CMS Releases 2016 Marketplace Enrollment Manual

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The Centers for Medicare & Medicaid Services (CMS) has released an updated version of the Marketplace enrollment manual. The manual is designed to provide guidance for users on eligibility and enrollment activities with the federally facilitated Marketplaces (FFM), the federally facilitated Small Business Health Options Program (FF-SHOPS), and to state-based Marketplaces and SHOPs that use the federal eligibility and enrollment platforms (SBMs-FP).

The topics covered by the manual include the initial open enrollment periods and important dates, premium payments, direct enrollment, and special enrollment periods. Open Enrollment for 2017 begins November 1, 2016 and ends on January 31, 2017.

Outside of the Open Enrollment period, individuals can enroll in a health insurance plan if they qualify for a special enrollment period, such as a life changing event (getting married, having a child, or losing other health care coverage).

Job-based plans have different periods of open enrollment; the human resources department at individual employers can answer when those are.

Enrollment for Medicaid and the Children’s Health Insurance Program (CHIP) are open year-round.

You can access the manual here.

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