Federal Guidance

Multiple agencies of the federal government are responsible for developing guidance on enrollment provisions of the Affordable Care Act: the Centers for Medicare and Medicaid Services and the Office of the National Coordinator for Health Information Technology at the Department of Health and Human Services, and the Internal Revenue Service at the Department of the Treasury. This guidance includes “subregulatory” guidance (letters, principles, and papers), which is intended to provide direction to states as they make decisions about health reform implementation, as well as official federal regulations, which states must adhere to as they implement the law. This page will feature links to both kinds of federal guidance, as well as related commentary from Enroll America and other organizations.

 

Federal Guidance Related to Enrollment

Proposed Rule: Standards for Navigators and Non-Navigator Assistance Personnel, Centers for Medicare and Medicaid Services, April 2013

Draft Single Streamlined Application, Centers for Medicare and Medicaid Services, January 2013

Proposed Rules on Medicaid, Children's Health Insurance Programs, and Exchanges, Centers for Medicare and Medicaid Services, January 2013

Guidance on State Partnership Exchanges, Center for Consumer Information and Insurance Oversight, January 2013

Frequently Asked Questions on Exchanges, Market Reforms, and Medicaid, Centers for Medicare and Medicaid Services, December 10, 2012

Medicaid/CHIP Affordable Care Act Implementation: Answers to Frequently Asked Questions, Centers for Medicare and Medicaid Services, November 19, 2012

Single Streamlined Application Data Elements, Centers for Medicare and Medicaid Services, July 2012

Final Blueprint for Approval of State-based and State/Federal Partnership Insurance Exchanges, Centers for Medicare and Medicaid Services, August 2012

Guidance: Federally-facilitated Exchanges, Centers for Medicare and Medicaid Services, May 2012

Final Rule on Medicaid Eligibility Changes Under the Affordable Care Act, Centers for Medicare and Medicaid Services, March 2012 (Note, several provisions in this rule were issued as interim final.)

Final Rule on Establishment of Exchanges and Exchange Eligibility Determinations, Centers for Medicare and Medicaid Services, March 2012 (Note, several provisions in this rule were issued as interim final.)  

Draft State Exchange Certification Application, Centers for Medicare and Medicaid Services, November 2011 (Also see related notice in the November 10, 2011 edition of the Federal Register.)

Guidance: State Exchange Implementation Questions and Answers, Centers for Medicare and Medicaid Services, November 2011

Proposed Rule on Medicaid Eligibility Changes Under the Affordable Care Act, Centers for Medicare and Medicaid Services, August 2011

Proposed Rule on the Health Insurance Premium Tax Credit, Internal Revenue Service, August 2011
Proposed Rule on Establishment of Exchanges and Qualified Health Plans, Centers for Medicare and Medicaid Services, July 2011
Guidance for Exchange and Medicaid Information Technology (IT) Systems, Version 2.0, Centers for Medicare and Medicaid Services, May 2011
 
Federal Funding for Medicaid Eligibility Determination and Enrollment Activities, Centers for Medicare and Medicaid Services, April 2011

Guidance for Exchange and Medicaid Information Technology (IT) Systems, Version 1.0, Office of Consumer Information and Insurance Oversight and Centers for Medicare and Medicaid Services, November 2010
 
Section 1561 Recommendations, Office of the National Coordinator for Health Information Technology, September 2010

HIT Policy & Standards Committee Enrollment Workgroup Recommendations, Office of the National Coordinator for Health information Technology, September 2010