HHS released new rules for executing parts of the Patient Protection and Affordable Care Act Monday, which give greater detail into regulations for state health insurance exchanges and expanding Medicaid programs.
The rules provide more specifics in determining Medicaid eligibility, managing appeals for denied claims, and verifying access to employer-sponsored insurance. The changes will not add new costs to states.
In a release, CMS said the rules give states greater flexibility to design benefits and operate state exchanges, while granting greater consistency in communicating benefits to consumers and tailoring the appeals process.
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The rules provide more specifics in determining Medicaid eligibility, managing appeals for denied claims, and verifying access to employer-sponsored insurance. The changes will not add new costs to states.
In a release, CMS said the rules give states greater flexibility to design benefits and operate state exchanges, while granting greater consistency in communicating benefits to consumers and tailoring the appeals process.
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