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Unified Agenda 0938-AQ66

Internal Claims, Appeals, and External Review Processes Under the Affordable Care Act (CMS-9993-IFC2)


The Affordable Care Act provides consumers with the right to appeal decisions made by their health carrier to an outside, independent decision maker, regardless on the State of residence or type of health insurance. Under interim final regulations issued earlier this year, non-grandfathered plans and issuers must comply with a State external review process or the Federal external review process. This rule would finalize the regulation and provide an opportunity to respond to public comments.


3 actions from July 23rd, 2010 to June 2011

  • July 23rd, 2010
  • September 21st, 2010
    • Interim Final Rule Effective
  • June 2011
    • Second Interim Final Rule


  • Ellen Kuhn
    Department of Health and Human Services,
    Phone 301 492-4100
    7500 Security Boulevard,
    Baltimore MD 21244

Federal Register Activity

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