Patient Protection and Affordable Care Act; Program Integrity: Exchange, SHOP, and Eligibility Appeals
other · US Department of Health and Human Services · Rule · Published 2013-08-30 · Effective 2013-09-30 · 78 FR 54070
Document
Document number
2013-21338
Federal Register citation
78 FR 54070
CFR reference
45 CFR 147
Type
Rule
Action
Final rule.
Category
other
Sub-agency
US Department of Health and Human Services
Publication date
2013-08-30
Effective date
2013-09-30
HHS docket
CMS-9957-F
Abstract
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.