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ACA Round-Up: Latest on SEPs, Pass-Through Funding, and RADV
Health Affairs April 21, 2020
The Centers for Medicare and Medicaid Services (CMS) continue to issue new guidance and materials ahead of the 2021 plan year and in light of the COVID-19 crisis. This post summarizes the latest information on special enrollment periods, letters to 13 states on federal pass-through funding for 2020, and a decision from CMS to postpone the risk adjustment data validation (RADV) process. CMS also released its final unified rate review instructions for the 2021 plan year.
Latest On Special Enrollment Periods
Prior posts have highlighted the case for a broad special enrollment period (SEP) through HealthCare.gov. In short, CMS has the authority to authorize a SEP, CMS has regularly done so in other crises, all but one of the state-based...
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