# Pre-Existing Condition Insurance Plan Program
> **US Department of Health and Human Services** · Interim final rule with comment period. · Published 2013-05-22 · Effective 2013-06-15 · 78 FR 30218
## Document
- **Document number:** 2013-12145
- **Category:** other
- **Sub-agency:** US Department of Health and Human Services
- **Federal Register citation:** 78 FR 30218
- **CFR reference:** 45 CFR 152
- **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).

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2013/05/22/2013-12145/pre-existing-condition-insurance-plan-program)
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