Center for Health Policy

Proposed Rule Posted by CMS for Basic Health Plan Program

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule establishing the standards for the Basic Health Program. The Basic Health Plan provision provides states the option to establish a health benefits coverage program for uninsured individuals with incomes between 133-200% FPL who would otherwise be eligible to receive premium subsidies in the Health Insurance Marketplace. This proposed rule sets forth a framework for Basic Health Program eligibility and enrollment, benefits, delivery of health care services, transfer of funds to participating states, state administration and federal oversight. View the proposed rule here.

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