Regulations and Guidance
- Consumer Support and Information
- Content Requirements for Healthcare.gov
- Pre-Existing Condition Insurance Plan (PCIP)
- Early Retiree Reinsurance Program (ERRP)
- Affordable Insurance Exchanges
- Payment Policy and Financial Management
- State Innovations
- Consumer Operated and Oriented Plans Program
- Health Market Reforms
- Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Consumer Support and Information
External Appeals
Regulations:
- July 23, 2010
OCIIO-9993-IFC: Interim Final Rules for Group Health Plans and Health Insurance Issuers Relating to Internal Claims and Appeals and External Review Processes Under the Patient Protection and Affordable Care Act (PDF – 257 KB) - June 22, 2011
CMS-9993-IFC2: Group Health Plans and Health Insurance Issuers: Rules Relating to Internal Claims and Appeals and External Review Processes - July 26, 2011
CMS-9993-CN: Group Health Plans and Health Insurance Issuers: Rules Relating to Internal Claims and Appeals and External Review Processes; Correction (PDF - 184 KB)
Guidance:
- August 26, 2010
Notice: Availability of Interim Procedures for Federal External Review and Model Notices Relating to Internal Claims and Appeals and External Review Under the Patient Protection and Affordable Care Act (PDF – 60KB) - August 26, 2010
Technical Guidance: Interim Procedures for Federal External Review Relating to Internal Claims and Appeals and External Review For Health Insurance Issuers in the Group and Individual Markers and under the Patient Protection and Affordable Care Act (PDF – 51 KB) - September 1, 2010
Technical Guidance: Issuers in the Individual Market to Establish County Level Estimates Pertaining to the Culturally and Linguistically Appropriate Standards Set Forth in the Internal Claims and Appeals and External Review Processes under the Patient Protection and Affordable Care Act (PDF – 26 KB) - September 20, 2010
Guidance: Interim Procedures for Internal Claims and Appeals under the Patient Protection and Affordable Care Act (PDF – 29 KB) - September 23, 2010
Technical Guidance: Interim Procedures for Federal External Review Relating to Internal Claims and Appeals and External Review under the Patient Protection and Affordable Care Act for Self-Insured Non-Federal Government Health Plans (PDF – 17 KB) - March 18, 2011
Technical Guidance: Extension of Non-Enforcement Period Relating to Certain Interim Procedures for Internal Claims and Appeals under the Patient Protection and Affordable Care Act - June 22, 2011
Technical Release 2011-02: Guidance on External Review for Group Health Plans and Health Insurance Issuers Offering Group and Individual Health Coverage, and Guidance for States on State External Review Processes (PDF – 381 KB) - June 22, 2011
Technical Guidance- June 22, 2011: Updated Instructions for Calculating County Level Estimates Pertaining to the Culturally and Linguistically Appropriate Standards Set Forth in the Internal Claims and Appeals and External Review Processes under the Affordable Care Act (PDF - 54 KB) - June 22, 2011
Technical Guidance- June 22, 2011: Instructions For Self-Insured Nonfederal Governmental Health Plans and Health Insurance Issuers Offering Group and Individual Health Coverage on How To Elect a Federal External Review Process (PDF – 46 KB) - August 17, 2012
Technical Guidance: Content of Notices – Adverse Benefit Determinations and Final Internal Adverse Benefit Determinations for Beneficiaries in Non-Federal Governmental Health Plans (PDF – 64 KB )
Summary of Benefits and Coverage and Uniform Glossary
Regulations:
- August 22, 2011
CMS-9982-P: Summary of Benefits and Coverage and the Uniform Glossary - February 14, 2012
CMS-9982-F: Summary of Benefits and Coverage and Uniform Glossary
Guidance:
- August 22, 2011
Notice: Summary of Benefits and Coverage and Uniform Glossary - Templates, Instructions, and Related Materials under the Public Health Service Act - February 14, 2012
Summary of Benefits and Coverage and Uniform Glossary - Templates, Instructions, and Related Materials, and Guidance for Compliance
Content Requirements for Healthcare.gov
Regulations:
- May 5, 2010
Health Care Reform Insurance Web Portal Requirements (PDF – 368 KB)
Guidance:
- May 3, 2010
Memorandum: User Access and Authorization for the Health Insurance Oversight System
Pre-Existing Condition Insurance Plan (PCIP)
Regulations:
- July 30, 2010
OCIIO–9995–IFC: Pre-Existing Condition Insurance Plan Program (PDF – 198 KB) - August 30, 2012
CMS–9995–IFC2: Pre-Existing Condition Insurance Plan Program
Guidance:
- October 6, 2010
The Pre-Existing Condition Insurance Plan Program and Newborn Coverage (PDF – 105 KB) - December 28, 2010
Portability of Coverage, Enrollee Notices, and Third Party Payments (PRD – 57 KM) - February 17, 2011
Eligibility for Children under Age 19 in the Federally-Administered Pre-Existing Condition Insurance Plan (PDF – 166 KB) - March 23, 2011
Pre-Existing Condition Insurance Plan Eligibility and Access to Other Creditable Coverage (PDF – 145 KB) - May 31, 2011
PCIP Premium and Benefit Revisions (PDF – 31 KB) - May 31, 2011
Question and Answer Regarding Anti-Dumping Provisions Related to the Pre-Existing Condition Insurance Plan Program (PDF – 13 KB) - May 25, 2012
Management of PCIP Program in 2012 (PDF - 75 KB)
Early Retiree Reinsurance Program (ERRP)
Regulations:
- May 5, 2010
Early Retiree Reinsurance Program (PDF – 132 KB) - December 13, 2011
CMS-9996-N2: Early Retiree Reinsurance Program Notice regarding Incurred Claims Date (PDF - 142 KB) - March 21, 2012
CMS-9996-N3: Early Retiree Reinsurance Program Notice regarding the Date by which Plan Sponsors Must Use Funds (PDF - 170 KB)
Affordable Insurance Exchanges
Regulations:
- July 15, 2011
CMS-9989-P:Establishment of Exchanges and Qualified Health Plans (PDF - 425 KB) - August 17, 2011
CMS-9974-P: Exchange Functions in the Individual Market: Eligibility Determinations; Exchange Standards for Employers (PDF - 319 KB) - August 17, 2011
CMS-2349-P: Medicaid Program; Eligibility Changes under the Affordable Care Act of 2010 (PDF - 394 KB) - August 17, 2011
REG-131491-10: Health Insurance Premium Tax Credits (PDF - 247 KB) - September 30, 2011
Patient Protection and Affordable Care Act: Establishment of Exchanges and qualified Health Plans and Standards Related to Reinsurance, Risk Corridors, and Risk Adjustment: Extension of Comment Period (PDF - 143 KB) - March 16, 2012
Regulatory Impact Analysis: Establishment of Exchanges and Qualified Health Plans (CMS-9989-FWP) and Standards Related to Reinsurance Risk Corridors and Risk Adjustment (CMS-9975-F) (PDF - 315 KB) - March 27, 2012
CMS-9989-F: Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers (PDF - 906 KB) - May 29, 2012
CMS-9989-CN: Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers; Correction - January 14, 2013
CMS-2334-P: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals - January 30, 2013
CMS-9958-P: Eligibility for Exemptions; Miscellaneous Minimum Essential Coverage Provisions
Guidance:
- November 3, 2010
Guidance: Exchange and Medicaid Information Technology (IT) Systems (PDF -110 KB) - November 18, 2010
Guidance: Initial Guidance to States on Exchanges - May 31, 2011
Guidance: Guidance for Exchange and Medicaid Information Technology (IT) Systems: Version 2.0 (PDF – 401 KB) - November 29, 2011
State Exchange Implementation Questions and Answers (PDF – 135 KB) - April 26, 2012
Verification of Access to Employer-Sponsored Coverage Bulletin (PDF - 122 KB) - May 16, 2012
General Guidance on Federally-facilitated Exchanges (PDF – 196 KB) - December 10, 2012
Exchanges, Market Reforms and Medicaid Frequently Asked Questions (PDF – 251 KB) - January 3, 2013
Guidance on State Partnership Exchange (PDF – 226 KB)
Plan Management
Regulations:
- June 5, 2012
CMS-9965-P: Data Collection to Support Standards Related to Essential Health Benefits; Recognition of Entities for the Accreditation of Qualified Health Plans - July 18, 2012
CMS-9965-F: Data Collection to Support Standards Related to Essential Health Benefits; Recognition of Entities for the Accreditation of Qualified Health Plans - November 26, 2012
CMS-9961-N: Recognition of Entities for the Accreditation of Qualified Health Plans - November 26, 2012
CMS-9980-P: Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation
Additional Information on Proposed State EHB Benchmark Plans
Actuarial Value Calculator with Continuance Tables (XLSM – 1 MB)
This proposed tool allows users to measure the actuarial value of health plans and compliance with actuarial value standards established under Section 1302(d) by the Affordable Care Act.
Actuarial Value Calculator Methodology (PDF – 176 KB)
Guidance:
- December 16, 2011
Essential Health Benefits Bulletin (PDF - 104 KB) - January 25, 2012
Essential Health Benefits: Illustrative List of the Largest Three Small Group Products by State (PDF – 135 KB) - February 17, 2012
Frequently Asked Questions on the Essential Health Benefits Bulletin (PDF – 88 KB) - February 24, 2012
Actuarial Value and Cost-Sharing Reductions Bulletin (PDF - 123 KB) - July 2, 2012
Essential Health Benefits: List of the Largest Three Small Group Products by State (PDF – 183 KB) - January 28, 2013
Issuers of Stand-alone Dental Plans (PDF - 223 KB) - January 31, 2013
Companion Guide for the Enrollment Transaction Information (PDF - 587 KB)
Payment Policy and Financial Management
Regulations:
- July 15, 2011
CMS-9975-P: Standards Related to Reinsurance, Risks Corridors and Risk Adjustment (PDF - 281 KB) - July 15, 2011
CMS-9989-P2: Preliminary Regulatory Impact Analysis: Establishment of Exchanges and Qualified Health Plans (CMS-9989-P) and Standards Related to Reinsurance, Risk Corridors and Risk Adjustment (CMS-9975-P) (PDF – 204 KB) - March 16, 2012
Regulatory Impact Analysis: Establishment of Exchanges and Qualified Health Plans (CMS-9989-FWP) and Standards Related to Reinsurance, Risk Corridors and Risk Adjustment (CMS-9975-F) (PDF – 315 KB ) - March 23, 2012
CMS-9975-F: Standards Related to Reinsurance, Risks Corridors and Risk Adjustment (PDF - 336 KB) - December 7, 2012
CMS-9964-P: HHS Benefit and Payment Parameters for 2014, and Medical Loss Ratio
Guidance
- May 1, 2012
Bulletin on the Risk Adjustment Program: Proposed Operations by the Department of Health and Human Services (PDF – 207 KB) - May 31, 2012
Bulletin on the Transitional Reinsurance Program: Proposed Payment Operations by the Department of Health and Human Services (PDF – 187 KB) - January 15, 2013
Instructions for the Proposed HHS Risk Adjustment Model (PDF - 210 KB)
Technical Details on the Proposed HHS Risk Adjustment Model (XLSX - 795 KB)
State Innovations
Regulations:
- March 10, 2011
Application, Review, and Reporting Process for Waivers for State Innovation - February 22, 2012
CMS-9987-F: Application, Review, and Reporting Process for Waivers for State Innovation
Consumer Operated and Oriented Plans Program
Regulations:
- June 23, 2010
Establishment of the Consumer Operated and Oriented Plan (CO-OP) Advisory Board - July 20, 2011
Establishment of the Consumer Operated and Oriented Plan (CO-OP) Program - December 13, 2011
CMS-9983-F: Patient Protection and Affordable Care Act, Establishment of Consumer Operated and Oriented Plan (CO-OP) Program (PDF - 244 KB) - February 10, 2012
IRS Revenue Procedures Published in the Federal Register For Tax-Exempt 501(c)(29) Qualified Nonprofit Health Insurance Issuers
Health Market Reforms
Regulations
- November 26, 2012
CMS-9979-P: Incentives for Wellness Programs in Group Health Plans - November 26, 2012
CMS-9972-P:Patient Protection and Affordable Care Act: Health Insurance Market Rules; Rate Review - January 30, 2013
CMS-9958-P: Eligibility for Exemptions; Miscellaneous Minimum Essential Coverage Provisions
Guidance
- January 25, 2013
Employer Prescription Drug Coverage that Supplements Medicare Part D Coverage provided through an Employer Group Waiver Plan
Annual Limits
Regulations:
Guidance:
- September 3, 2010
OCIIO Sub-Regulatory Guidance: Process for Obtaining Waivers of the Annual Limits Requirements of PHS Act Section 2711 (PDF – 48 KB) - November 5, 2010
OCIIO Supplemental Guidance: Waivers of the Annual Limits Requirements (PDF – 61 KB) - December 9, 2010
OCIIO Supplemental Guidance: Consumer Notices on Waivers of the Annual Limits Requirements (PDF – 53 KB) - December 9, 2010
OCIIO Supplemental Guidance: Sale of New Business by Issuers Receiving Waivers (PDF – 55 KB) - June 17, 2011
CCIIO Supplemental Guidance (CCIIO 2011 – 1D): Concluding the Annual Limit Waiver Application Process (PDF – 76 KB) - August 19, 2011
CCIIO Supplemental Guidance (CCIIO 2011 - 1E): Exemption for Health Reimbursement Arrangements that are Subject to PHS Act Section 2711 (PDF - 44 KB)
Association Coverage
Guidance:
- September 1, 2011
CCIIO Technical Guidance: Application of Individual and Group Market Requirements under Title XXVII of the Public Health Service Act when Insurance Coverage Is Sold to, or through, Associations (PDF – 56 KB)
Coverage for Young Adults
Regulations:
- May 13, 2010
OCIIO – 4150 – IFC: Group Health Plans and Health Insurance Issuers Relating to Dependent Coverage of Children to Age 26 Under the Patient Protection and Affordable Care Act (PDF – 178 KB)
Guidance:
- October 13, 2010
Q&A: Enrollment of Children Under 19 Under the New Policy That Prohibits Pre-Existing Condition Exclusions
Employer Responsibility
Guidance:
- October 13, 2010
Frequently Asked Questions from Employers Regarding Automatic Enrollment, Employer Shared Responsibility, and Waiting Periods (PDF - 93 KB) - August 31, 2012
Waiting Period Guidance Under Public Health Service Act Section 2708 (PDF – 87 KB)
Grandfathered Plans
Regulations:
- June 17, 2010
OCIIO–9991–IFC: Interim Final Rules for Group Health Plans and Health Insurance Coverage Relating to Status as a Grandfathered Health Plan Under the Patient Protection and Affordable Care Act (PDF – 258) - November 15, 2010
OCIIO–9991–IFC2: Amendment to the Interim Final Rules for Group Health Plans and Health Insurance Coverage Relating to Status as a Grandfathered Health Plan Under the Patient Protection and Affordable Care Act
Medical Loss Ratio
Regulations:
- December 1, 2010
OCIIO–9998–IFC: Health Insurance Issuers Implementing Medical Loss Ratio (MLR) Requirements Under the Patient Protection and Affordable Care Act (PDF – 2 MB) - Technical Appendix
Interim Final Rule for Health Insurance Issuers Implementing Medical Loss Ratio (MLR) Requirements under the Patient Protection and Affordable Care Act (PDF – 300 KB) - Technical Correction (December 30, 2010)
Technical Correction to the Medical Loss Ratio Interim Final Rule (PDF – 59 KB) - December 7, 2011
CMS-9998-FC: Medical Loss Ratio Requirements under the Patient Protection and Affordable Care Act
CMS-9998-IFC2: Medical Loss Ratio Rebate Requirements for Non-Federal Governmental Plans - May 16, 2012
CMS-9998-F: Medical Loss Ratio Requirements under the Patient Protection and Affordable Care Act - May 16, 2012
CMS-9998-IFC3: Medical Loss Ratio Requirements under the Patient Protection and Affordable Care Act; Correcting Amendment - November 30, 2012
CMS-9964-P: HHS Benefit and Payment Parameters for 2014, and Medical Loss Ratio
Guidance:
- December 17, 2010
OCIIO Technical Guidance: Process for a State to Submit a Request for Adjustment to the Medical Loss Ratio Standard of PHS Act Section 2718 (PDF – 35 KB) - April 26, 2011
CCIIO Technical Guidance: Submission of 2011 Quarterly Reports of MLR Data by Issuers of “Mini-med” and Expatriate Plans (PDF – 26 KB) - May 13, 2011
CCIIO Technical Guidance: Questions and Answers Regarding the Medical Loss Ratio Interim Final Rule (PDF – 75 KB) - May 19, 2011
CCIIO Technical Guidance: Deadline for Submission of 2011 First Quarter MLR Data by Issuers of “Mini-med” and Expatriate Plans (PDF – 26 KB) - July 18, 2011
CCIIO Technical Guidance: Questions and Answers Regarding the Medical Loss Ratio Interim Final Rule (PDF – 66 KB) - February 10, 2012
CCIIO Technical Guidance: Questions and Answers Regarding the Medical Loss Ratio Interim Final Rule (PDF - 94 KB) - March 30, 2012
Memo to Insurance Companies: Medical Loss Ratio Annual Reporting Procedures (PDF - 96 KB) - April 20, 2012
CCIIO Technical Guidance: Questions and Answers Regarding the Medical Loss Ratio
Regulation (PDF –101 KB) - May 15, 2012
Memo to Insurance Companies: Guidance for Medical Loss Ratio Annual Reporting Form (PDF – 66 KB)
Memo to Insurance Companies: Guidance for Medical Loss Ratio Notices of Rebates (PDF – 67 KB) - May 24, 2012
CCIIO Technical Guidance: Questions and Answers Regarding the Medical Loss Ratio
Reporting Form (PDF - 91 KB) - May 30, 2012
CCIIO Technical Guidance: Questions and Answers Regarding the Medical Loss Ratio
Reporting Requirements (PDF - 83 KB) - July 17, 2012
CCIIO Technical Guidance: Questions and Answers Regarding the Medical Loss Ratio
Reporting and Rebate Requirements (PDF - 69 KB)
Patient’s Bill of Rights
Regulations:
Guidance:
- September 3, 2010
OCIIO Sub-Regulatory Guidance: Process for Obtaining Waivers of the Annual Limits Requirements of PHS Act Section 2711
Prevention
Regulations:
- July 19, 2010
OCIIO–9992–IFC: Interim Final Rules for Group Health Plans and Health Insurance Issuers Relating to Coverage of Preventive Services under the Patient Protection and Affordable Care Act - August 3, 2011
CMS-9992-IFC2: Group Health Plans and Health Insurance Issuers Relating to Coverage of Preventive Services under the Patient Protection and Affordable Care Act (PDF - 201 KB) - February 10, 2012
CMS-9992-F: Group Health Plans and Health Insurance Issuers Relating to Coverage of Preventive Services Under the Patient Protection and Affordable Care Act (PDF – 164 KB) - March 21, 2012
CMS 9968-ANPRM: Preventive Services Under the Affordable Care Act (PDF - 263 KB) - February 6, 2013
CMS-9968-P: Coverage of Certain Preventive Services Under the Affordable Care Act
Guidance:
- July 19, 2010
Recommendation: Recommendations of the U.S. Preventive Service Task Force - August 1, 2011
Guidelines: HRSA's Women's Preventive Services: Required Health Plan Coverage Guidelines - February 10, 2012
CCIIO Technical Guidance: Guidance on the Temporary Enforcement Safe Harbor for Certain Employers, Group Health Plans and Group Health Insurance Issuers with Respect to the Requirement to Cover Contraceptive Services Without Cost Sharing Under Section 2713 of the Public Health Service Act, Section 715(a)(1) of the Employee Retirement Income Security Act, and Section 9815(a)(1) of the Internal Revenue Code (PDF - 59 KB) - August 15, 2012
UPDATED CCIIO Technical Guidance: Guidance on the Temporary Enforcement Safe Harbor for Certain Employers, Group Health Plans and Group Health Insurance Issuers with Respect to the Requirement to Cover Contraceptive Services Without Cost Sharing Under Section 2713 of the Public Health Service Act, Section 715(a)(1) of the Employee Retirement Income Security Act, and Section 9815(a)(1) of the Internal Revenue Code (PDF - 49 KB)
Review of Insurance Rates
Regulations:
- December 23, 2010
OCIIO–9998–IFC: Rate Increase Disclosure and Review; Proposed Rule (PDF – 215 KB) - May 19, 2011
CMS-9999-FC: Rate Increase Disclosure and Review; Final Rule (PDF - 282 KB) - September 6, 2011
CMS-9999-F: Rate Increase Disclosure and Review: Definitions of Individual Market and Small Group Market (PDF - 526 KB) - November 26, 2012
CMS-9972-P:Patient Protection and Affordable Care Act: Health Insurance Market Rules; Rate Review
Guidance:
- March 30, 2012
State-Specific Threshold Proposals Guidance for States (PDF - 200 KB)
Student Health Plans
Regulations:
- February 11, 2011
CMS–9981–P: Student Health Insurance Coverage (PDF – 250 KB) - March 21, 2012
CMS-9981-F: Student Health Insurance Coverage (PDF – 288 KB)
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Guidance:
- March 1998
Program Memorandum: Agent Commissions and Application Processing Delays (PDF - 87 KB) - June 1999
Program Memorandum: Applicability of the Health Insurance Portability and Accountability Act of 1996 to Secondary Coverage and Continuing Coverage (PDF - 157 KB) - June 1999
Program Memorandum: Issues Related to Eligible Individual Status Under the Health Insurance Portability and Accountability Act of 1996 (PDF 130 KB) - September 1999
Program Memorandum: Group Size Issues Under Title XXVII of the Public Health Service Act (PDF - 136 KB) - March 2000
Program Memorandum: Imposing Nonconfinement Clause on Eligible Individuals (PDF -68 KB) - June 2000
Program Memorandum: Issue Related to Eligible Individual Status Under Section 2741(b) of the Public Health Service Act (PDF -122 KB) - June 2000
Program Memorandum: The Relationship of Certain Types of State Laws to the Application of the Guaranteed Availability Requirements of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) in the Small Group Market - August 2000
Program Memorandum: State “succeeding carrier” or “extension of benefits” laws and an issuer’s obligation under HIPAA to enroll an eligible individual who is disabled. - November 2000
Program Memorandum: Guaranteed Availability Under Title XXVII of the Public Health Service Act – Applicability of Group Participation Rules - November 2000
Program Memorandum: Circumstances Under which Health Insurance Regulated as “Individual” Coverage Under State Law is Subject to the Group Market Requirements of The Health Insurance Portability and Accountability Act of 1996 (HIPAA) - March 2001
Program Memorandum: Guaranteed Renewability of Conversion Policies - August 2001
Program Memorandum: Identifying Federally Eligible Individuals in states Electing to Use Alternative mechanisms to Comply with Guaranteed Availability Requirements under Title XXVII of the PHS Act - March 2002
Program Memorandum: How to Apply the “Product Withdrawal” and “Market Exit” Exceptions of the Guaranteed Renewability Requirements of Title XXVII of the PHS Act - August 2002
Program Memorandum: Application of Group and Individual Market Requirements Under Title XXVII of the Public Health Service (PHS) Act When Insurance Coverage is Sold To, or Through Associations - August 2002
Program Memorandum: The Obligation Health Insurance Issuers Have to Association Members and Associations Under Title XXVII of the PHS Act With Respect to Guaranteed Renewability of Coverage - September 2002
Program Memorandum: Characteristics of Bona Fide Associations, and How Selling Coverage Exclusively Through Them Affects an Issuer’s Guaranteed Availability Obligations Under Title XXVII of the PHS Act - September 2002
Program Memorandum: How Selling Coverage Exclusively Through Bona Fide Associations Affects and Issuer’s Guaranteed Renewability Obligations Under Title XXVII of the PHS Act - March 2004
Program Memorandum: HIPAA Enforcement Is Not Preempted by COBRA; Non-HIPAA-Related State Insurance Law is Not Preempted by Public Sector COBRA - June 2004
Program Memorandum: Federal Eligibility Under HIPAA After Group Health Plan Termination - March 2005
Program Memorandum: Coverage through a Foreign Government, the U.S. Government, and a State Children’s Health Insurance Program, is Creditable Coverage for Purposes of Identifying Eligible Individuals under HIPAA - June 2005
Program Memorandum: Benefit Exclusions that Cannot be Applied to Eligible Individuals Under HIPAA Individual Market Provisions - May 2008
Program Memorandum: Circumstances Under Which Supplemental Health Insurance Coverage Satisfies the Requirements for Excepted Benefits Under Section 2791(c) of the Public Health Service Act