Text of CMS Rate Review Justification Requirements for Transitional Policies and Student Health Plans (PDF)

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Text of CMS Rate Review Justification Requirements for Transitional Policies and Student Health Plans (PDF)
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]

[Official Guidance]
Apr. 4, 2015

22 pages. "This manual provides the technical instructions for issuers to submit the Preliminary Justification in the Rate Review Justification (RRJ) module of [Health Insurance Oversight System (HIOS)] for non-grandfathered transitional plans and SHPs in the individual and small group markets. Issuers must submit the Preliminary Justification for all proposed rate increases that are subject to review (i.e., rate increases that are 10% or greater)."

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