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Text of CMS FAQs and Submission Forms for FFM User Fee Adjustment Submission Requirements (PDF)
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS] Link to more items from this source
[Official Guidance]
Nov. 11, 2015

"The information submission will: [1] determine the discount that CMS will apply to the user fee that the issuer pays CMS in order to participate on the FFM; [2] ensure that these user fee adjustments reflect payments for contraceptive services paid for under this accommodation, and [3] ensure that the adjustment is applied to the appropriate participating issuer in an FFM." Q&As in this document address: [1] Federally-facilitated Marketplace (FFM) user fee adjustments for contraceptive payments; [2] Submission process and deadlines; [3] Eligible submitters; [4] Claims reporting and user fee calculation; and [5] Transfer of user fee adjustment amount to FFM issuers. Also available are forms and spreadsheets: TPA Notice of Intent Disclosure Form; Issuer Contraceptive User Fee Adjustment Form; and TPA/PBM Contraceptive User Fee Adjustment Form.

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