Federally-Facilitated Marketplace (Ffm) User Fee Adjustment Web Form Quick Startguide - Centers For Medicare And Medicaid Services Page 9

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FFM User Fee Adjustment Web Form Quick Start Guide
Figure 8: Summary Page – FFM Issuer (2)
4.2
TPA/PBM Seeking an FFM User Fee Adjustment
If you are a TPA/PBM there is a different process you will need to follow, which is outlined
below.
Table 4: TPA/PBM Seeking an FFM User Fee Adjustment – Steps 1-7
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 “TPA/PBM,” as shown in Figure
9.
2
Select the Continue button.
You will be directed to the TPA/PBM Notice of Intent page of the web form.
3
Enter the TPA or PBM name.
4
Enter the Self-Certification date.
FFM User Fee Adjustment Web Form Quick Start Guide
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