CMS Releases Final Rule on Medicaid, CHIP and Health Insurance Marketplaces

On July 5, the Centers for Medicare and Medicaid Services ruled to implement various provisions of the Affordable Care Act.

The U.S. Department of Health and Human Services wrote:

“Today, the Centers for Medicare & Medicaid Services (CMS) issued a final rule implementing provisions of the Affordable Care Act related to eligibility, enrollment, and benefits in Medicaid, the Children’s Health Insurance Program (CHIP) and the Health Insurance Marketplace.This final rule addresses aspects of the Medicaid, CHIP and Marketplace eligibility notices and appeals processes; provides additional flexibility regarding benefits and cost sharing for state Medicaid programs; codifies several eligibility and enrollment provisions included in the Affordable Care Act and the Children’s
Health Insurance Program Reauthorization Act (CHIPRA) and provides operational guidance to help states implement their Health Insurance Marketplaces. This final rule does not address all of the proposed regulatory changes included in the notice of proposed rulemaking (NPRM) released on January 22, 2013.  In order to best assist states in preparation for the availability of new coverage beginning January 1, 2014, this rule focuses on those provisions that are most critical for implementation. CMS intends to address the remaining provisions of the January NPRM in future rulemaking.”

The final rule is available on display at the Federal Register here: