Federally-Facilitated Marketplace (Ffm) User Fee Adjustment Web Form Quick Startguide - Centers For Medicare And Medicaid Services
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19FFM User Fee Adjustment Web Form Quick Start Guide
Federally-facilitated Marketplace (FFM) User Fee
Adjustment Web Form Quick Start Guide
Resources
The following Federally-facilitated Marketplace (FFM) User Fee Adjustment resources are
available for review or download:
•
Federally-facilitated Marketplace (FFM) User Fee Adjustment web
form:
•
Federally-facilitated Marketplace (FFM) User Fee Adjustment webinar training materials
from the REGTAP library in the “User Fees” Program Area:
https://
•
Frequently asked questions (FAQs) related to the FFM User Fee Adjustment posted to
REGTAP:
https://
1 Introduction
The “Coverage of Certain Preventative Services Under the Affordable Care Act” Final Rule (78
FR 39870) sets forth regulations regarding coverage for certain contraceptive services. The rule
ensures that individuals in group health plans have access to the full range of approved
contraceptives without cost-sharing, while respecting eligible organizations’ religious-based
objections to contraception. Eligible organizations receive an accommodation relating to
contraceptive coverage so that they are not required to provide, arrange, or make payment for
these services.
to
The rule set forth processes and standards
fund the payments for contraceptive services
paid on behalf of participants and beneficiaries in self-insured plans of eligible organizations
through an adjustment of the FFM User Fee payable by an issuer participating in the FFM. In
order to facilitate the FFM User Fee Adjustment, the final rules require information collection
from applicable participating FFM issuers and third party administrators (TPAs) and pharmacy
benefit managers (PBMs). For the 2016 benefit year, FFM issuers and TPAs/PBMs must
request an FFM User Fee Adjustment by completing the FFM User Fee Adjustment web form.
In addition, TPAs/PBMs will complete the TPA/PBM Notice of Intent (also known as the Notice
of Intent Disclosure) through the FFM User Fee Adjustment web form.
This document is a step-by-step guide to log in, complete, and submit the FFM User Fee
Adjustment web form for the 2016 benefit year.
To begin, the FFM User Fee Adjustment web form link will be emailed to a CMS-specified list of
FFM issuers and TPAs/PBMs who participated in this adjustment in the 2014 and/or 2015
benefit year. If you did not participate in this process for the 2015 benefit year, you can locate
the web form link through an FAQ posted to REGTAP. The window for submitting requests for
FFM User Fee Adjustment for the 2016 benefit year is Friday, October 27, 2017 to Wednesday,
November 30, 2017 at 11:59 p.m. ET.
FFM User Fee Adjustment Web Form Quick Start Guide
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