Fierce Healthcare November 16, 2023
Beginning in 2025, health plans sold in state-run insurance exchanges would be required to meet time and distance standards that are at least as adequate as mandated on federal marketplaces, according to a rule released by the Centers for Medicare and Medicaid Services on Wednesday.
Time and distance standards would be calculated at the county level and then applied to lists of provider specialties. The provision within the Notice of Benefit and Payment Parameters for 2025 rule does not apply to standalone dental plans in certain states and states can seek exemptions. No wait time standards will be imposed under the rule.
CMS proposed that state marketplaces collect information from health plan issuers about whether providers offer telehealth services to...
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