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CMS releases notice regarding information collection

Posted on July 5, 2012 | No Comments

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As implementation of the Affordable Care Act (ACA) proceeds, the U.S. Department of Health and Human Services continues to release guidances. On Monday, HHS published notices under the Paperwork Reduction Act regarding its intention to collect data on four ACA-related topics, and requested public comment on these data collection efforts.

Such data collection includes:

* Information on qualified health plans (QHPs) to support certification and information from health plans outside of the exchange for the operation of the reinsurance and risk adjustment programs;

* Employee information requisite to establish their coverage through the small employer (SHOP) exchanges;

* Information from small employers necessary to establish eligibility for offering coverage through the SHOP exchanges; and

* Information from individuals to support eligibility determinations for premium tax credits, Medicaid, Children’s Health Insurance programs, and Exchange enrollment.

The guidance builds off of previously released rules on these topics and contains little new information. The QHP notice states that HHS is working with the National Association of Insurance Commissioners (NAIC) to collect information for exchange plan management functions.

The employee form is a single page and collects basic information necessary to sign employees up for a SHOP health plan.

The employer notice form enables the employer to specify a tier of coverage, a benchmark plan, and a percentage of premium that the employer will contribute towards individual or family coverage for the benchmark plan.

The exchange application data requires the provision of great detail for both those applying for premium tax credits and those simply enrolling in a qualified health plan.

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Public comments are closed.

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