The Centers for Medicare and Medicaid Services has issued a proposed rule governing eligibility procedures for obtaining health care coverage through state health insurance exchanges. The rule is one of three being published in coming days to implement provisions of the Affordable Care Act.
The eligibility proposed rule is available here and scheduled for publication on August 17. "The proposed eligibility process is designed to minimize opportunities for fraud and abuse, including the use of clear eligibility standards and processes that rely on data sources in an electronic environment," according to the rule.
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