…ncluding Excepted Benefits and STLDI) Application to Third Party Administrators Network Adequacy Summary of Regulatory Changes Prohibition on Sex Discrimination Related to Marital, Parental, or Family Status (§ 92.208) Discrimination on the Basis of Pregnancy-Related Conditions S…
…xchange (§ 156.150) 5. Qualified Health Plan Minimum Certification Standards a. Network Adequacy Standards (§ 156.230) (1) State Selection of Minimum Network Adequacy Standards (2) Additional Network Adequacy Standards (3) Other Comments on the Preamble to § 156.230 b. Essential …
…atterson, 410-786-0696, or Nora Simmons, (410-786-1981), for matters related to netting of payments under 45 CFR 156.1215 and administrative appeals under 45 CFR 156.1220 . Christina Whitefield, (301) 492-4172, for matters related to the MLR program. SUPPLEMENTARY INFORMATION: Fu…
…and Responses To Public Comments VI. Care Coordination Through Trusted Exchange Networks: Trust Exchange Network Requirements for MA Plans, Medicaid Managed Care Plans, CHIP Managed Care Entities, and QHP Issuers on the FFEs Provisions, and Analysis of and Responses to Public Com…
…on of Exchange Enrollment or Coverage (§ 155.430) 19. Establishment of Exchange Network Adequacy Standards (§ 155.1050) a. Network Adequacy Standards and Reviews Across Exchanges b. Proposals Related to State Exchange and SBE-FP Network Adequacy Standards and Reviews i. Quantitat…
…xchange (§ 156.150) 5. Qualified Health Plan Minimum Certification Standards a. Network Adequacy Standards (§ 156.230) (1) State Selection of Minimum Network Adequacy Standards (2) Additional Network Adequacy Standards (3) Other Comments on the Preamble to § 156.230 b. Essential …
…ncluding Excepted Benefits and STLDI) Application to Third Party Administrators Network Adequacy Summary of Regulatory Changes Prohibition on Sex Discrimination Related to Marital, Parental, or Family Status (§ 92.208) Discrimination on the Basis of Pregnancy-Related Conditions S…
…room 8014, Washington, DC 20006-8014. Telephone: (202) 502-7704 or via the Internet at: Pamela.Maimer@ed.gov . For information related to HEP and CAMP issues, Nathan Weiss, U.S. Department of Education, Office of Migrant Education, 400 Maryland Ave. SW., room 3E-321, Washington, …
…eptive Items a. Coverage of OTC Contraceptive Items Without Cost Sharing (1) In-Network and Out-of-Network Coverage of OTC Contraceptive Items (2) Reasonable Medical Management Techniques for OTC Contraceptive Services (3) Other Considerations b. Therapeutic Equivalence Approach …
…xchange (§ 156.150) 5. Qualified Health Plan Minimum Certification Standards a. Network Adequacy Standards (§ 156.230) (1) State Selection of Minimum Network Adequacy Standards (2) Additional Network Adequacy Standards (3) Other Comments on the Preamble to § 156.230 b. Essential …
…LITIES INCENTIVE PROGRAM PART 270—DESEGREGATION OF PUBLIC EDUCATION PART 280—MAGNET SCHOOLS ASSISTANCE PROGRAM PART 299—GENERAL PROVISIONS CHAPTER III—OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION PART 300—ASSISTANCE TO STATES FOR THE EDUCATION …
…ed Availability of Coverage (§ 147.104) (1) Limited Open Enrollment Periods (2) Network Sharing Arrangements Between Affiliated Issuers c. Guaranteed Renewability of Coverage (§ 147.106) (1) Market Withdrawal Exception to Guaranteed Renewability Requirements i. Transfer of Produc…
… Participation Standards (§ 156.200) b. Transparency in Coverage (§ 156.220) c. Network Adequacy Standards (§ 156.230) d. Essential Community Providers (§ 156.235) e. Meaningful Access to Qualified Health Plan Information (§ 156.250) f. Enrollment Process for Qualified Individual…
…on of Exchange Enrollment or Coverage (§ 155.430) 19. Establishment of Exchange Network Adequacy Standards (§ 155.1050) a. Network Adequacy Standards and Reviews Across Exchanges b. Proposals Related to State Exchange and SBE-FP Network Adequacy Standards and Reviews i. Quantitat…
…g costs for common, shoppable services, including costs for both in- and out-of-network health care, and accounting for consumer-specific benefit information such as progress towards meeting a deductible, out-of-pocket limit and visit limits in health care cost estimates. One com…