On February 1, 2013, the Centers for Medicare & Medicaid Services’ (CMS’) Center for Medicaid and CHIP Services released a State Medicaid Director letter regarding implementation of section 1406 of the Affordable Care Act (ACA). Section 4106(b) establishes a one percentage point increase in the federal medical assistance percentage (FMAP), effective January 1, 2013, applied to expenditures for adult vaccines and clinical preventive services for states that cover, without cost-sharing, the full list of ACA preventive services. Specifically, the preventive services covered under the policy are those assigned a grade of A or B by the U.S. Preventive Services Task Force and the approved vaccines are those recommend by the Advisory Committee on Immunization Practices. For a complete list of the preventive services covered under the policy, click here and for a complete list of covered vaccines, click here.
February 20, 2013
The Departments of Labor, Health and Human Services (HHS) and Treasury have jointly prepared
a new set of Frequently Asked Questions (FAQs) regarding implementation of various provisions of the Affordable Care Act (ACA). The twelfth installment of the set
, these FAQs answer questions from stakeholders to help people understand the new law and benefit from it, as intended. This round of FAQs covers cost-sharing limitations and coverage of preventive services. The FAQs state that employers cannot limit contraceptive coverage to oral contraceptives only. The Obama administration also specifies that over-the-counter contraceptives that are FDA-approved and prescribed by a doctor are included as required coverage.
November 3, 2010
The Centers for Medicare and Medicaid Services has announced
a final rule
with comment period eliminating cost sharing for most preventive services and reduces other out-of-pocket costs.
September 20, 2010
on the interim final rule requiring health insurers cover preventive services, the ERISA Industry Committee (ERIC) stated that the "interim final regulations ... appear to require plans to provide services that significantly exceed those that our members currently provide," and expressed concern that it "has become increasingly difficult for companies to maintain comprehensive group health plans ... as medical costs continue to grow at unsustainable rates."
June 28, 2010
The Centers for Medicare and Medicaid Services has issued a proposed rule to provide preventive services to Medicare beneficiaries and boost payment to primary care providers.
April 20, 2012
This update to our March 2012 implementation brief reviews recent implementation efforts by the Administration in connection with coverage of contraceptives as a required element of required preventive services for all individual and (non-grandfathered) group health plans under the Affordable Care Act. The earlier brief reviewed the Administration’s final rules defining the scope of contraception coverage, as well as the scope of the religious exemption that would apply to employers that seek an exemption from this coverage requirement. Reflecting prior law on this matter, the final rule preserved...
March 2, 2012
Recent federal regulations requiring insurance coverage of contraception have generated controversy, especially as applied to religious employers. The requirement stems from an ACA provision requiring insurance coverage of preventive services. Section 2713 of the Public Health Service Act, as added by Section 1001 of the Patient Protection and Affordable Care Act (ACA), requires group health plans and health insurance issuers offering group or individual health insurance coverage to provide coverage without cost-sharing for certain preventive services, including preventive treatments and services for women recommended by The Health Resources and Services Administration (HRSA) in guidelines. The preventive services provisions of the Act...