Once again there are changes on the horizons for health plans and State-Based Marketplaces (SBMs). The Centers for Medicare & Medicaid Services (CMS) finalized its Updating Benefit and Payment Parameters final rule in efforts to further extended and promote health coverage. This rule expands on similar efforts made in Parts 1 and 2 of the Notice of Benefit and Payment Parameters for 2022.
Expansion of Open Enrollment 2022
Perhaps the biggest news set to impact everyone looking for health insurance is the expansions of Open Enrollment (OE) 2022 for the Federally-Facilitated Marketplace (FFM). Members will be able to enroll for an additional 30 days with OE ending on January 15th instead of December 15th.
SBMs have the option to expand their OE Period as well. They do not have to extend the timeframe for the entire 30 days, but instead can set their own end date as long as it is no sooner than December 15th.
New Special Enrollment Periods (SEPs)
Marketplaces have the option to provide a monthly SEP for APTC-eligible members that have an annual household income at or below 150% of the Federal Poverty Line (ARP). This expansion in SEP aims to encourage low-income members to capitalize on lower and free premiums that resulted from the American Rescue Plan (ARP). These SEPs will vary by SBM.
Additional Support Post-Enrollment
Part 3 of the Notice of Benefit and Payment Parameters reinstates requirements for post-enrollment member services for Navigators. In efforts to improve member knowledge and health insurance literacy, Navigators helps members, and this assistance further expands to post-enrollment services. Members will now have an avenue to learn about processes such as marketplace appeals and premium tax credit reconciliation.
User Fees On the Rise
FFM user fees for the 2022 benefit year are set to raise from the rates first stated in part 1 of the 2022 Payment Notice. FFM user fees raised to 2.75% from 2.25%. The SBM-FP user fee rate also increased, going from 1.75% to 2.25%. It is of note that these new rates are still lower than those of the current 2021 benefit year user rates.
This increase in projected fees over a short period of time are said to help fund increased consumer communication and the expansion of Navigator activities.
Stricter Regulations for States
The rule repeals the Exchange Direct Enrollment option that no state has yet acted on. The Exchange Direct Enrollment gave states the option to facilitate the enrollment of members on third party vendor sites. These partnered vendors would function as private brokers so states would not have to utilize the FFM or create their own SBM. There was fear that this program would cause unnecessary confusion for members and lead to overall lower enrollment rates.
This new rule replaces the language previously stated on the October 2018 “State Relief and Empowerment Waivers” guidance in Part 1 of the 2022 final rule. The rule aims to rescind the 2018 guidance and replace them with stricter Obama-era standards.
The Departments also added flexibility to public notice requirements and Section 1332 waivers, if certain criteria is met. Processes and procedures for amendments and extensions of Section 1332 waivers were also clarified and elaborated on.
These adjustments are all in the goal of strengthening the ACA and increasing health insurance literacy. More policies to this effect are expected from the Biden-Harris Administration.
The ACA Marketplace continues to see growth and participation. Its reinforced structure, the surge in funding, additional support, and the overwhelming need for its benefits will ensure it continues to thrive in the years to come. For the technology needed to capitalize on the expanding ACA Marketplace through tools such as Enhanced Direct Enrollment, look to W3LL! Let us help you leverage the latest advantages of the bigger and better platform that is the ACA Marketplace today. Find out how the latest in the Benefit and Payment Parameters Final Rule will effect SBMs and health plans.
best pill for ed
okcialstorm.com/ cialis usa generic cialis online purchase
cialis discounts purchasing cialis in the usa generic cialis by mastercard
buy prescription drugs without doctor prescription drugs online without doctor errectile dysfunction
scabies ivermectin ivermectin injection dr rajter ivermectin
ivermectin cancer dose ivermectin asthma is ivermectin an antibiotic
doctors who prescribe ivermectin online where to buy ivermectin pills ivermectin pour on for sheep
buy cheap prednisone prednisone 10 mg price canadian online pharmacy prednisone
merck propecia buy finasteride no rx finasteride online
how to get prescription drugs without doctor pain meds online without doctor prescription canadian pharmacy
finasteride proscar propecia cost merck propecia
propecia buy online propecia where to buy propecia uk
buy propecia 5mg propecia 5 mg propecia prescription
prescription drugs without doctor approval prescription drugs online without doctor buy prescription drugs online legally
canadian pharmacy online comfortis for dogs without vet prescription canadian online drugs
the best ed pill best ed pill ed meds online without doctor prescription
ordering prescription drugs from canada buy prescription drugs online cheap internet pharmacy no prior prescription
meds online without doctor prescription reputable canadian mail order pharmacies pharmacy without dr prescriptions
ed treatment drugs п»їerectile dysfunction medication medicine erectile dysfunction
viagra where to buy price for viagra sildenafil 20 mg
sildenafil citrate 100mg for sale sildenafil 100 mg sildenafil
sildenafil 100 mg lowest price viagra sildenafil 100 mg lowest price
buy clomid 50mg online buy clomid buy clomid 50mg
clomid where to buy cheap clomid online clomid for sale
stromectol for sale stromectol for humans for sale ivermectin without a doctor prescription
ivermectin buy canada stromectol for sale stromectol for sale
stromectol for sale stromectol tablets for humans stromectol for humans for sale
stromectol for sale ivermectin for dogs fleas stromectol for humans for sale
buy viagra online usa sildenafil citrate tablets 100 mg price of viagra
viagra cost per pill sildenafil 20 mg buy viagra online usa
canadian trust pharmacy
canadian mail order pharmacies
safe canadian pharmacies online
viagra over the counter walmart sildenafil 100 mg viagra over the counter
cialis one a day with dapoxetine canada buy tadalafil cialis pastilla
buy cialis through paypal cialis pills cialis coupon cvs
cialis generic online price of cialis 20 mg cialis vs levitra vs viagra which one is better
buy cialis 36 hour cialis viagra australia buy cialis in davenport fl
viagra vs cialis side effects tadalafil without a doctor’s prescription where to buy cialis online
cialis/dapoxetine tadalafil 20mg cialis with dapoxetine or viagra with dapoxetine better
what is sildenafil
does viagra work
imitrex 50mg generic – imitrex 25mg over the counter buy sumatriptan 50mg generic