other · US Department of Health and Human Services · Rule · Published 2013-05-22 · Effective 2013-06-15 · 78 FR 30218
Document
Document number
2013-12145
Federal Register citation
78 FR 30218
CFR reference
45 CFR 152
Type
Rule
Action
Interim final rule with comment period.
Category
other
Sub-agency
US Department of Health and Human Services
Publication date
2013-05-22
Effective date
2013-06-15
HHS docket
CMS-9995-IFC3
Abstract
This interim final rule with comment period sets the payment rates for covered services furnished to individuals enrolled in the Pre-Existing Condition Insurance Plan (PCIP) program administered directly by HHS beginning with covered services furnished on June 15, 2013. This interim final rule also prohibits facilities and providers who, with respect to dates of service beginning on June 15, 2013, accept payment for most covered services furnished to an enrollee in the federally-administered PCIP from charging the enrollee an amount greater than the enrollee's out-of-pocket cost for the covered service as calculated by the plan. The PCIP program was established under Section 1101 of Title I of the Patient Protection and Affordable Care Act (Affordable Care Act).