The Centers for Medicare and Medicaid Services (CMS) released an updated Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP) model notice.
The Centers for Medicare and Medicaid Services (CMS) released an updated Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP) model notice.
Topics: Medicaid, CMS, Medicare coverage, CHIP, compliance recap, children
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The Centers for Medicare and Medicaid Services (CMS) released SBC materials and supporting documents including a template SBC, sample completed SBC, uniform glossary, instructions, and guidance for plan or policy years beginning on or after January 1, 2021.
Topics: Medicaid, SBC, CMS, Medicare coverage, compliance recap
The Centers for Medicare and Medicaid Services (CMS) published its final rule and fact sheet for benefit payment and parameters for 2020. Although the final rule primarily affects the individual market and the Exchanges, the final rule addresses the following topics that may impact employer-sponsored group health plans:
Topics: health insurance, Medicaid, Centers for Medicare and Medicaid Services, Medicare coverage
If something should happen to you or one of your employees today that required Long Term Care, do you, or they, have a choice in where the care is received? 
Topics: Long-Term Care, employee benefits, Medicaid, long-term care insurance, long-term care benefits, senior care
In March, the U.S. Department of Labor (DOL) updated its model Premium Assistance Under Medicaid and the Children's Health Insurance Program notice, otherwise known as the CHIP notice. (This update is standard process, and usually happens biannually.)
Topics: Medicaid, Department of Labor, health care benefits, health care coverage, CHIP
The Patient Protection and Affordable Care Act (PPACA), commonly referred to as “Obamacare,” was signed into law with the intention of decreasing the number of uninsured Americans and reducing the overall costs of health care in the United States. In order to increase the number of U.S. citizens covered, a number of mechanisms including mandates, subsidies, and tax credits became effective beginning January 1, 2014. The federal health care law also contains many reforms aimed at improving health care outcomes and streamlining the delivery of care. While this reform may be appealing, there are many concerns as to its viability, beginning with the increased number of people covered to effective reduction of health care costs. In the latest arguments for or against PPACA, the Supreme Court of the United States (SCOTUS) heard arguments on the legality of who is able to provide subsidies to those who qualify for subsidies. This lawsuit contends that subsidies are illegal unless a state has set up its own health insurance exchange. The charge is based on wording in the law, which states that subsidies are for health coverage obtained on an “Exchange established by the State under section 1311.”
Topics: health care reform, premium subsidies, Medicaid, PPACA Affordable Care Act, U.S. Supreme Court, Medicare, single-payer system, Obamacare
The Federal Poverty Level (FPL) is used to determine eligibility for many government programs, including Medicaid and the premium tax credit/subsidy available through the health marketplace/exchange. The Department of Health and Human Services (HHS) has released the following 2014 Federal Poverty Level figures. They reflect a 1.5% cost of living increase over 2013.
Topics: health insurance exchanges, ACA, health marketplace, PPACA, Premium Tax Credit, Medicaid, Federal Poverty Level, FPL, premium tax subsidy
By Carol Taylor
Employee Benefit Advisor
D&S Agency, a UBA Partner Firm
Topics: health insurance exchanges, ACA, health marketplace, PPACA, Medicaid, APTC, Advanced Premium Tax Credit, benefit communication, benefit management, compliance with health care reform
States have two major decisions to make with respect to the Patient Protection and Affordable Care Act (PPACA) – whether they will run the health exchange themselves, and whether they will expand Medicaid to cover most individuals whose income is below 133 percent of the federal poverty level.
Do you know where your state stands, and what your options are? If not, read on…
Topics: employee communication, health insurance exchanges, ACA, UBA, hr consulting, health care reform, PPACA, Medicaid