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...

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Topics: ACA (Affordable Care Act), CMS, Govt Agencies, Insurance, Patient / Consumer
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