HHS releases Medicaid, Exchange proposed rule
Posted on January 14, 2013 | No Comments
The U.S. Department of Health and Human Services (HHS) today released a proposed rule addressing essential health benefits and eligibility notices and the appeals process for Medicaid and exchange eligibility. The Centers for Medicare & Medicaid Services (CMS) also released a summary of the lengthy rule. HHS said the proposed rule would give states more flexibility when operating their Medicaid programs and sheds light on how consumers will receive coordinated communications on eligibility determinations and how they can submit appeals. The rule would also allow states to increase cost-sharing for beneficiaries, including for non-preferred drugs and the non-emergency visits to emergency rooms. The rule is set for publication in the January 22 Federal Register. Comments are due by February 13.
- Implementing the early adoption of Modified Adjusted Gross Income (MAGI)-based rules;
- Extending the Medicaid renewal period so renewals that would otherwise occur during the first quarter of calendar year 2014 will occur later;
- Enrolling individuals into Medicaid based upon Supplemental Nutrition Assistance Program (SNAP) eligibility;
- Enrolling parents into Medicaid based upon children's income eligibility; and
- Adopting 12-month continued eligibility for parents and other adults.