# Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2018; Amendments to Special Enrollment Periods and the Consumer Operated and Oriented Plan Program
> **US Department of Health and Human Services** · Final rule. · Published 2016-12-22 · Effective 2017-01-17 · 81 FR 94058
## Document
- **Document number:** 2016-30433
- **Category:** other
- **Sub-agency:** US Department of Health and Human Services
- **Federal Register citation:** 81 FR 94058
- **CFR reference:** 45 CFR 144
- **Publication date:** 2016-12-22
- **Effective date:** 2017-01-17
- **HHS docket:** CMS-9934-F
## Abstract

This final rule sets forth payment parameters and provisions related to the risk adjustment program; cost-sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges and State-based Exchanges on the Federal platform. It also provides additional guidance relating to standardized options; qualified health plans; consumer assistance tools; network adequacy; the Small Business Health Options Programs; stand-alone dental plans; fair health insurance premiums; guaranteed availability and guaranteed renewability; the medical loss ratio program; eligibility and enrollment; appeals; consumer-operated and oriented plans; special enrollment periods; and other related topics.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2016/12/22/2016-30433/patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2018)
---
*AI Analytics · CC0 1.0*