CMS Readies Data Sharing to Ease HIX Eligibility Checks

The Centers for Medicare and Medicaid Services has issued a notice under the federal Privacy Act that it will disclose certain information to entities administrating state health insurance exchanges.


The Centers for Medicare and Medicaid Services has issued a notice under the federal Privacy Act that it will disclose certain information to entities administrating state health insurance exchanges.

A Computer Matching Agreement, being published on July 2 with a 30-day comment period, describes the terms, conditions, safeguards and procedures for sharing data to aid in establishing eligibility for services.

“Under this CMA, the state-based administering entities will use the data, accessed through the CMS Data Services Hub, to make eligibility determinations for insurance affordability programs and certificates of exemption,” according to the notice. “State-based AEs are state entities administering insurance affordability programs and may include a state agency, a state Children’s Health Insurance Program, a state basic health program or a Marketplace (Exchange).”

The notice, under which CMS can make eligibility-related data available for 18 to 30 months, is available here.

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