The Centers for Medicare and Medicaid Services has issued an interim final rule setting payment rates for treatment of patients enrolled in the federal government’s Pre-Existing Condition Insurance Plan authorized under the Affordable Care Act.
The rule also prohibits providers from charging enrollees in the federal pre-existing plan from an amount greater than the enrollees’ out-of-pocket costs, beginning June 15. The Pre-Existing Condition Insurance Plan is a temporary program serving as bridge to provide coverage to individuals previously locked out of insurance until 2014 when most insurers are required to offer such coverage. About 135,000 individuals with pre-existing conditions have joined the program since enrollment began in 2010.
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