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Text of CMS Bulletin 16: Guidance for Issuers on 2016 Reenrollment in the Federally-Facilitated Marketplace (PDF)
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]
[Official Guidance] Aug. 25, 2015
20 pages, dated August 25, 2015. "While much of the redetermination and reenrollment process remains unchanged for the Annual Open Enrollment Period (OEP) for 2016, important changes include: [1] establishing eligibility for 2016 advance payments of the premium tax credit (APTC) and income-based cost-sharing reductions (CSRs) using the most recent family income data available and updated 2016 Qualified Health Plan (QHP) prices (in contrast to the 2015 plan year, when 2014 APTC and CSRs were generally carried forward); [2] discontinuing APTC and income-based CSRs for enrollees who do not comply with the requirement to file a tax return and reconcile APTC for tax year 2014; [3] sending the first group of passive reenrollment transactions to issuers before the start of 2016 OEP; and [4] maintaining 2015 enrollees' effectuation status in 2016 passive reenrollment transactions."
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