Healthcare Finance News December 13, 2022
Susan Morse

CMS is proposing a risk adjustment user fee for the 2024 benefit year of $0.21 per member per month.

As open enrollment for January 1 coverage comes to an end on Thursday, the Department of Health and Human Services has released the 2024 Notice of Benefit and Payment Parameters Proposed Rule for the Affordable Care Act.

To expand access to behavioral healthcare, the proposed rule includes two new essential community provider (ECP) categories in behavioral healthcare: Substance Use Disorder Treatment Centers and Mental Health Facilities. The rule also furthers access to providers by including a proposal to extend the current overall 35% provider participation threshold to two major ECP categories: Federally Qualified Health Centers and Family Planning Providers.

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