Transcription of February 1, 2022
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February 1, 2022
1 DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Center for Consumer Information & Insurance Oversight 200 Independence Avenue SW Washington, DC 20201 Date: From: Title: February 1, 2022 Center for Consumer Information & Insurance Oversight (CCIIO), Centers for Medicare & Medicaid Services (CMS) Guidance for States, Plans, and Issuers on State External Review Processes Regarding Requirements in the No Surprises Act Background: Under the Affordable Care Act (ACA), consumers have the right to appeal decisions made by health plans created after March 23, 2010. The law governs how insurance companies handle initial appeals and how consumers can request a reconsideration of a decision to deny payment.
MAXIMUS’ contact information is: Maximus Federal External Review Federal External Review Process – NSA 3750 Monroe Ave., Suite 705 Pittsford, NY 14534 Facsimile: 1-888-866-6190 Phone: 1-888-866-6205 Once MAXIMUS receives a referral for an NSA compliance matter, MAXIMUS will contact the
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