping Requirements State Regulation of Health Insurance Administrative Practice and Procedure Adverse Selection Health Records Organization and Functions (Government Agencies) Premium Stabilization Reinsurance Risk Adjustment Risk Corridors Risk Mitigation State and Local Governments Health Care Access Cost-Sharing Reductions Advance Payments of Premium Tax Credit Administration and Calculation of Advance Payments of the Premium Tax Credit Plan Variations Actuarial Value Advertising Advisory Committees Brokers Conflict of Interest Consumer Protection Grant Programs-Health Grants Administration Health Maintenance Organization (Hmo) Hospitals American Indian/Alaska Natives Individuals with Disabilities Loan Programs-Health Medicaid Public Assistance Programs Sunshine Act Technical Assistance Women Youth 77 p. 54070 54146 78 FR 54070 Title 45 Part 147 45 CFR Part 147 Title 45 Part 153 45 CFR Part 153 Title 45 Part 155 45 CFR Part 155 Title 45 Part 156 45 CFR Part 156 RIN 0938-AR82 Patient Protection and Affordable Care Act; Program Integrity: Exchange, SHOP, and Eligibility Appeals; Federal Register Vol. 78, Issue RULE 2013-21338 VI DEPARTMENT OF HEALTH AND HUMAN SERVICES 2013-09-30 CMS-9957-F 4120-01-P 2013-21338 Final rule.

This final rule implements provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act). Specifically, this final rule outlines Exchange standards with respect to eligibility appeals, agents and brokers, privacy and security, issuer direct enrollment, and the handling of consumer cases. It also sets forth standards with respect to a State's operation of the Exchange and Small Business Health Options Program (SHOP). It generally is finalizing previously proposed policies without change.

These regulations are effective on September 30, 2013. Leigha Basini at (301) 492-4380, or Noah Isserman at (301) 492-4401 for general information and matters relating to parts 155 and 156. Health Care Health Insurance Reporting and Recordkeeping Requirements State Regulation of Health Insurance Administrative Practice and Procedure Adverse Selection Health Records Organization and Functions (Government Agencies) Premium Stabilization Reinsurance Risk Adjustment Risk Corridors Risk Mitigation State and Local Governments Health Care Access Cost-Sharing Reductions Advance Payments of Premium Tax Credit Administration and Calculation of Advance Payments of the Premium Tax Credit Plan Variations Actuarial Value Advertising Advisory Committees Brokers Conflict of Interest Consumer Protection Grant Programs-Health Grants Administration Health Maintenance Organization (Hmo) Hospitals American Indian/Alaska Natives Individuals with Disabilities Loan Programs-Health Medicaid Public Assistance Programs Sunshine Act Technical Assistance Women Youth Patient Protection and Affordable Care Act: Program Integrity; Exchange, SHOP, and Eligibility Appeals , OIRA_submission@omb.eop.gov http://www.bls.gov/news.release/ecec.toc.htm http://www.bls.gov/oco/ooh_index.htm http://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/qa_hmr.html http://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/agent-broker-5-1-2013.pdf http://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing-Items/CMS%E2%80%9310490.html http://www.dol.gov/ebsa/pdf/FLSAwithplans.pdf http://www.gpo.gov/fdsys http://www.sba.gov http://www.x12.org/ Vol. 78, no. 169 Office of the Federal Register, National Archives and Records Administration 2013-08-30 continuing daily deposited born digital 533 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2013-08-30 P0b002ee1861bae4d 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr30au13 https://www.govinfo.gov/app/details/FR-2013-08-30 https://www.govinfo.gov/content/pkg/FR-2013-08-30/pdf/FR-2013-08-30.pdf https://www.govinfo.gov/content/pkg/FR-2013-08-30/xml/FR-2013-08-30.xml fdlp 53625 54146 DGPO 2013-08-29 2024-06-03 FR-2013-08-30 machine generated eng FR FR-2013-08-30 78 169