Senior Policy Analysts Aaron Tripp, MSW, and Stephanie Cannon-Jones, MA, presented this poster at the Gerontological Society of America’s (GSA’s) 66th Annual Scientific Meeting held November 20-24, 2013, in New Orleans.

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Policy Analyst Rebekah Natanov, MPH, and Director of Special Studies Ian Stockwell, MA, presented this poster at the Gerontological Society of America’s (GSA’s) 66th Annual Scientific Meeting held November 20-24, 2013, in New Orleans.

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Since the enactment of the Affordable Care Act in 2010, there has been consistent federal guidance employing and clarifying its provisions. Hilltop develops regulation summaries to assist state and local policymakers in their implementation of health reform. On October 24, 2013, the U.S. Department of Health and Human Services (HHS) issued a final rule on Program Integrity: Exchange, Premium Stabilization Programs, and Market Standards; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014. This final rule outlines financial integrity and oversight standards for Exchanges and qualified health plan (QHP) issuers, and the operation of state risk adjustment and reinsurance programs. In addition, this final rule clarifies standards for special enrollment periods, survey vendors that conduct enrollee satisfaction surveys on behalf of QHP issuers, and issuer participation in the federally facilitated Exchange (FFE). This document provides a high-level summary of these rules and highlights key changes to the regulation since the issuance of the proposed rule.

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Executive Director Cynthia H. Woodcock, MBA, gave this presentation at the National Conference of State Legislatures (NCSL) Fiscal Analysts Seminar held October 8, 2013, in Annapolis. Woodcock discussed the characteristics of dual eligibles; pathways to dual eligibility; opportunities for and challenges of integrating care for this population; and approaches to integrating care.

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Since the enactment of the Affordable Care Act in 2010, there has been consistent federal guidance employing and clarifying its provisions. Hilltop develops regulation summaries to assist state and local policymakers in their implementation of health reform. On August 29, 2013, the U. S. Department of Health and Human Services (HHS) issued a final rule on Program Integrity: Exchange, SHOP, and Eligibility Appeals. This rule finalizes Exchange standards on eligibility appeals, agents and brokers, privacy and security, issuer direct enrollment, and the handling of consumer cases. In addition, it establishes standards for a state’s operation of the Exchange and Small Business Health Options Program (SHOP). This document provides a high-level summary of these rules and highlights key changes to the regulation since the issuance of the proposed rule.

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Since the enactment of the Affordable Care Act in 2010, there has been consistent federal guidance employing and clarifying its provisions. Hilltop develops regulation summaries to assist state and local policymakers in their implementation of health reform. On July 17, 2013, the U.S. Department of Health and Human Services (HHS) issued a final rule on Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel; Consumer Assistance Tools and Programs of an Exchange and Certified Application Counselors. This rule finalizes provisions in the Notices of Proposed Rulemaking (NPRMs), released on January 22, 2013, and April 5, 2013, related to various requirements for navigators and assisters; requirements for exchanges to have a certified application counselor program and the details of that program; and conflict of interest, training and certification, and meaningful access standards. This document provides a high-level summary of this rule and highlights key changes to the regulation since the issue of the proposed rule.

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Since the enactment of the Affordable Care Act in 2010, there has been consistent federal guidance employing and clarifying its provisions. Hilltop develops regulation summaries to assist state and local policymakers in their implementation of health reform. On July 5, 2013, the U.S. Department of Health and Human Services (HHS) issued a final rule on Medicaid and Children’s Health Insurance Programs (CHIPs): essential health benefits (EHBs) in alternative benefit plans, eligibility notices, fair hearings and appeals processes, and premiums and cost sharing; Exchanges: eligibility and enrollment. This rule finalizes many of the provisions of the Notice of Proposed Rulemaking (NPRM) released on January 22, 2013. This document provides a high-level summary of this rule and highlights key changes to the regulation since the issue of the proposed rule.

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Since the enactment of the Affordable Care Act in 2010, there has been consistent federal guidance employing and clarifying its provisions. Hilltop develops regulation summaries to assist state and local policymakers in their implementation of health reform. On July 1, 2013, the U.S. Department of Health and Human Services (HHS) issued a final rule on Exchange functions: eligibility for exemptions; miscellaneous minimum essential coverage provisions. This document provides a high-level summary of this rule and highlights key changes to the regulation since the issue of the proposed rule.

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Since the enactment of the Affordable Care Act in 2010, there has been consistent federal guidance employing and clarifying its provisions. Hilltop develops regulation summaries to assist state and local policymakers in their implementation of health reform. On June 19, 2013, the U.S. Department of Health and Human Services (HHS) issued a Notice of Proposed Rulemaking (NPRM) on program integrity: Exchange, SHOP, premium stabilization programs, and market standards. This document provides a high-level summary of this rule and highlights the items for comment.

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Since the enactment of the Affordable Care Act in 2010, there has been consistent federal guidance employing and clarifying its provisions. Hilltop develops regulation summaries to assist state and local policymakers in their implementation of health reform.

 

On February 24, 2014, the Internal Revenue Service (IRS), Department of Labor (DOL), and Department of Health and Human Services (HHS) issued a final rule on the Ninety-Day Waiting Period Limitation and Technical Amendments to Certain Health Coverage Requirements under the Affordable Care Act. This document provides a high-level summary of this rule and highlights key changes to the regulation since the issuance of the proposed rule.

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