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CMS Announces 2015 Compliance Priorities for Federally Facilitated Exchange Plans
Epstein Becker Green Link to more items from this source
Apr. 21, 2015

"A new priority for 2015 is prescription drug formulary compliance, including meeting drug coverage minimums and the provision of a process to allow enrollees to request and access clinically appropriate drugs not included in the formulary. All other areas of focus are the same as those identified as 2014 priorities, including: [1] complying with issuer participation standards, [2] maintaining a sufficient provider network, [3] ensuring access to Essential Community Providers, [4] not employing marketing practices or benefit designs that discourage enrollment of individuals with significant health needs, and [5] ensuring compliance of appointed agents/brokers."

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