Federally-Facilitated Marketplace (Ffm) User Fee Adjustment Web Form Quick Startguide - Centers For Medicare And Medicaid Services Page 4

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FFM User Fee Adjustment Web Form Quick Start Guide
Figure 3: Contact Information Page
4 Organization Type Seeking an FFM User Fee Adjustment
To report an adjustment to FFM User Fees for contraceptive services if you are an FFM issuer,
see
Section
4.1. To report an adjustment to FFM User Fees for contraceptive services if you are
a TPA/PBM, see
Section
4.2.
4.1
FFM Issuer Seeking an FFM User Fee Adjustment
Table 2: FFM Issuer Seeking a FFM User Fee Adjustment (Steps 1-13)
Step
Action
1
From the Organization Type page under the question, “Are you an FFM issuer
or TPA/PBM?” select the radio button next to FFM Issuer, as shown in Figure
4.
2
Select the Continue button.
You will be directed to the FFM Issuer User Fee Adjustment Information page
of the web form.
3
Enter the FFM Issuer’s Legal Business Name.
FFM User Fee Adjustment Web Form Quick Start Guide
4

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