Blue Cross and Blue Shield of Illinois

 

 

May 31, 2013

Legislative Update
Federal Government Releases FAQs on Exchange Oversight

The Centers for Medicare & Medicaid Services (CMS) released FAQs on government oversight of state-based exchanges (also known as state-based marketplaces) and issuers on the exchanges. Among the issues addressed:

  • Monitoring and oversight measures related to premium stabilization programs, advance payments of the premium tax credit and cost-sharing reductions.
  • Enforcement on federally facilitated exchanges of issuers’ ongoing compliance with exchange-specific standards.
  • Recordkeeping and audit requirements for state-based exchanges.
  • Security standards for state-based exchanges and entities such as navigators, agents, brokers and other assistance personnel.
  • How to structure plan variations for Qualified Health Plans that are high-deductible health plans designed to be paired with a health savings account.
 
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an Independent Licensee of the Blue Cross and Blue Shield Association.