HHS Unveils Proposed HIX Rules

Cheryl Clark, for HealthLeaders Media , August 15, 2011

Commissioner for the Internal Revenue Service Doug Shulman said during the briefing that "from a consumer perspective, (a person would) show up at the exchange, they'd get an advance refundable credit, based on information the exchange has. 

"We set up systems at the IRS to pay the insurer a co-pay – usually the consumer is also paying a piece of it, that's the credit. And then, at the back of it, when the person files tax return if they got too much of a credit they will reconcile at that time."

3. Medicaid Eligibility. Expands and simplifies Medicaid eligibility and promotes a seamless system of affordable coverage by coordinating Medicaid and the Children's Health Insurance Program with the new exchanges.

Under the ACA, adults under age 65 who earn up to 133% of the federal poverty level are eligible for coverage under Medicaid. This rule simplifies eligibility rules so that Medicaid uses the same standards as other insurance affordability programs available through the exchange, and assures through data sharing that individuals are enrolled in the appropriate program regardless of where their applications are submitted.

Public written comments will be accepted for the next 75 days.

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