Becker's Healthcare April 3, 2024
Rylee Wilson

CMS finalized several proposed changes to regulations for the ACA marketplace in 2025.

Beginning in 2026, the agency will require state-based marketplaces to adopt network adequacy standards that are at least as stringent as those required by the federal marketplace, according to an April 2 news release from CMS. These standards include the maximum time and distance beneficiaries can travel to the nearest in-network provider.

CMS published its proposed rule in November.

Here are five more changes to note:

  1. CMS will allow states to include non-pediatric routine dental services as an essential health benefit.
  2. The rules will standardize open enrollment periods across state and federal marketplaces. State-based marketplaces will...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: ACA (Affordable Care Act), CMS, Govt Agencies, Insurance, Patient / Consumer
2026 Medicare Advantage rates 'inadequate,' Elevance execs say
The next 15 drugs for Medicare price negotiations
Medicare Negotiations Could Fuel, Not Stifle, Innovation
‘A Bit Disarming’: CMS, Health Agencies Pause Communication Per Trump Orders, Raising Concerns at Nursing Homes
CMS Moves Closer to Accountable Care Goals with 2025 ACO Initiatives

Share This Article