CMS issues draft letter on QHP requirements for 2017
AHA News Now
Jan 4, 2016
The Centers for Medicare & Medicaid Services recently issued its draft letter to insurers describing 2017 certification requirements for Qualified Health Plans in federally-facilitated marketplaces or the Small Business Health Options program, similar to policies outlined in its proposed rule on Benefits and Payment parameters. The letter includes information on network adequacy evaluation and network provider directory requirements, and addresses how CMS will review health plans for compliance with nondiscrimination standards and ensure non-discrimination in prescription benefit design, among other requirements.
Topic: Advocacy and Public Policy
Tags: Coverage, regulation