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… results in Exchanges/Marketplaces.
- April 29, 2014
Lessons from CA: Exchange Eligibility Appeals under the Affordable Care
Read moreSection 1411(f) of the Affordable Care Act requires the HHS Secretary to establish an appeals process related to eligibility determinations made by Exchanges, including among other things, eligibility for enrollment in a QHP and eligibility for premium tax credits and cost-sharing reductions. The federal Department of Health & Human…
- March 31, 2014
Lessons from CA: Pediatric Dental Coverage in the Exchange
Read moreThe Affordable Care Act requires that all plans in the Marketplace and non-grandfathered plans in the individual and small group markets cover pediatric dental services as an essential health benefit. In this Lessons from California, we explore the options that states have to implement these new requirements, and strategies…
