The Centers for Medicare & Medicaid Services (CMS) released a proposed rule outlining program integrity guidelines for the Health Insurance Marketplace and premium stabilization programs.
Through the Affordable Care Act, consumers and small businesses will have access to new Marketplaces where they can access quality, affordable private health insurance. Consumers in every state will be able to buy insurance from qualified health plans directly through these Marketplaces and may be eligible for tax credits to lower the cost of their health insurance.
Many of the provisions in the rule build on guidance previously issued to states and other key stakeholders. The policies offer clarity on oversight of various premium stabilization and affordability programs, build on state options regarding the Small Business Health Options Program, and provide technical clarifications.
In addition, CMS will re-launch HealthCare.gov, where consumers will have access to real-time information and help to sign up for coverage during open enrollment in October.
The Marketplace call center will begin taking calls from consumers, beginning with educational information, and then assisting with enrollment and plan selection on October 1.
To access the proposed rule, visit: http://www.ofr.gov/inspection.aspx
To view a fact sheet on the proposed rule, visit: http://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/pi-nprm-6-14-2013.html