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CMS Identifies Key Priorities for 2014 Compliance Reviews of Qualified Health Plans in the Federally Facilitated Marketplace
Epstein Becker Green Link to more items from this source
Apr. 13, 2014
"These key priority areas include, among others: [1] ongoing compliance with issuer participation standards, [2] not employing marketing practice or benefit designs that will have the effect of discouraging enrollment of those with significant health needs, [3] executing appropriate delegation agreements with delegated and downstream entities, [4] ensuring compliance of appointed agents/brokers, [5] making sure that the provider network is sufficient so that services are accessible without unreasonable delay, and [6] ensuring that the qualified health plan (QHP) makes health plan applications and notices accessible to individuals in accordance with the Americans with Disabilities Act and for individuals with limited English proficiency." [Source document: Key Priorities for FFM Compliance Reviews for the 2014 Benefit Year.]

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