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Text of CMS Guidance: Extension of State-Based SHOP Direct Enrollment Transition (PDF)
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS] 
[Official Guidance] Apr. 19, 2016
Unnumbered document dated Apr. 18, 2016. "We are extending the option for state-based SHOPs to use direct enrollment as a transitional measure for up to an additional two years -- for plan years beginning in 2017 and 2018. This extension is only for state-based SHOPs that currently utilize direct enrollment.... [S]tate-based SHOPs interested in continuing the direct enrollment option must submit a plan to CMS including a description of how the direct enrollment approach will meet the three criteria described [in this document], along with the state's plan for implementing SHOP beyond the transitional period."
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