Proposed Rule Targets Insurance Reform Provisions

The Centers for Medicare and Medicaid Services has issued a new proposed rule to implement insurance provisions in the Affordable Care Act. The rule is a laundry list to implement new provisions for Medicaid and CHIP. Provisions include flexibility to coordinate Medicaid and CHIP eligibility notices, appeals, and related administrative procedures; and revision of substitution of coverage. "This rule also proposes to update and simplify the complex Medicaid premiums and cost sharing requirements, to promote the most effective use of services, and to assist states in identifying cost sharing flexibilities," according to the rule.