Subpart D - EXCHANGE FUNCTIONS IN THE INDIVIDUAL MARKET: ELIGIBILITY DETERMINATIONS FOR EXCHANGE PARTICIPATION AND INSURANCE AFFORDABILITY PROGRAMS
- Section 155.300 - Definitions and general standards for eligibility determinations
- Section 155.302 - [Effective 6/4/2024] Options for conducting eligibility determinations
- Section 155.302 - [Effective until 6/4/2024] Options for conducting eligibility determinations
- Section 155.305 - [Effective 6/4/2024] Eligibility standards
- Section 155.305 - [Effective until 6/4/2024] Eligibility standards
- Section 155.310 - Eligibility process
- Section 155.315 - [Effective 6/4/2024] Verification process related to eligibility for enrollment in a QHP through the Exchange
- Section 155.315 - [Effective until 6/4/2024] Verification process related to eligibility for enrollment in a QHP through the Exchange
- Section 155.320 - [Effective 6/4/2024] Verification process related to eligibility for insurance affordability programs
- Section 155.320 - [Effective until 6/4/2024] Verification process related to eligibility for insurance affordability programs
- Section 155.330 - [Effective 6/4/2024] Eligibility redetermination during a benefit year
- Section 155.330 - [Effective until 6/4/2024] Eligibility redetermination during a benefit year
- Section 155.335 - [Effective 6/4/2024] Annual eligibility redetermination
- Section 155.335 - [Effective until 6/4/2024] Annual eligibility redetermination
- Section 155.340 - Administration of advance payments of the premium tax credit and cost-sharing reductions
- Section 155.345 - Coordination with Medicaid, CHIP, the Basic Health Program, and the Pre-existing Condition Insurance Plan
- Section 155.350 - Special eligibility standards and process for Indians
- Section 155.355 - Right to appeal