ComplianceMnthlyRecap MH 5.16.22

CMS Releases Updated Premium Assistance under Medicaid and the Children’s Health Insurance Program (CHIP) Model Notice

Posted by: Matthew Meidell    Mar 10, 2020 5:45:00 AM

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.

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Topics: Medicaid, CMS, Medicare coverage, CHIP, compliance recap, children

CMS Releases SBC Materials for Plan Years Beginning 2021

Posted by: Karen Hsu    Jan 16, 2020 6:46:00 AM


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. 

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Topics: Medicaid, SBC, CMS, Medicare coverage, compliance recap

CMS Publishes 2020 Benefit Payment and Parameters Final Rule

Posted by: Karen Hsu    Jun 13, 2019 12:05:12 PM

shutterstock_577768111-1The 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:

  • The 2020 maximum annual limitation on cost sharing is $8,150 for self-only coverage and $16,300 for other-than-self-only coverage.
  • For fully-insured plans, any indication of a reduction in the generosity of a benefit for individuals that is not based on clinically indicated, reasonable medical management practices is potentially discriminatory.
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Topics: health insurance, Medicaid, Centers for Medicare and Medicaid Services, Medicare coverage

2018 Amounts for HSAs; Retroactive Medicare Coverage Effect on Contributions

Posted by: Danielle Capilla    Jun 8, 2017 8:30:00 AM

How much money do employers contribute to HSAs?IRS Releases 2018 Amounts for HSAs

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Topics: HDHPs, health savings accounts, UBA Health Plan Survey, HSAs, Medicare coverage