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You are here >  Home > Programs> Health IT> E-Enrollment >Law and Guidance

FEDERAL GUIDANCE ON HEALTH REFORM ENROLLMENT

Federal agencies are developing guidance of relevance to the Affordable Care Act (ACA). To date, the following guidance, standards, and protocols have been issued that address enrollment policies, procedures, and systems:

CMS, State Exchange Implementation Questions and Answers
November 29, 2011

CMS, Guidance for Exchange and Medicaid Information Technology (IT) Systems, Version 2.0
May 2011

CMS, Final Rule, Federal Funding for Medicaid Eligibility Determination and Enrollment Activities
April 19, 2011

ACA §1561 Enrollment Standards and Protocols
Adopted Sept. 2010

The Children's Partnership has submitted the following Comments on enrollment and ACA:

Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans
CMS-9989-P, October 31, 2011

Medicaid Program; Eligibility Changes Under the Affordable Care Act / Exchange Functions in the Individual Market: Eligibility Determinations / Exchange Standards for Employers;Health Insurance Premium Tax Credit
CMS-2349-P/ CMS-9974-P/ REG-131491-10, October 31, 20111

Federal Funding for Medicaid Eligibility Determination and Enrollment Activities
CMS-2346-P, January 7, 2011

Planning and Establishment of State-Level Exchanges, Eligibility and Enrollment
OCIIO-9989-NC, Oct. 4, 2010

Medicaid Program and Children'Health Insurance Program; Model of Interstate Coordinated Enrollment and Coverage Process for Low-Income Children
CMS-2311-NC, January 19, 2010

federal guidance on express lane

The Centers for Medicare & Medicaid Services continues to release guidance of relevance to e-enrollment and Express Lane Eligibility.  To date, the following letters and publications have been issued:

CMS, Final Rule, Federal Funding for Medicaid Eligibility Determination and Enrollment Activities
April 19, 2011

SHO #10-008: Letter to State Health Officials - CHIPRA Performance Bonus Payments
October 1, 2010

SHO #10-003: Letter to State Health Officials - Express Lane Eligibility Option
February 4, 2010

SHO #09-016: Letter to State Health Officials - Citizenship Documentation Requirement
December 28, 2009

SHO #09-015: Letter to State Health Officials - CHIPRA Performance Bonus Payments
December 16, 2009

Continuing the Progress: Enrolling and Retaining Low-Income Families and Children in Health Care Coverage
2001

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