"On June 22, 2011, the Departments issued Technical Release 2011-02 ... which established a transition period until January 1, 2012 for State external review process implementation and a set of temporary standards similar to the consumer protections set forth in the Uniform Health Carrier External Review Model Act issued by the National Association of Insurance Carriers (the 'NAIC-similar process') that would apply until January 1, 2014 for a State-administered external review process ... This technical release updates and clarifies T.R. 2011-02 and extends the applicability of the temporary NAIC-similar process standards until January 1, 2016. During this extended transition period, States that CCIIO has already determined to meet the NAIC-similar process standards will continue to be considered compliant ... until January 1, 2016."

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