Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2024
other · US Department of Health and Human Services · Rule · Published 2023-04-27 · Effective 2023-06-18 · 88 FR 25740
Document
Document number
2023-08368
Federal Register citation
88 FR 25740
CFR reference
45 CFR 153
Type
Rule
Action
Final rule.
Category
other
Sub-agency
US Department of Health and Human Services
Publication date
2023-04-27
Effective date
2023-06-18
HHS docket
CMS-9899-F
Abstract
This final rule includes payment parameters and provisions related to the HHS-operated risk adjustment and risk adjustment data validation programs, as well as 2024 user fee rates for issuers offering qualified health plans (QHPs) through Federally-facilitated Exchanges (FFEs) and State-based Exchanges on the Federal platform (SBE-FPs). This final rule also has requirements related to updating standardized plan options and reducing plan choice overload; the automatic re-enrollment hierarchy; plan and plan variation marketing name requirements for QHPs; essential community providers (ECPs) and network adequacy; failure to file and reconcile; special enrollment periods (SEPs); the annual household income verification; the deadline for QHP issuers to report enrollment and payment inaccuracies; requirements related to the State Exchange improper payment measurement program; and requirements for agents, brokers, and web-brokers assisting FFE and SBE-FP consumers.