Update to Technical /guidance 01-2018: Standards for Self-Insured Non-Federal Governmental Health Plans and Insurance

Document Excerpt

Summary of Updates: This Technical Release replaces the technical guidance issued January 11, 2017 with updated notice requirements for self-insured non-Federal governmental health plans and health insurance issuers offering group and individual health coverage using the Department of Health and Human Services (HHS)-administered Federal external review process. Since the January 11, 2017 technical guidance was issued, MAXIMUS (a Federal contractor) has started accepting requests for external review through an online portal, in addition to via mail or fax. CMS is requiring that all plans and issuers participating in the HHS-administered Federal external review process update notices accordingly in order to properly inform policyholders and beneficiaries of their three options for requesting an external review (via email, mail, fax, or through the online portal). This Technical Release also replaces the technical guidance issued
September 11, 2018, with a revised address where a claimant can make an online request for external review.



About Us

Benefits Forward is a news site for professionals in the field of employee benefits. Our goal is to provide the latest information about the benefits field and to host a community discussion regarding related issues.

Seminars, Conferences & Other Events

  • Sorry, there are no articles in this category.

Need Help Correcting Plan Errors?

Contact us for either consultation on how you can Self Correct or to propose cost effective correction methods using VCP. Or contact us to submit under VCP on your behalf or on behalf of your client. Contact us by email.