The Affordable Care Act provides consumers with significant new protections, including the ability to appeal decisions by plans to deny coverage of needed services and select an available primary care provider of their choosing.
As part of the law, CCIIO is helping consumers appeal health plan decisions, understand the Consumer Assistance Program, and more easily understand and evaluate their health insurance choices.
The new Consumer Assistance Program Grants (CAP Grants) will educate consumers about their health coverage options and ensure access to accurate information.
The law ensures consumer’s rights to appeal health plans decisions or request a reconsideration of a decision to deny payment for a service or treatment.
The Affordable Care Act ensures consumers have access to two forms that will help them understand and evaluate their health insurance choices - a Summary of Benefits and Coverage and a uniform glossary of terms commonly used in health insurance coverage.
September 11, 2019
Enhanced Direct Enrollment Approved Partners (Updated)
August 15, 2019
Quality Rating Information Bulletin for Plan Year 2020
April 18, 2019
CMS-9926-F: Final HHS Notice of Benefit and Payment Parameters for 2020
Final 2020 Letter to Issuers on Federally-facilitated Exchanges
Key Dates for Calendar Year 2019: QHP Certification in the FFEs; Rate Review; Risk Adjustment
February 28, 2019
Section 1332 Pass-through Funding Tools and Resources