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Insurers that recover funds from a favorable Supreme Court ruling in a case regarding Affordable Care Act risk corridors payments (HPW 5/4/20, p. 1) must share some of that money with customers, CMS proposed in a guidance document issued Sept. 30. “Issuers must submit a revised MLR reporting form(s) for the 2015 through 2018 reporting years for each state, market, and year in which the issuer has a greater rebate liability based on inclusion of the recovered RC [risk corridors] payment amounts,” the agency said. “Issuers must pay the outstanding rebate amounts to the enrollees who were enrolled in the respective MLR reporting year.” Read more at https://go.cms.gov/36mPQ6l.

Between February and June 2020, Medicaid enrollment increased by 6.2% with nearly 4 million new enrollments, according to recent data from CMS. The agency’s first monthly Medicaid and CHIP Enrollment Trends Snapshot shows that overall enrollment in Medicaid and CHIP “sharply increased” during the COVID-19 public health emergency, and again with the passage of the Families First Coronavirus Response Act maintenance of effort requirement, which prohibited states from conducting eligibility redeterminations as a condition of receiving enhanced Medicaid funding. Visit https://bit.ly/2EPKrtb.

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AIS Health Staff

AIS Health Staff

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