Monday, December 6, 2021
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CMS proposes new rules to strengthen exchange oversight

The Centers for Medicare & Medicaid Services (CMS) has proposed a rule requiring health insurance exchanges to check records at least twice a year, starting in 2020, to make sure that Obamacare enrollees aren’t eligible for Medicare, Medicaid or other government programs.

CMS is also proposing changes to how marketplaces verify whether customers are eligible for monthly premium subsidies. The rule also proposes adding an optional authorization to enrollment applications that would permit CMS to access information about whether an Obamacare enrollee becomes Medicare eligible, allowing the federal government to automatically terminate that person’s Obamacare coverage.

Also included in the rule is a change to billing requirements designed to ensure that federal dollars aren’t paying for abortions.

There is a 60-day comment period on the proposed rule. Comments can be submitted electronically at https://www.regulations.gov.

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