Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2020
other · US Department of Health and Human Services · Rule · Published 2019-04-25 · Effective 2019-06-24 · 84 FR 17454
Document
Document number
2019-08017
Federal Register citation
84 FR 17454
CFR reference
45 CFR 146
Type
Rule
Action
Final rule.
Category
other
Sub-agency
US Department of Health and Human Services
Publication date
2019-04-25
Effective date
2019-06-24
HHS docket
CMS-9926-F
Abstract
This final rule sets forth payment parameters and provisions related to the risk adjustment and risk adjustment data validation programs; cost-sharing parameters; and user fees for Federally- facilitated Exchanges (FFEs) and State-based Exchanges on the Federal Platform (SBE-FPs). It finalizes changes that will allow greater flexibility related to the duties and training requirements for the Navigator program and changes that will provide greater flexibility for direct enrollment entities, while strengthening program integrity oversight over those entities. It finalizes a change intended to reduce the costs of prescription drugs. This final rule also includes changes to Exchange standards related to eligibility and enrollment; exemptions; and other related topics.