# Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2022 and Pharmacy Benefit Manager Standards
> **US Department of Health and Human Services** · Final rule. · Published 2021-05-05 · Effective 2021-07-06 · 86 FR 24140
## Document
- **Document number:** 2021-09102
- **Category:** other
- **Sub-agency:** US Department of Health and Human Services
- **Federal Register citation:** 86 FR 24140
- **CFR reference:** 45 CFR 147
- **Publication date:** 2021-05-05
- **Effective date:** 2021-07-06
- **HHS docket:** CMS-9914-F2
## Abstract

This final rule sets forth payment parameters and provisions related to the risk adjustment program and cost-sharing parameters. It includes changes related to special enrollment periods; direct enrollment entities; the administrative appeals processes with respect to health insurance issuers and non-federal governmental group health plans; the medical loss ratio program; income verification by Exchanges; and other related topics. It also revises the regulation requiring the reporting of certain prescription drug information by qualified health plans or their pharmacy benefit managers.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2021/05/05/2021-09102/patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2022-and)
---
*AI Analytics · CC0 1.0*