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Text of CMS Health Insurance Exchange Guidelines: Auditor Operational Readiness Reviews for the Enhanced Direct Enrollment Pathway and Oversight Requirements (PDF)
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]
[Official Guidance] Feb. 19, 2019
42 pages. "[CMS] is continuing to implement Enhanced Direct Enrollment (EDE), an optional program allowing EDE Entities (i.e., Qualified Health Plan [QHP] issuers and web-brokers seeking to participate in EDE) registered with the Federally-facilitated Exchange [FFE] and State-based Exchanges on the Federal Platform (SBE-FPs) to host an application for Marketplace coverage on their own websites.... This set of guidelines outlines EDE program and audit requirements for PY 2019 ... and PY 2020.... The primary audit submission window for prospective EDE Entities interested in implementing EDE in calendar year 2019 is from April 1, 2019 to June 30, 2019."
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