The Centers for Medicare & Medicaid Services ("CMS") expects Qualified Health Plan ("QHP") Issuers to be more familiar with Marketplace requirements and better reflect those standards in Issuers' written policies and procedures, officials stated at the recent 2015 QHP Certification Conference held at CMS Headquarters in Baltimore, Maryland.
Twenty-three Issuers across fifteen Federally-facilitated Marketplace ("FFM") States were audited for compliance with Federal QHP requirements during 2014. The audits focused largely on QHP's policies and procedures relating to ...
Blog Editors
Recent Updates
- Pushback of Deadline for SNFs to Submit Significantly More Detailed Ownership and Control Information in New “SNF Attachment” to CMS Form 855A
- Podcast: Breaking Down the Shifting Vaccine Policy Landscape – Diagnosing Health Care
- Non-Competes in Health Care: 2025 Update
- Seventh Circuit Ruling Paves the Way for More Flexible Healthcare Marketing Services
- CMS Tells States “No More” Medicaid Section 1115 Matching Funds for Designated State Health Programs (DSHP) and Designated State Investment Programs (DSIP)