Training Resources

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menu-item--collapsed"> <a href="/medicare/medicaid-coordination/center-program-integrity/resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/674936">Resources</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/medicaid-coordination/about/qualified-medicare-beneficiary-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/184631">Qualified Medicare beneficiary program</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/medicaid-coordination/center-program-integrity/spotlight" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/674941">Spotlight</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/medicaid-coordination/center-program-integrity/events" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/674946">Events</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicaid-chip/medicare-coordination/financial-alignment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/178246">Financial alignment initiative</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicaid-chip/medicare-coordination/avoidable-hospitalizations" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/181236">Initiative to reduce avoidable hospitalizations </a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/medicaid-coordination/center-program-integrity/reports-guidance" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/674951">Reports & Guidance</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/medicaid-coordination/pace" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175651">Program of All-Inclusive Care for the Elderly (PACE)</a> </li> <li class="menu-item 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<a href="/medicare/appeals-grievances/managed-care" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169961">Managed Care appeals & grievances</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/appeals-grievances/prescription-drug" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171101">Medicare Prescription drug appeals & grievances</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/appeals-grievances/ombudsman-center" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193386">Ombudsman Center</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/appeals-grievances/appeals-decision-search-part-c-d" class="menu-item-element" aria-current="false" data-drupal-link-system-path="qic-decision-search">Appeals Decision Search (Part C & Part D)</a> </li> </ul> </div> </div> </li> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">Quality</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/quality/value-based-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/188566">Value-based programs</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/quality/initiatives/hospital-quality-initiative/person-family-engagement" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/182996">Person & Family Engagement</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/quality/quality-improvement-organizations" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169871">Quality improvement organizations</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/quality/nursing-home-improvement" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171236">Nursing home quality improvement</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/quality/inpatient-rehabilitation-facility" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175616">Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP)</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/quality/home-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170541">Home Health Quality Reporting Program</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/quality/end-stage-renal-disease-esrd-quality-incentive-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176126">ESRD Quality Incentive Program</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/quality/meaningful-measures-initiative/cms-quality-strategy" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/178276">CMS National Quality Strategy</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/quality/hospice" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175556">Hospice Quality Reporting Program</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/quality/long-term-care-hospital" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175511">Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/quality/appropriate-use-criteria-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180421">Appropriate Use Criteria Program</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/quality/measures" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172001">Quality measures</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/quality/clinical-laboratory-improvement-amendments" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172651">Clinical Laboratory Improvement Amendments (CLIA)</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/advantage-quality-improvement-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177561">Medicare Advantage quality improvement program</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/quality/physician-compare-initiative" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175221">Physician compare initiative</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/quality/initiatives" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169636">Quality initiatives</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/health-drug-plans/part-c-d-performance-data" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171491">Part C and D Performance Data</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/quality/snf-quality-reporting-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180061"> Skilled Nursing Facility (SNF) Quality Reporting Program (QRP)</a> </li> </ul> </div> </div> </li> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">Health & safety standards</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/health-safety-standards/quality-safety-oversight-general-information" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169631">Quality, safety & oversight - General information</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/health-safety-standards/accreditation-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171481">Accreditation programs</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/health-safety-standards/civil-monetary-penalties" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/182431">Civil monetary penalties</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/health-safety-standards/quality-safety-oversight-emergency-preparedness" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172346">Quality, safety & oversight - Emergency preparedness</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/health-safety-standards/state-survey-agencies" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171271">State survey agencies</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/health-safety-standards/certification-compliance" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171241">Certification & compliance</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/health-safety-standards/enforcement" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/169811">Enforcement</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/health-safety-standards/guidance-for-laws-regulations" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170071">Quality, safety & oversight - Guidance for laws & regulations</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/health-safety-standards/promising-practices-project" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172211">Promising practices project</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/health-safety-standards/education-division" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/173371">Quality, safety & oversight - Education division (QSED)</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/health-safety-standards/conditions-coverage-participation" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172616">Conditions for coverage & participation</a> </li> </ul> </div> </div> </li> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">Employers & plan sponsors</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/employers-plan-sponsors/creditable-coverage" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171701">Creditable coverage</a> </li> </ul> </div> </div> </li> <li class="menu-item menu-item--l2"> <span class="menu-item-element" aria-current="false">IC-Placeholder-1</span> </li> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">Audits & Compliance</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/audits-compliance/part-a-cost-report" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/185256">Part A cost report audit</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/audits-compliance/part-c-d" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175921">Part C/Part D compliance & audits</a> </li> </ul> </div> </div> </li> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">Forms & notices</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3"> <a href="/medicare/forms-notices/cms-forms" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170166">CMS forms</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/forms-notices/cms-forms-list" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/174306">CMS forms list</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/forms-notices/beneficiary-notices-initiative" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170686">Beneficiary Notices Initiative (BNI)</a> </li> </ul> </div> </div> </li> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">Health & drug plans</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/health-drug-plans/plan-payment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171981">Plan payment</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/health-drug-plans/plan-payment-data" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175081">Plan payment data</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/health-drug-plans/medical-loss-ratio" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180161">Medical loss ratio</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/health-drug-plans/coverage-gap-discount-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/175906">Coverage Gap Discount Program</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/health-drug-plans/managed-care-marketing" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170611">Managed care marketing</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/health-drug-plans/medicare-advantage-application" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170651">Medicare Advantage application</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/health-drug-plans/medigap" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170466">Medigap (Medicare supplement health insurance)</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/health-drug-plans/medical-savings-account" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/172066">Medical Savings Account (MSA)</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/health-drug-plans/private-fee-for-service-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170301">Private Fee-for-Service Plans</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/enrollment-renewal/health-plans/prepayment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170521">Health Care Prepayment Plans (HCPPs)</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/enrollment-renewal/health-plans/cost" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170656">Cost plans</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/enrollment-renewal/special-needs-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171676">Special needs plans</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/health-drug-plans/network-adequacy" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/171301">Network adequacy</a> </li> </ul> </div> </div> </li> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">Coordination of benefits & recovery</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/coordination-benefits-recovery/overview" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177001">Overview</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/coordination-benefits-recovery/mandatory-insurer-reporting-group-health-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176856">Mandatory Insurer Reporting for Group Health Plans (GHP)</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/coordination-benefits-recovery/mandatory-insurer-reporting" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176951">Mandatory insurer reporting (NGHP)</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/coordination-benefits-recovery/workers-comp-set-aside-arrangements" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176641">Workers' comp Medicare set aside arrangements</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/coordination-benefits-recovery/attorney-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177026">Attorney services</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/coordination-benefits-recovery/beneficiary-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/177036">Beneficiary services</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/coordination-benefits-recovery/coba-trading-partners" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176761">COBA Trading Partners</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/coordination-benefits-recovery/employer-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170361">Employer services</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/coordination-benefits-recovery/insurer-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170846">Insurer services</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/coordination-benefits-recovery/prescription-drug-assistance-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/176791">Prescription drug assistance programs</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicare/coordination-benefits-recovery/provider-services" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/170406">Provider services</a> </li> </ul> </div> </div> </li> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">Settlements</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3"> <a href="/medicare/settlements/jimmo" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193381">Jimmo Settlement</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicare/settlements/ryan" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193486">Ryan Settlement</a> </li> </ul> </div> </div> </li> </ul> </div> </li> <li class="menu-item menu-item--l1 menu-item--expanded"> <span class="menu-item-element" aria-current="false">Medicaid/CHIP</span> <div class="subnav-wrapper--1 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-main ds-u-lg-display--none">Back to main menu</span> <h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2> </div> <ul class="menu"> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">What is Medicaid?</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3"> <a href="https://www.medicaid.gov" class="menu-item-element" aria-current="false">Visit Medicaid.gov</a> </li> <li class="menu-item menu-item--l3"> <a href="https://www.medicaid.gov/about-us/beneficiary-resources/index.html#statemenu" class="menu-item-element" aria-current="false">View Medicaid maps</a> </li> <li class="menu-item menu-item--l3"> <a href="http://www.medicaid.gov/chip/index.html" class="menu-item-element" aria-current="false">Visit CHIP.gov</a> </li> </ul> </div> </div> </li> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">Medicare-Medicaid Coordination</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3"> <a href="/medicaid-chip/medicare-coordination/integrated-care-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/174926">Integrated care resources</a> </li> <li class="menu-item menu-item--l3"> <a href="/medicaid-chip/medicare-coordination/avoidable-hospitalizations" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/181236">Initiative to reduce avoidable hospitalizations</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicaid-chip/medicare-coordination/financial-alignment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/178246">Financial alignment initiative</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/medicaid-chip/medicare-coordination/integrity-institute" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1315141">Medicaid Integrity Institute</a> </li> </ul> </div> </div> </li> <li class="menu-item menu-item--l2"> <span class="menu-item-element" aria-current="false">RG-Placeholder-1</span> </li> <li class="menu-item menu-item--l2"> <span class="menu-item-element" aria-current="false">IC-Placeholder-2</span> </li> </ul> </div> </li> <li class="menu-item menu-item--l1 menu-item--expanded menu-item--active-trail"> <span class="menu-item-element" aria-current="false">Marketplace & Private Insurance</span> <div class="subnav-wrapper--1 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-main ds-u-lg-display--none">Back to main menu</span> <h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2> </div> <ul class="menu"> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">About the Marketplace</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/marketplace/about/oversight" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191061">Marketplace oversight</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/marketplace/about/affordable-care-act" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191416">Affordable Care Act</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/marketplace/about/overview-exchanges" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190921">Overview of the exchanges</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/about/exchange-coverage-maps" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193086">Exchange coverage maps</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/about/medicare" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/179351">Medicare and the Marketplace</a> </li> </ul> </div> </div> </li> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">Private Health Insurance</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3"> <a href="/marketplace/private-health-insurance/patient-bill-of-rights" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192591">Patient’s Bill of Rights</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/private-health-insurance/medical-loss-ratio" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190956">Medical loss ratio</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/private-health-insurance/annual-limits" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191976">Annual limits</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/private-health-insurance/review-insurance-rates" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192716">Review of insurance rates</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/private-health-insurance/market-rating-reforms" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191816">Market rating</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/private-health-insurance/self-funded-non-federal-governmental-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191111">Self-funded, non-federal governmental plans</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/private-health-insurance/grandfathered-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191456">Grandfathered plans</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/private-health-insurance/health-reimbursement-arrangements" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193216">Health Reimbursement Arrangements</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/private-health-insurance/coverage-young-adults" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190931">Coverage for young adults</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/private-health-insurance/student-health-plans" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190946">Student health plans</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/private-health-insurance/mental-health-parity-addiction-equity" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192601">Mental health parity and addiction equity</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/private-health-insurance/prevention" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191071">Prevention</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/private-health-insurance/consumer-protections-enforcement" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192701">Consumer protections & enforcement</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/private-health-insurance/pre-existing-condition-plan" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191056">Pre-existing condition insurance plan</a> </li> <li class="menu-item menu-item--l3"> <a href="https://www.healthcare.gov/glossary/qualifying-health-coverage" class="menu-item-element" aria-current="false">Qualifying Health Coverage (QHC)</a> </li> </ul> </div> </div> </li> <li class="menu-item menu-item--l2"> <span class="menu-item-element" aria-current="false">RG-Placeholder-2</span> </li> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">In-person assisters</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3"> <a href="/marketplace/in-person-assisters/information-partners" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2078851">Information for Partners</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/marketplace/in-person-assisters/outreach-education" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073436">Assister outreach & education</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/marketplace/in-person-assisters/applications-forms-notices" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073441">Applications, forms, & notices</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/marketplace/in-person-assisters/programs-procedures" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073446">Assister programs & procedures</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/marketplace/in-person-assisters/technical-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073231">Assister technical resources</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/marketplace/in-person-assisters/training-webinars" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2073451">Assister training & webinars</a> </li> </ul> </div> </div> </li> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">Agents & Brokers</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3"> <a href="/marketplace/agents-brokers/resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192876">Resources for Agent & Brokers</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/agents-brokers/registration-training" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1290426">Registration & training</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/agents-brokers/open-enrollment" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193226">Open enrollment</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/agents-brokers/direct-enrollment-partners" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1550226">Direct enrollment partners</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/agents-brokers/general-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/185021">General resources</a> </li> <li class="menu-item menu-item--l3"> <a href="https://www.youtube.com/playlist?list=PLaV7m2-zFKpgUK9AqdbnOdW69-WwodvRj" class="menu-item-element" aria-current="false">Video Learning Center</a> </li> <li class="menu-item menu-item--l3"> <a href="https://www.agentbrokerfaq.cms.gov/s/" class="menu-item-element" aria-current="false">Agent & Broker FAQ</a> </li> <li class="menu-item menu-item--l3"> <a href="/files/document/agent/broker-help-desks.pdf" class="menu-item-element" aria-current="false" data-drupal-link-system-path="media/112386">Marketplace help desk & call centers</a> </li> <li class="menu-item menu-item--l3"> <a href="https://data.healthcare.gov/ffm_ab_registration_lists" class="menu-item-element" aria-current="false">Registration Completion List</a> </li> <li class="menu-item menu-item--l3"> <a href="https://data.healthcare.gov/ab-registration-tracker/" class="menu-item-element" aria-current="false">Marketplace Registration Tracker</a> </li> <li class="menu-item menu-item--l3"> <a href="https://data.healthcare.gov/ab-suspension-and-termination-list" class="menu-item-element" aria-current="false">AB Suspension & Termination List</a> </li> <li class="menu-item menu-item--l3"> <a href="https://localhelp.healthcare.gov/" class="menu-item-element" aria-current="false">Find local help</a> </li> <li class="menu-item menu-item--l3"> <a href="https://data.healthcare.gov/issuer-partner-lookup" class="menu-item-element" aria-current="false">Issuer and direct enrollment partner directory</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/agents-brokers/help-on-demand" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193196">Help on demand</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/agents-brokers/shop-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193096">SHOP Resources</a> </li> </ul> </div> </div> </li> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">Health Plans & Issuers</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3"> <a href="/marketplace/health-plans-issuers/qualified-health-plan-certification" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191371">Qualified health plan certification </a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/health-plans-issuers/summary-benefits-coverage" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191461">Summary of benefits & coverage</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/marketplace/health-plans-issuers/insurance-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192101">Insurance programs</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/marketplace/health-plans-issuers/premium-stabilization-programs" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191326">Premium stabilization programs</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/health-plans-issuers/insurance-market-reforms" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191421">Health insurance market reforms</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/health-plans-issuers/minimum-essential-coverage" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192891">Minimum essential coverage</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace-private-insurance/health-plans-issuers/pbm-drug-pricing-review" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2088761">Drug pricing & rebate review</a> </li> </ul> </div> </div> </li> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">Employers & sponsors</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3"> <a href="https://www.healthcare.gov/small-businesses/other-coverage" class="menu-item-element" aria-current="false">Coverage</a> </li> <li class="menu-item menu-item--l3"> <a href="https://www.healthcare.gov/small-businesses/choose-and-enroll/shop-marketplace-overview" class="menu-item-element" aria-current="false">Regulation & guidance</a> </li> <li class="menu-item menu-item--l3"> <a href="https://www.healthcare.gov/small-businesses/choose-and-enroll/qualify-for-shop-marketplace" class="menu-item-element" aria-current="false">Small business tax credit & premium assistance</a> </li> <li class="menu-item menu-item--l3"> <a href="https://www.healthcare.gov/small-businesses/choose-and-enroll/appeal-a-shop-decision" class="menu-item-element" aria-current="false">Appeals</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/employers-sponsors/small-business-health-options-program-shop" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192901">Small Business Health Options Program (SHOP)</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/employers-sponsors/early-retiree-reinsurance-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191651">Early retiree reinsurance program</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/employer-initiatives" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192916">Employer initiatives</a> </li> </ul> </div> </div> </li> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">States</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3"> <a href="/marketplace/states/state-marketplace-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190916">Planning & establishing a Marketplace</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/states/territory-cooperative-agreements" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190926">Territory cooperative agreements</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/states/early-innovator-program" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191691">Early innovator program</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/states/state-flexibility-stabilize-market" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/193246">State flexibility to stabilize the Market </a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/states/creating-competitive-marketplace" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192231">Exchange establishment grants</a> </li> <li class="menu-item menu-item--l3"> <a href="https://www.healthcare.gov/coverage/pre-existing-conditions" class="menu-item-element" aria-current="false">Pre-existing condition insurance plan</a> </li> </ul> </div> </div> </li> <li class="menu-item menu-item--l2 menu-item--expanded menu-item--active-trail"> <span class="menu-item-element" aria-current="false">Resources</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3"> <a href="/marketplace/resources/about-us" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/192721">About Us</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/marketplace/resources/data" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191741">Data resources</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/resources/forms-reports-other" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/190966">Forms, reports, & other resources</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/resources/letters" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191646">Letters</a> </li> <li class="menu-item menu-item--l3"> <a href="/marketplace/resources/regulations-guidance" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/191366">Regulations & Guidance</a> </li> <li class="menu-item menu-item--l3 menu-item--active-trail"> <a href="/marketplace/resources/training" class="menu-item-element active-page is-active" aria-current="page" data-drupal-link-system-path="node/191466">Training resources</a> </ul> </div> </div> </li> </ul> </div> </li> <li class="menu-item menu-item--l1 menu-item--expanded"> <span class="menu-item-element" aria-current="false">Priorities</span> <div class="subnav-wrapper--1 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-main ds-u-lg-display--none">Back to main menu</span> <h2 class="subnav-title-h2" style="position:relative;text-align:left;width:auto;height:auto;">section title h2</h2> </div> <ul class="menu"> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">Innovation Center</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3"> <a href="/priorities/innovation/overview" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2090631">Overview</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/priorities/innovation/about" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2074091">About</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/priorities/innovation/key-concepts" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072461">Key Concepts</a> </li> <li class="menu-item menu-item--l3"> <a href="/priorities/innovation-center/model-data" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2087691">Model Data</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/priorities/innovation-center/value-based-care-spotlight" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2082926">Value-Based Care Spotlight</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/priorities/innovation/models" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072436">Innovation Models</a> </li> <li class="menu-item menu-item--l3"> <a href="/priorities/innovation/where-innovation-happening" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072451">Where Innovation is Happening</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/priorities/innovation/evaluation-research-reports" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072446">Evaluations & Research Reports</a> </li> </ul> </div> </div> </li> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">Health Equity</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/priorities/health-equity/c2c" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1974361">Coverage to Care</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/priorities/health-equity/minority-health" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1620916">Minority health</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/priorities/health-equity/c2c/es" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/2072591">Cobertura de atención</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a href="/priorities/health-equity/grants-awards" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1612961">Grants & awards</a> </li> </ul> </div> </div> </li> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">Recent Legislation</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3"> <a href="/inflation-reduction-act-and-medicare" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1621896">Inflation Reduction Act and Medicare</a> </li> <li class="menu-item menu-item--l3"> <a href="/nosurprises" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1573261">No Surprises Act</a> </li> </ul> </div> </div> </li> <li class="menu-item menu-item--l2 menu-item--expanded"> <span class="menu-item-element" aria-current="false">Key Initiatives</span> <div class="subnav-wrapper--2 ds-u-display--none"> <div class="subnav-header"> <span class="back-to-l2 ds-u-lg-display--none">Back to <span class="l2-placeholder"></span> menu</span> <h3 class="subnav-title-h3" style="position:relative;text-align:left;">section title h3</h3> </div> <div class="menu-wrapper"> <ul class="menu"> <li class="menu-item menu-item--l3"> <a href="/priorities/key-initiatives/opioids" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1620416">Opioids</a> </li> <li class="menu-item menu-item--l3"> <a href="/priorities/key-initiativess/flu" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/1399001">Flu</a> </li> <li class="menu-item menu-item--l3"> <a href="/priorities/key-initiatives/medicare-open-enrollment-partner-resources" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180361">Medicare Open Enrollment</a> </li> <li class="menu-item menu-item--l3"> <a href="/outreach-and-education/reach-out/find-tools-to-help-you-help-others/open-enrollment-outreach-and-media-materials" class="menu-item-element" aria-current="false" data-drupal-link-system-path="node/180386">Medicare OE partner resources</a> </li> <li class="menu-item menu-item--l3"> <a href="https://www.healthcare.gov/quick-guide/dates-and-deadlines" class="menu-item-element" aria-current="false">Marketplace Open Enrollment</a> </li> <li class="menu-item menu-item--l3 menu-item--collapsed"> <a 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</div> </div> </div> </header> <div id="page-wrapper" class="layout-builder-enabled-view-mode section_page"> <div id="page"> <main id="skipNavTarget" role="main"> <div id="main-wrapper" class="clearfix"> <div class="ds-l-container"> <div class="ds-l-row"> <div class="ds-l-col--12"> <div class="region region-cms-page-menu-block-header"> </div> </div> </div> </div> <div id="main" class="clearfix"> <div> <inner> <div class="ds-l-container"> <div class="ds-l-row"> <div class="ds-l-col--12"> <div class="region region-content"> <div data-drupal-messages-fallback class="hidden"></div> <div id="block-cms-evo-pagetitle" class="block block-core block-page-title-block"> <div class="content"> <span class="create-date"> </span> <h1 class="ds-u-visibility--screen-reader page-title"><span class="field field--name-title field--type-string field--label-visually_hidden">Training Resources <div class="title-border"></div></span> </h1> <div class="title-border"></div> </div> </div> </div> </div> </div> </div> <div id="block-cms-evo-content" class="block block-system block-system-main-block"> <div class="content"> <span class="create-date"> </span> <div class="node node--type-section-page node--view-mode-full clearfix"> <div class="node__content clearfix"> <div class="subsite_body"> <div class="layout--constrained section--bg-style-none section--bg-color-none layout layout--onecol-section"> <div class="ds-l-container"> <div class="ds-l-row"> <div class="layout__column ds-l-col--12 cms-global-center"> <div class="block block-layout-builder block-field-blocknodesection-pagetitle"> <div class="content"> <span class="create-date"> </span> <span class="field field--name-title field--type-string field--label-visually_hidden alternate-page-title ds-u-margin-bottom--0 ds-u-font-size--3xl ds-u-font-weight--semibold">Training Resources</span> </div> </div> <div class="block block-layout-builder block-field-blocknodesection-pagebody"> <div class="content"> <span class="create-date"> </span> <div class="field field--name-body field--type-text-with-summary field--label-hidden field__item"><div class="rxbodyfield"><h2>Training Resources</h2><ul><li><a href="#Content_Requirements_for_Plan_Finder">Content Requirement for Plan Finder</a></li><li><a href="#Health_Insurance_Market_Reforms">Health Insurance Market Reform</a><ul><li><a href="#Medical_Loss_Ratio">Medical Loss Ratio</a></li><li><a href="#Review_of_Insurance_Rates">Review of Insurance Rates</a></li><li><a href="#Mental_Health_Parity">Mental Health Parity</a></li></ul></li><li><a href="#Health_Insurance_Marketplaces">Health Insurance Marketplaces</a></li><li><a href="#Premium_Stabilization_Programs">Premium Stabilization Programs</a></li></ul><h2><a class="ck-anchor" id="Content_Requirements_for_Plan_Finder"></a>Content Requirements for Plan Finder</h2><h3>Training Resources</h3><ul><li>May 7, 2010<br><a href="/cciio/resources/training-resources/downloads/issuerslides_complete_05072010td.pdf" data-entity-type="media" data-entity-uuid="bd7a85d8-849d-4603-87c6-1355dd355885" data-entity-substitution="canonical" title="issuerslides_complete_05072010td">Slides for Private Insurance Carrier Training (PDF)</a> (PDF – 2 MB)<br><a href="https://wcms.cms.gov:9009/Rhythmyx/assembler/render?sys_revision=2&sys_context=0&sys_authtype=0&sys_variantid=764&sys_contentid=163803">Slides for Private Insurance Carrier Training</a> (PPT – 2 MB)<br><a href="/cciio/resources/files/downloads/stateslides_complete_05072010td.pdf" data-entity-type="media" data-entity-uuid="11e4e8c1-c7aa-46ea-a889-19c28fefcd20" data-entity-substitution="canonical" title="stateslides_complete_05072010td">Slides for State Training (PDF)</a> (PDF – 2 MB)<br><a href="https://wcms.cms.gov:9009/Rhythmyx/assembler/render?sys_revision=1&sys_context=0&sys_authtype=0&sys_variantid=764&sys_contentid=163805">Slides for State Training</a> (PPT – 2 MB)<br><a href="http://media.cms.hhs.gov/audio/May_07_2010_States_Data_Collection_Webinar.mp3">Audio for States and High Risk Pools</a> (MP3 – 17 MB)<br><a href="/cciio/resources/files/downloads/05072010states_webinar_transcript.pdf" data-entity-type="media" data-entity-uuid="5508fc11-b223-4b4d-81ac-e2c66907b1af" data-entity-substitution="canonical" title="05072010states_webinar_transcript">Transcript for State and High Risk Pools (PDF)</a> (PDF – 282 KB)<br><a href="http://media.cms.hhs.gov/audio/May_07_2010_Issuers_Data_Collection_Webinar.mp3">Audio for Private Insurance Carriers</a> (MP3 – 13 MB)<br><a href="/cciio/resources/files/downloads/05072010issuer_webinar_transcript.pdf" data-entity-type="media" data-entity-uuid="7f7db21a-ea4f-4a7f-9f21-84136e9b3371" data-entity-substitution="canonical" title="05072010issuer_webinar_transcript">Transcript for Private Insurance Carriers (PDF)</a> (PDF – 263 KB)</li><li>May 18, 2010<br><a href="http://media.cms.hhs.gov/audio/May-18-2010_States_Data_Collection_Webinar.mp3">Audio for States and High Risk Pools</a> (MP3 –11 MB)<br><a href="/cciio/resources/files/downloads/may_18_2010_stateswebinartranscript.pdf" data-entity-type="media" data-entity-uuid="0eff7aea-e1a7-4bcd-8a9c-378396d04857" data-entity-substitution="canonical" title="may_18_2010_stateswebinartranscript">Transcript for States and High Risk Pools (PDF)</a> (PDF – 239 KB)<br><a href="http://media.cms.hhs.gov/audio/May-18-2010_Issuers_Data_Collection_Webinar.mp3">Audio for Private Insurance Carriers</a> (MP3 – 22 MB)<br><a href="/cciio/resources/files/downloads/may_18_2010_issuerswebinartranscript.pdf" data-entity-type="media" data-entity-uuid="7f7832ee-272f-4502-8cd9-97fb1799fced" data-entity-substitution="canonical" title="may_18_2010_issuerswebinartranscript">Transcript for Private Insurance Carriers (PDF)</a> (PDF – 414 KB)</li><li>August 13, 2010<br><a href="https://wcms.cms.gov:9009/Rhythmyx/assembler/render?sys_revision=1&sys_context=0&sys_authtype=0&sys_variantid=764&sys_contentid=163824">Slides for Private Insurance Carrier Training (Set I)</a> (PPT – 1,743 KB)<br><a href="https://wcms.cms.gov:9009/Rhythmyx/assembler/render?sys_revision=1&sys_context=0&sys_authtype=0&sys_variantid=764&sys_contentid=163821">Slides for Private Insurance Carrier Training (Set II)</a> (PPT – 1,518 KB)<br><a href="/cciio/resources/training-resources/downloads/081310issuertrainingaudiomp3.mp3" data-entity-type="media" data-entity-uuid="17cbfc2e-c565-4be1-8a40-1f89bd7a502c" data-entity-substitution="canonical" title="081310issuertrainingaudio.mp3">Audio for Private Insurance Carriers</a> (MP3 – 15 MB)<br><a href="/cciio/resources/training-resources/downloads/081310issuertrainingdoc.doc" data-entity-type="media" data-entity-uuid="a53cdfac-0e3d-4bd0-b130-ff9d64da77b4" data-entity-substitution="canonical" title="081310issuertraining.doc">Transcript for Private Insurance Carriers (DOC)</a> (DOC – 208 KB)</li><li>August 16, 2010<br><a href="/cciio/resources/training-resources/downloads/081610statecallmp3.mp3" data-entity-type="media" data-entity-uuid="0521d86f-0e66-4e4f-8bf3-fff17c7cfeb0" data-entity-substitution="canonical" title="081610statecall.mp3">Audio States Discussion</a> (MP3 – 5 MB)<br><a href="/cciio/resources/training-resources/downloads/081610statesdiscussiontranscriptdoc.doc" data-entity-type="media" data-entity-uuid="6bb4eb65-6e30-416d-8eca-e99b90f02f07" data-entity-substitution="canonical" title="081610statesdiscussiontranscript.doc">Transcript of State Discussion (DOC)</a> (DOC – 69 KB)</li><li>August 24, 2010<br><a href="https://wcms.cms.gov:9009/Rhythmyx/assembler/render?sys_revision=1&sys_context=0&sys_authtype=0&sys_variantid=764&sys_contentid=163877">Slides for Private Insurance Carrier Training</a> (PPT – 2 MB)<br><a href="http://downloads.cms.gov/media/cciio/082410Issuertrainingaudio.mp3">Audio for Private Insurance Carriers</a> (MP3 – 22 MB)<br><a href="/cciio/resources/files/downloads/final082410issuertrainingtranscript.pdf" data-entity-type="media" data-entity-uuid="5fdb9bbc-2b83-4f19-b2c2-a4d02d81bbd1" data-entity-substitution="canonical" title="final082410issuertrainingtranscript">Transcript for Private Insurance Carriers (PDF)</a> (PDF – 186 KB)</li><li>August 31, 2010<br><a href="https://wcms.cms.gov:9009/Rhythmyx/assembler/render?sys_revision=1&sys_context=0&sys_authtype=0&sys_variantid=764&sys_contentid=163808">Slides for Private Insurance Carrier Training (Set I and II)</a> (PPT – 1,588 KB)<br><a href="http://downloads.cms.gov/media/cciio/2038509878mp3.mp3">Audio for Private Insurance Carriers</a> (MP3 – 21 MB)<br><a href="/cciio/resources/files/downloads/083110issuertrainingtranscript.pdf" data-entity-type="media" data-entity-uuid="9bfb5aaa-7135-4238-bc33-0fa707daf99c" data-entity-substitution="canonical" title="083110issuertrainingtranscript">Transcript for Private Insurance Carriers (PDF)</a> (PDF – 159 KB)</li><li>October 5, 2010<br><a href="https://wcms.cms.gov:9009/Rhythmyx/assembler/render?sys_revision=1&sys_context=0&sys_authtype=0&sys_variantid=764&sys_contentid=163812">Slides for Private Insurance Carrier Training</a> (PPT – 2,227 KB)<br><a href="/cciio/resources/training-resources/downloads/0587pm31a9me_part1wma.wma" data-entity-type="media" data-entity-uuid="dcd2f8aa-2264-43fb-a2a8-96b6d6ff5e93" data-entity-substitution="canonical" title="0587PM31A9ME_Part1.wma">Audio for Private Insurance Carriers (Part I)</a> (WMA – 6 MB)<br><a href="/cciio/resources/training-resources/downloads/0587pm31a9me_part2wma.wma" data-entity-type="media" data-entity-uuid="5b017ec3-465c-47c7-aeaa-2983090acb5e" data-entity-substitution="canonical" title="0587PM31A9ME_Part2.wma">Audio for Private Insurance Carriers (Part II)</a> (WMA – 3 MB)<br><a href="/cciio/resources/files/downloads/101210trainingtranscriptfinal.pdf" data-entity-type="media" data-entity-uuid="af848783-8524-4c6a-8097-286f3e6c41f3" data-entity-substitution="canonical" title="101210TrainingTranscriptFinal">Transcript for Private Insurance Carriers (PDF)</a> (PDF – 108 KB)</li><li>October 12, 2010<br><a href="https://wcms.cms.gov:9009/Rhythmyx/assembler/render?sys_revision=1&sys_context=0&sys_authtype=0&sys_variantid=764&sys_contentid=163810">Slides for Private Insurance Carrier Training</a> (PPT – 2,227 KB)<br><a href="/cciio/resources/training-resources/downloads/1287pm31hd5ywma.wma" data-entity-type="media" data-entity-uuid="0786e631-8e06-4c05-9a57-6f0d99e1c105" data-entity-substitution="canonical" title="1287PM31HD5Y.wma">Audio for Private Insurance Carriers</a> (WMA – 3 MB)<br><a href="/cciio/resources/files/downloads/101210trainingtranscriptfinal.pdf" data-entity-type="media" data-entity-uuid="af848783-8524-4c6a-8097-286f3e6c41f3" data-entity-substitution="canonical" title="101210TrainingTranscriptFinal">Transcript for Private Insurance Carriers (PDF)</a> (PDF – 74 KB)</li><li>May 4, 2011<br><a href="https://wcms.cms.gov:9009/Rhythmyx/assembler/render?sys_revision=1&sys_context=0&sys_authtype=0&sys_variantid=764&sys_contentid=163820">Slides for Issuer Training on Updated HIOS Templates</a> (PPT – 335 KB)<br><a href="https://wcms.cms.gov:9009/Rhythmyx/assembler/render?sys_revision=1&sys_context=0&sys_authtype=0&sys_variantid=764&sys_contentid=163816">Slides for Issuer Training on Updated CMP Templates</a> (PPT – 2 MB)<br><a href="/cciio/resources/training-resources/downloads/plan_finder_training_audio_05042011mp3.mp3" data-entity-type="media" data-entity-uuid="cca0dd21-66a2-459e-a158-e8191d5aeca2" data-entity-substitution="canonical" title="plan_finder_training_audio_05042011.mp3">Audio for Private Insurance Carriers</a> (MP3 – 17.4 MB)<br><a href="/cciio/resources/files/downloads/plan_finder_training_transcript_05042011.pdf" data-entity-type="media" data-entity-uuid="c8ce57a4-1741-4da1-af13-340c3a3a1966" data-entity-substitution="canonical" title="plan_finder_training_transcript_05042011">Transcript for Private Insurance Carriers (PDF)</a> (PDF – 134 KB)</li><li>September 23, 2011<br><a href="https://wcms.cms.gov:9009/Rhythmyx/assembler/render?sys_revision=1&sys_context=0&sys_authtype=0&sys_variantid=764&sys_contentid=163827">Slides for Issuer Training on Small Group HIOS/RBIS Templates</a> (PPT - 2 MB)<br><a href="/cciio/resources/files/downloads/rbis_user_training_transcript-_09_23_11.pdf" data-entity-type="media" data-entity-uuid="feed19cc-7064-4829-897b-ec037155c6ba" data-entity-substitution="canonical" title="rbis_user_training_transcript _09_23_11">Transcript for Private Insurance Carriers (PDF)</a> (PDF - 204 KB)</li><li>September 28, 2011<br><a href="https://wcms.cms.gov:9009/Rhythmyx/assembler/render?sys_revision=1&sys_context=0&sys_authtype=0&sys_variantid=764&sys_contentid=163827">Slides for Issuer Training on Small Group HIOS/RBIS Templates</a> (PPT - 2 MB)<br><a href="/cciio/resources/files/downloads/rbis_user_training_transcript_092811.pdf" data-entity-type="media" data-entity-uuid="ae6e32bb-07b1-45c4-9272-2f594b531ccd" data-entity-substitution="canonical" title="rbis_user_training_transcript_092811">Transcript for Private Insurance Carriers (PDF)</a> (PDF - 213 KB)</li><li>December 2, 2011<br><a href="/cciio/resources/training-resources/downloads/rbis_individual_group_training.pdf" data-entity-type="media" data-entity-uuid="686d72a0-75a9-42c7-9a70-6d61eb0e1e2d" data-entity-substitution="canonical" title="rbis_individual_group_training">Slides for Issuer Training on Individual and Family Plans RBIS Templates (PDF)</a> (PDF - 630 KB)<br><a href="/cciio/resources/training-resources/downloads/rbis_individual_family_plan_training_12_02_2011.pdf" data-entity-type="media" data-entity-uuid="87bd64d2-0653-4796-bbe4-8a8d0ab1fd7c" data-entity-substitution="canonical" title="rbis_individual_family_plan_training_12_02_2011">Transcript for Issuers Training on Individual Family Plans RBIS (PDF)</a> (PDF - 182 KB)</li><li>January 20, 2012<br><a href="/cciio/resources/files/downloads/rbis_small_group_training_slides_1302012.pdf" data-entity-type="media" data-entity-uuid="3c837ebf-20b1-4e1c-88fc-e77026716082" data-entity-substitution="canonical" title="rbis_small_group_training_slides_1302012">Slides for Issuer Training on Small Group RBIS Templates (PDF)</a> (PDF – 29 KB)</li><li>January 20, 2012<br><a href="/cciio/resources/files/downloads/transcript_small_group_training_01202012.pdf" data-entity-type="media" data-entity-uuid="8c5dfef8-49aa-4832-95c1-051c2da618fe" data-entity-substitution="canonical" title="transcript_small_group_training_01202012">Transcript for Issuers Training on Small Group RBIS Templates (PDF)</a> (PDF – 75 KB)</li><li>March 7, 2012<br><a href="/cciio/resources/files/downloads/rbis-training-slides.pdf" data-entity-type="media" data-entity-uuid="126653cb-381d-4d4d-9d1b-68179549d44e" data-entity-substitution="canonical" title="rbis-training-slides">Slides for Issuer Training on Individual and Family Plans RBIS Templates (PDF)</a> (PDF - 110 KB)</li><li>August 15, 2012<br><a href="/cciio/resources/training-resources/downloads/hios-combined-window-issuer-training.pdf" data-entity-type="media" data-entity-uuid="ae8f8015-bff0-409e-ad82-13456c9fda7d" data-entity-substitution="canonical" title="hios-combined-window-issuer-training">Slides for Issuer Training on Combined HIOS and RBIS Submission Process (PDF)</a> (PDF – 72 KB)</li><li>February 25, 2013<br><a href="/cciio/resources/files/downloads/hios-portal-overview-training02252013.pdf" data-entity-type="media" data-entity-uuid="da977bdc-5453-4bbf-8e72-64da3440ead1" data-entity-substitution="canonical" title="hios-portal-overview-training02252013">Slides for Issuer Training on HIOS Portal Overview Training (PDF)</a> (PDF - 3.8 MB )</li><li>May 28, 2014<br><a href="/cciio/resources/training-resources/downloads/hios-portal-quick-guide_2014.pdf" data-entity-type="media" data-entity-uuid="50594376-514f-4927-802a-2155acc2ee4a" data-entity-substitution="canonical" title="HIOS Portal Quick Guide_2014">Slides for Issuer Training on RBIS Data Submission Training (PDF)</a> (PDF – 1MB)</li><li>April 22, 2016<br><a href="/cciio/resources/training-resources/downloads/hios-portal_issuer-training-back-up_032516.pptx" data-entity-type="media" data-entity-uuid="bb8d2741-2a54-449a-93c0-2e99e0d89ef3" data-entity-substitution="canonical" title="HIOS Portal_Issuer Training Back up_032516">Slides for HIOS Portal Issuer Training (PPTX)</a> (PDF – 5MB)</li><li>June 13, 2016<br><a href="/cciio/resources/training-resources/downloads/hios_mfa_training-01_00_00.pdf" data-entity-type="media" data-entity-uuid="3c9e51c4-6afe-4cc7-9357-f7e3a2562dfb" data-entity-substitution="canonical" title="HIOS_MFA_Training_01.00.00">Slides for Multi-Factor Authentication (PDF)</a></li><li>March 22, 2017<br><a href="/cciio/resources/training-resources/downloads/slides-for-hios-registration-training.pdf" data-entity-type="media" data-entity-uuid="1bf5ea9c-aca6-4005-ac6c-4a9feedcbbc9" data-entity-substitution="canonical" type="application/pdf" title="Slides for HIOS Registration Training"><span>Slides for HIOS Registration Training (PDF)</span></a><span> </span> </li></ul><h2><a class="ck-anchor" id="Health_Insurance_Market_Reforms"></a>Health Insurance Market Reforms</h2><h3>Presentations</h3><ul><li>November 26, 2012<br><a href="/cciio/resources/files/downloads/market-rules-nprm-11-26-2012.pdf" data-entity-type="media" data-entity-uuid="d181d00e-3fa3-42e4-b4f2-1e8f6960f1ab" data-entity-substitution="canonical" title="market-rules-nprm-11-26-2012">Health Insurance Market Rules and Rate Review Notice of Proposed Rulemaking (PDF)</a> (PDF – 587 KB)</li><li>February 27, 2013<br><a href="/cciio/resources/files/downloads/market-rules-2-27-2013.pdf" data-entity-type="media" data-entity-uuid="582bd883-229a-4df5-9f12-b63c1577d692" data-entity-substitution="canonical" title="market-rules-2-27-2013">Health Insurance Market Rules and Rate Review Final Rule (PDF)</a> (PDF - 1 MB)</li><li>December 28, 2016<br><a href="/cciio/resources/training-resources/downloads/product-vs-plan-ppt.pdf" data-entity-type="media" data-entity-uuid="d998229f-7de2-459a-88c9-ce60a5904bb3" data-entity-substitution="canonical" title="product vs plan ppt">Federal Definitions for Health Insurance Products and Plans (PDF)</a> (PDF – 557KB)</li><li>December 9, 2022<br><a href="/cciio/resources/training-resources/downloads/contraceptive-coverage-slides-ppt.pdf" data-entity-type="media" data-entity-uuid="bf816b35-4074-4603-b456-16f573e1725a" data-entity-substitution="canonical" title="Contraceptive Coverage Slides">Contraceptive Coverage Requirements Under Section 2713 of the Public Health Service Act (PDF)</a></li></ul><h3>Training Resources</h3><ul><li>April 1, 2013<br><a href="/cciio/resources/training-resources/downloads/issuer-form-filing-instructions-04012013.pdf" data-entity-type="media" data-entity-uuid="9526b6dc-0c4d-4e1b-80dc-da90a9cd274e" data-entity-substitution="canonical" title="issuer-form-filing-instructions-04012013">Form Filing Instructions and HIOS Training Webinar Memo (PDF)</a><br><a href="/cciio/resources/training-resources/downloads/hios_form_filing_module_issuer_trainingv2.pdf" data-entity-type="media" data-entity-uuid="7f444def-60d1-4788-a8ca-a1d9bdc01b5e" data-entity-substitution="canonical" title="hios_form_filing_module_issuer_trainingv2">Form Filing HIOS Training Slides (PDF)</a></li><li>April 4, 2014<br><a href="/cciio/resources/training-resources/downloads/form_filing_issuer_instruction_notice_final.pdf" data-entity-type="media" data-entity-uuid="d92b78d3-1572-4fed-a8e8-53cf48a6fb7a" data-entity-substitution="canonical" type="application/pdf" title="Form Filing Instructions and HIOS Training Webinar Memo"><span>Form Filing Instructions and HIOS Training Webinar Memo (PDF)</span></a></li><li>February 20, 2015<br><a href="/cciio/resources/training-resources/downloads/form-filing_issuer_instruction_notice_plan_year_2016_022315.pdf" data-entity-type="media" data-entity-uuid="6fde4cc7-adee-42fb-99e4-b590da07a0dc" data-entity-substitution="canonical" title="Form Filing Issuer Instruction Notice Plan Year 2016 022315">Form Filing Issuer Instruction Notice for Plan Year 2016 (PDF)</a></li><li>May 27, 2015<br><a href="/cciio/resources/training-resources/downloads/mce-presentation-to-states-final-52715.pdf" data-entity-type="media" data-entity-uuid="f6bdac38-c6ee-483f-a49a-5492959cb8d1" data-entity-substitution="canonical" title="MCE presentation to states FINAL 52715">Federal PHS Act Market Conduct Examinations Webinar Slides (PDF)</a></li><li>May 5, 2016<br><a href="/cciio/resources/training-resources/downloads/2016-form-and-rate-filing-instructions-5-4-16.pdf" data-entity-type="media" data-entity-uuid="c2c52dc5-ff0c-4572-9b3a-06c4bcc62492" data-entity-substitution="canonical" title="2016 Form and Rate Filing Instructions 5-4-16">2016 Form and Rate Filing Instructions and Health Insurance Oversight (HIOS) Technical Assistance for Plan Year 2017 (PDF)</a></li><li>March 24, 2017<br><a href="/cciio/resources/training-resources/downloads/form-and-rate-filing-instructions-and-health-insurance-oversight-system-hios-technical-assistance-for-plan-year-2018.pdf" data-entity-type="media" data-entity-uuid="58328722-b4fe-4614-881d-8bd535b7166e" data-entity-substitution="canonical" type="application/pdf" title="Form and Rate Filing Instructions and Health Insurance Oversight System (HIOS) Technical Assistance for Plan Year 2018"><span>Form and Rate Filing Instructions and Health Insurance Oversight System (HIOS) Technical Assistance for Plan Year 2018 (PDF)</span></a><span> </span> </li><li>April 25, 2018<br><a href="/cciio/resources/training-resources/downloads/042518-final-py2019-form-and-rate-filing-instructions.pdf" data-entity-type="media" data-entity-uuid="aeb44a77-aaef-4c83-8025-2d1bcc454a5f" data-entity-substitution="canonical" type="application/pdf" title="Form and Rate Filing Instructions and Health Insurance Oversight System (HIOS) Technical Assistance for Plan Year 2019"><span>Form and Rate Filing Instructions and Health Insurance Oversight System (HIOS) Technical Assistance for Plan Year 2019 (PDF)</span></a><span> </span> </li><li>April 25, 2018<br><a href="/cciio/resources/training-resources/downloads/042518-final-form-filing-checklist.pdf" data-entity-type="media" data-entity-uuid="efdb4afe-0917-4c4e-b761-32c324154785" data-entity-substitution="canonical" type="application/pdf" title="Checklist for Non-Grandfathered Plan Form Reviews"><span>Checklist for Non-Grandfathered Plan Form Reviews (PDF)</span></a><span> </span> </li><li>June 22, 2018<br><a href="/cciio/resources/training-resources/downloads/student-health-plan-checklist.pdf" data-entity-type="media" data-entity-uuid="7d4a5dcc-7335-4a3e-aedb-685311ec85be" data-entity-substitution="canonical" type="application/pdf" title="Non-Grandfathered Student Health Insurance Coverage Provisions Compliance Checklist"><span>Non-Grandfathered Student Health Insurance Coverage Provisions Compliance Checklist (PDF)</span></a><span> </span> </li><li>April 25, 2019<br><a href="/cciio/resources/training-resources/downloads/py2020-form-and-rate-filing-instructions.pdf" data-entity-type="media" data-entity-uuid="22622446-9126-4562-882a-67cb2ae251cf" data-entity-substitution="canonical" type="application/pdf" title="Rate Filing Instructions for Plan Year 2020; Form Filing Instructions for System for Electronic Rates and Forms Filing (SERFF) Technical Assistance for Plan Year 2020"><span>Rate Filing Instructions for Plan Year 2020; Form Filing Instructions for System for Electronic Rates and Forms Filing (SERFF) Technical Assistance for Plan Year 2020 (PDF)</span></a><span> </span> </li><li>March 27, 2020<br><a href="/cciio/resources/training-resources/downloads/py2021-form-and-rate-filing-instructions.pdf" data-entity-type="media" data-entity-uuid="915fe915-dec8-4816-a628-dc9e062d4269" data-entity-substitution="canonical" title="PY2021-Form-and-Rate-Filing-Instructions"><span>Rate Filing Instructions for Plan Year 2021; Form Filing Instructions for System for Electronic Rates and Forms Filing (SERFF) Technical Assistance for Plan Year 2021</span> (PDF)</a></li><li>April 8, 2021<br><a href="/cciio/resources/training-resources/downloads/py2022-form-and-rate-filing-instructions.pdf" data-entity-type="media" data-entity-uuid="26d09e8f-3137-441a-a1b7-1caafcd851f7" data-entity-substitution="canonical" title="PY2022-Form-and-Rate-Filing-Instructions">Rate Filing Instructions for Plan Year 2022; Form Filing Instructions for System for Electronic Rates and Forms Filing (SERFF) Technical Assistance for Plan Year 2021 (PDF)</a></li><li>April 22, 2022<br><a href="/cciio/resources/training-resources/downloads/py2023-form-filing-instructions.pdf" data-entity-type="media" data-entity-uuid="4c281499-d1fc-407a-859a-0638f7f7be0e" data-entity-substitution="canonical" title="PY2023 Form Filing Instructions">Form Filing Instructions for System for Electronic Rates and Forms Filing (SERFF) for Plan Year 2023 (PDF)</a></li><li>December 20, 2022<br><a href="/files/document/py2024-form-filing-instructions.pdf" data-entity-type="media" data-entity-uuid="6ea33fb9-da78-4fea-8e28-ee097a2ed46b" data-entity-substitution="canonical" title="PY2024-Form-Filing-Instructions">Form Filing instructions for System for Electronic Rates and Forms Filing (SERFF) for Plan Year 2024 (PDF)</a></li><li>August 9, 2023<br><a href="/files/document/market-rules-checklist-nongrandfathered.pdf" data-entity-type="media" data-entity-uuid="1cebd7f5-6706-419f-b947-24430da9ea76" data-entity-substitution="canonical" title="Market Rules Checklist NonGrandfathered">Federal Market Reforms Non-Grandfathered Plan Provisions: Form Review/ Market Conduct Examination Compliance Checklist (PDF)</a></li><li>May 7, 2024<br><a href="/files/document/py2025-form-filing-instructions.pdf-0" data-entity-type="media" data-entity-uuid="4517c19e-dbbb-4b8f-9ff8-321b2e3cbe14" data-entity-substitution="canonical" title="py2025 form filing instructions">Updated Form Filing Instructions for System for Electronic Rates and Forms Filing (SERFF) for Plan Year 2025 (PDF)</a></li></ul><h2><a class="ck-anchor" id="Medical_Loss_Ratio"></a>Medical Loss Ratio</h2><h3>Training Resources</h3><ul><li><a href="/cciio/resources/training-resources/downloads/2012_mlr_hios_and_annual_report_training.pdf" data-entity-type="media" data-entity-uuid="37bbf017-eaca-47cc-b8a4-9b04c2dd1812" data-entity-substitution="canonical" title="2012_MLR_HIOS_and_Annual_Report_Training">2012 MLR HIOS and Annual Reporting Form Training Slides (PDF)</a> [PDF – 5MB]</li><li><a href="/cciio/resources/training-resources/downloads/2013-hios-mlr-training-slides.pdf" data-entity-type="media" data-entity-uuid="03d67f28-b73a-4dec-b11d-eb95fe1cd88d" data-entity-substitution="canonical" title="2013 MLR HIOS and Annual Reporting Form Training">2013 MLR HIOS and Annual Reporting Form Training Slides (PDF)</a>  [PDF – 1MB]</li><li><a href="/cciio/resources/training-resources/downloads/issuer-2013-mlr-training-memo.pdf" data-entity-type="media" data-entity-uuid="2613cb48-9580-448c-bf67-fb0ebdb909d4" data-entity-substitution="canonical" title="2013 MLR Training Announcement Memo">2013 MLR Training Announcement Memo (PDF)</a> [PDF – 138KB]</li><li><a href="/cciio/resources/training-resources/downloads/2014_mlr_reporting_announcement_memo.pdf" data-entity-type="media" data-entity-uuid="b251a626-af22-4eb7-a938-0361a812001f" data-entity-substitution="canonical" title="2014_MLR_Reporting_Announcement_Memo">2014 MLR Reporting Announcement Memo (PDF)</a> [PDF – 137KB]</li><li><a href="/cciio/resources/training-resources/downloads/2014_mlr_training_announcement_memo.pdf" data-entity-type="media" data-entity-uuid="79d45e53-c584-44e6-ae37-963d310a756c" data-entity-substitution="canonical" title="2014_MLR_Training_Announcement_Memo">2014 MLR Training Announcement Memo (PDF)</a> [PDF – 112KB]</li><li><a href="/cciio/resources/training-resources/downloads/2014_mlr_hios_and_annual_report_training.pdf" data-entity-type="media" data-entity-uuid="37aacbe8-d6d5-4ba3-8144-649043be0fef" data-entity-substitution="canonical" title="2014_MLR_HIOS_and_Annual_Report_Training">2014 MLR HIOS and Annual Reporting Form Training (PDF)</a> [PDF – 2MB]</li><li><a href="/cciio/resources/training-resources/downloads/2015_mlr_reporting_announcement_memo.pdf" data-entity-type="media" data-entity-uuid="25807309-c453-43ec-803c-8678d1ffc7b7" data-entity-substitution="canonical" title="2015_MLR_Reporting_Announcement_Memo">2015 MLR Reporting Announcement Memo (PDF)</a> [PDF – 120KB]</li><li><a href="/cciio/resources/training-resources/downloads/2015_mlr_training_announcement_memo.pdf" data-entity-type="media" data-entity-uuid="58ff5d82-69d1-43ff-beda-6dfe4619332b" data-entity-substitution="canonical" title="2015_MLR_Training_Announcement_Memo">2015 MLR Training Announcement Memo (PDF)</a> [PDF – 101KB]</li><li><a href="/cciio/resources/training-resources/downloads/2015_hios_mlr_training_slides.pdf" data-entity-type="media" data-entity-uuid="7f61256c-bd7a-4971-b4a7-99ff25c2d5bd" data-entity-substitution="canonical" title="2015_HIOS_MLR_Training_Slides">2015 MLR HIOS and Annual Reporting Form Training Slides (PDF)</a> [PDF – 3,172KB]</li><li><a href="/cciio/resources/training-resources/downloads/issuer-2016-mlr-memo.pdf" data-entity-type="media" data-entity-uuid="8847e4b6-d938-4c78-ba3d-1ecb0c7e3f81" data-entity-substitution="canonical" type="application/pdf" title="2016 MLR Reporting Announcement Memo"><span>2016 MLR Reporting Announcement Memo (PDF)</span></a><span> </span> </li><li><a href="/cciio/resources/training-resources/downloads/issuer_2016_mlr_training_memo.pdf" data-entity-type="media" data-entity-uuid="fc76aa29-2af5-487d-b07a-0be631f80f6c" data-entity-substitution="canonical" type="application/pdf" title="2016 MLR Training Announcement Memo"><span>2016 MLR Training Announcement Memo (PDF)</span></a><span> </span> </li><li><a href="/cciio/resources/training-resources/downloads/2016_hios_mlr_training_slides.pdf" data-entity-type="media" data-entity-uuid="fafa861a-46b6-4c01-a8d3-90df93bc0fca" data-entity-substitution="canonical" type="application/pdf" title="2016 MLR HIOS and Annual Reporting Form Training Slides"><span>2016 MLR HIOS and Annual Reporting Form Training Slides (PDF)</span></a><span> </span> </li><li><a href="/cciio/resources/training-resources/downloads/issuer-2017-mlr-memo.pdf" data-entity-type="media" data-entity-uuid="f72225cb-7fed-41c3-9ac0-589656c72a3e" data-entity-substitution="canonical" type="application/pdf" title="2017 MLR Reporting Announcement Memo"><span>2017 MLR Reporting Announcement Memo (PDF)</span></a><span> </span> </li><li><a href="/cciio/resources/training-resources/downloads/issuer-2017-mlr-training-memo.pdf" data-entity-type="media" data-entity-uuid="09d02378-db6e-408f-b86a-260d4ec04cf7" data-entity-substitution="canonical" type="application/pdf" title="2017 MLR Training Announcement Memo"><span>2017 MLR Training Announcement Memo (PDF)</span></a><span> </span> </li><li><a href="/cciio/resources/training-resources/downloads/2017_hios_mlr_training_slides.pdf" data-entity-type="media" data-entity-uuid="9453b1b9-4c3b-490a-b853-37c0a409f5cc" data-entity-substitution="canonical" type="application/pdf" title="2017 MLR HIOS and Annual Reporting Form Training Slides"><span>2017 MLR HIOS and Annual Reporting Form Training Slides (PDF)</span></a><span> </span> </li><li><a href="/cciio/resources/training-resources/downloads/mlr-enforcement-slides-january-2019.pdf" data-entity-type="media" data-entity-uuid="64bdf3e5-e5df-4253-94c0-23a5bd821319" data-entity-substitution="canonical" type="application/pdf" title="MLR Enforcement Examinations Slides"><span>MLR Enforcement Examinations Slides (PDF)</span></a><span> </span> </li><li><a href="/cciio/resources/training-resources/downloads/issuer-2018-mlr-memo.pdf" data-entity-type="media" data-entity-uuid="a02b4844-ac9c-4b6b-8775-2582f9b1d34f" data-entity-substitution="canonical" type="application/pdf" title="2018 MLR Reporting Announcement Memo"><span class="mceNonEditable rx_inlinevariant">2018 MLR Reporting Announcement Memo (PDF)</span></a><span class="mceNonEditable rx_inlinevariant"> </span> </li><li><a href="/cciio/resources/training-resources/downloads/issuer-2018-mlr-training-memo.pdf" data-entity-type="media" data-entity-uuid="d138b202-dd34-4000-bccb-48223815e9b3" data-entity-substitution="canonical" type="application/pdf" title="2018 MLR Training Announcement Memo"><span class="mceNonEditable rx_inlinevariant">2018 MLR Training Announcement Memo (PDF)</span></a><span class="mceNonEditable rx_inlinevariant"> </span> </li><li><a href="/cciio/resources/training-resources/downloads/hios_2018_mlr_training_slides.pdf" data-entity-type="media" data-entity-uuid="37d2bc40-1c7f-4ce8-a4d0-4f0d758b6abe" data-entity-substitution="canonical" type="application/pdf" title="2018 MLR HIOS and Annual Reporting Form Training Slides"><span class="mceNonEditable rx_inlinevariant">2018 MLR HIOS and Annual Reporting Form Training Slides (PDF)</span></a><span class="mceNonEditable rx_inlinevariant"> </span> </li><li><a href="/cciio/resources/training-resources/downloads/issuer-2019-mlr-memo.pdf" data-entity-type="media" data-entity-uuid="f96c50a7-009c-48b8-a53b-f25a9271842f" data-entity-substitution="canonical" title="Issuer-2019-MLR-Memo"><span class="mceNonEditable rx_inlinevariant">2019 MLR Reporting Announcement Memo </span> (PDF)</a> </li><li><a href="/cciio/resources/training-resources/downloads/issuer-2019-mlr-training-memo.pdf" data-entity-type="media" data-entity-uuid="63e50d27-aaa9-42d6-9775-762ef9679cd0" data-entity-substitution="canonical" title="Issuer-2019-MLR-Training-Memo"><span class="mceNonEditable rx_inlinevariant">2019 MLR Training Announcement Memo</span> (PDF)</a> </li><li><a href="/cciio/resources/trainingresources/downloads/hios-2019-mlr-training-slides.pdf" data-entity-type="media" data-entity-uuid="4dd4b229-2ba3-48d8-a705-9ff746d09ac0" data-entity-substitution="canonical" title="HIOS-2019-MLR-Training-Slides"><span class="mceNonEditable rx_inlinevariant">2019 MLR HIOS and Annual Reporting Form Training Slides</span> (PDF)</a></li><li><a href="/cciio/resources/trainingresources/downloads/hios-2020-mlr-training-slides.pdf" data-entity-type="media" data-entity-uuid="47b575f8-1e97-421a-9056-35f0c86f0087" data-entity-substitution="canonical" title="HIOS_2020_MLR_Training_Slides">2020 MLR HIOS and Annual Reporting Form Training Slides (PDF)</a></li><li><a href="/files/document/issuer-2021-mlr-memo.pdf" data-entity-type="media" data-entity-uuid="3455858f-8883-4b80-9751-ed89081bf73d" data-entity-substitution="canonical" title="Issuer-2021-MLR-Memo">2021 MLR Reporting Announcement Memo (PDF)</a></li><li><a href="/files/document/issuer-2021-training-memo.pdf" data-entity-type="media" data-entity-uuid="4ba5d472-ec55-4fc6-99d7-ccbc8bc4f499" data-entity-substitution="canonical" title="Issuer-2021-Training-Memo">2021 MLR Training Announcement Memo (PDF)</a> </li><li><a href="/files/document/hios2021mlrtrainingslides.pdf" data-entity-type="media" data-entity-uuid="975f9575-9e1f-4b64-83a4-44c547d13a58" data-entity-substitution="canonical" title="HIOS_2021_MLR_Training_Slides">2021 MLR HIOS and Annual Reporting Form Training Slides (PDF)</a></li><li><a href="/files/document/issuer-2022-mlr-memo.pdf" data-entity-type="media" data-entity-uuid="9a535301-0396-4c60-8a56-1909f2d6d89f" data-entity-substitution="canonical" title="Issuer 2022 MLR Memo">2022 MLR Reporting Announcement Memo (PDF)</a></li><li><a href="/files/document/issuer-2022-training-memo.pdf" data-entity-type="media" data-entity-uuid="06634f0b-50b9-4f5d-b623-6d232f1002e1" data-entity-substitution="canonical" title="Issuer 2022 MLR Training Memo">2022 MLR Training Announcement Memo (PDF) </a></li><li><a href="/files/document/hios-2022-mlr-training-slides.pdf" data-entity-type="media" data-entity-uuid="11ac6d8e-a6ca-427f-b7b9-cc422dfbe2df" data-entity-substitution="canonical" title="HIOS 2022 MLR Training Slides">2022 MLR HIOS and Annual Reporting Form Training Slides (PDF)</a></li><li><a href="/files/document/2023-mlr-reporting-annoucenment-memo.pdf" data-entity-type="media" data-entity-uuid="37232905-98dc-480f-892f-e118bb0688b4" data-entity-substitution="canonical" title="2023 MLR Reporting Annoucenment Memo">2023 MLR Reporting Announcement Memo (PDF)</a></li><li><a href="/files/document/2023-mlr-training-annoucement-memo.pdf" data-entity-type="media" data-entity-uuid="06c4aea9-6787-4e50-9bb7-b4ea3a48a3ce" data-entity-substitution="canonical" title="2023 MLR Training Annoucement Memo">2023 MLR Training Announcement Memo (PDF)</a></li><li><a href="/files/document/hios-2023-mlr-training-slides.pdf" data-entity-type="media" data-entity-uuid="8e5fb44b-4f65-4b49-a51f-9021a2fc4576" data-entity-substitution="canonical" title="HIOS 2023 MLR Training Slides">2023 MLR HIOS and Annual Reporting Form Training Slides (PDF)</a></li><li><a href="/files/document/hios-2023-mlr-user-manual.pdf" data-entity-type="media" data-entity-uuid="116c79b6-34c7-4752-8e0c-e1160592c66f" data-entity-substitution="canonical" title="HIOS 2023 MLR User Manual">2023 MLR HIOS User Manual (PDF)</a></li></ul><h2><a class="ck-anchor" id="Review_of_Insurance_Rates"></a>Review of Insurance Rates</h2><h3>Training Resources</h3><ul><li>July 29, 2011<br><a href="/cciio/resources/files/downloads/state_manual_07282011.pdf" data-entity-type="media" data-entity-uuid="f42ca413-9910-41d1-a24c-134507c02fd8" data-entity-substitution="canonical" title="state_manual_07282011">Rate Review Instructions Manual: State Rate Review Determination Instructions and Reporting Requirements (PDF)</a> (PDF – 56 KB)<br><a href="/cciio/resources/files/downloads/issue_manual_updated_091411.pdf" data-entity-type="media" data-entity-uuid="08244c4b-7e7f-41dc-af2b-da041c929d62" data-entity-substitution="canonical" title="issue_manual_updated_091411">Rate Review Instructions Manual: Health Insurance Issuer Reporting Requirements (PDF)</a> (PDF – 227 KB)<br><a href="/cciio/resources/files/downloads/state_rate_review_training_slides.pdf" data-entity-type="media" data-entity-uuid="8eee9132-5057-4a68-986f-9f11ca719418" data-entity-substitution="canonical" title="state_rate_review_training_slides">Rate Review Training Slides: States (PDF)</a> (PDF – 1,146 KB)<br><a href="/cciio/resources/files/downloads/issuer_module_1_reporting_requirements_slides.pdf" data-entity-type="media" data-entity-uuid="e024b2ac-caa1-4df0-b528-8cf3ae149a9b" data-entity-substitution="canonical" title="issuer_module_1_reporting_requirements_slides">Rate Review Training Slides: Issuer Module 1 (Reporting Requirements) (PDF)</a> (PDF – 3,084 KB)<br><a href="/cciio/resources/files/downloads/issuer_module_2_preliminary_justification_slides.pdf" data-entity-type="media" data-entity-uuid="3e71197e-7dc9-452e-b812-e455941b02c7" data-entity-substitution="canonical" title="issuer_module_2_preliminary_justification_slides">Rate Review Training Slides: Issuer Module 2 (Preliminary Justification) (PDF)</a> (PDF – 311 KB)<br><a href="/cciio/resources/files/downloads/issuer_module_3_subject_to_review_threshold_slides.pdf" data-entity-type="media" data-entity-uuid="62175f52-e504-43d1-862c-d7422b3e2a67" data-entity-substitution="canonical" title="issuer_module_3_subject_to_review_threshold_slides">Rate Review Training Slides: Issuer Module 3 (Subject to Review Threshold) (PDF)</a> (PDF – 230 KB)<br><a href="/cciio/resources/files/downloads/state_regulator_rate_review_training_transcript.pdf" data-entity-type="media" data-entity-uuid="ee95954d-bf80-4f88-8ca0-7dac2fabb02d" data-entity-substitution="canonical" title="state_regulator_rate_review_training_transcript">Rate Review Training Transcript: States (PDF)</a> (PDF – 95 KB)<br><a href="/cciio/resources/files/downloads/issuer_module_1_rate_review_reporting_procedures_transcript.pdf" data-entity-type="media" data-entity-uuid="346d084c-4805-47f8-a86b-344cfe58e7de" data-entity-substitution="canonical" title="issuer_module_1_rate_review_reporting_procedures_transcript">Rate Review Training Transcript: Issuer Module 1 (Reporting Requirements) (PDF)</a> (PDF – 114 KB)<br><a href="/cciio/resources/files/downloads/issuer_module_2-_technical_instructions_completing_preliminary_justification_transcript.pdf" data-entity-type="media" data-entity-uuid="108dd128-ce60-4c6b-8937-e220f4abf0e2" data-entity-substitution="canonical" title="issuer_module_2 _technical_instructions_completing_preliminary_justification_transcript">Rate Review Training Transcript: Issuer Module 2 (Preliminary Justification) (PDF)</a> (PDF – 61 KB)<br><a href="/cciio/resources/files/downloads/issuer_module_3_subject_review_threshold_transcript.pdf" data-entity-type="media" data-entity-uuid="7c011732-87f2-4d24-b75d-3979fa909630" data-entity-substitution="canonical" title="issuer_module_3_subject_review_threshold_transcript">Rate Review Training Transcript: Issuer Module 3 (Subject to Review Threshold) (PDF)</a> (PDF – 89 KB)</li><li>August 1, 2011<br><a href="/cciio/resources/files/rate_review_training" data-entity-type="node" data-entity-uuid="bbf9471a-e68c-457b-a791-5cb306d36cdf" data-entity-substitution="canonical" title="Rate Review Training">Rate Review Training:  Technical FAQs - Set 1</a></li><li>October 24, 2011<br><a href="/cciio/resources/training-resources/rate_review_faq" data-entity-type="node" data-entity-uuid="0234e0aa-dcc0-453b-afee-20bca09fcbfd" data-entity-substitution="canonical" title="Rate Review Training">Rate Review Training: Technical FAQs - Set 2</a></li><li>October 12, 2012 (previously posted August 1, 2011)<br><a href="/cciio/resources/files/downloads/rr-tech-instructions-092012.pdf" data-entity-type="media" data-entity-uuid="2b1c681a-eb79-4f58-89dc-68558caca130" data-entity-substitution="canonical" title="rr-tech-instructions-092012">Rate Review System: Technical HIOS Instructions for States and Health Insurance Issuers (updated) (PDF – 8 MB) (PDF)</a></li><li>March 25, 2015<ul><li><a href="/cciio/resources/training-resources/downloads/cms_user.pdf" data-entity-type="media" data-entity-uuid="1bb98523-c027-4b7b-9737-0b5b09ad5835" data-entity-substitution="canonical" title="CMS_USER">HIOS URR User Manual (for single risk pool plans (PDF)</a>) (v6.1.0) (PDF – 3,583 KB)</li></ul></li><li>April 29, 2015<ul><li><a href="/cciio/resources/training-resources/downloads/cms_pm_urr_module_issuer_training_04302015_compliantv3.pdf" data-entity-type="media" data-entity-uuid="32e61fc8-64e6-4416-88de-a36da0dd55b2" data-entity-substitution="canonical" title="CMS_PM_URR_Module_ISSUER_Training_04302015_COMPLIANTv3">Issuer URR Training Slides for the 2016 Plan Year (PDF)</a> (PDF – 2.97 MB)</li><li><a href="/cciio/resources/training-resources/downloads/cms-pm-urr-module-state-training-04282015-compliantv2.pdf" data-entity-type="media" data-entity-uuid="52aa6214-afc3-445a-8fe2-7ed32ee195e4" data-entity-substitution="canonical" title="State URR Training Slides for the 2016 Plan Year">State URR Training Slides for the 2016 Plan Year (PDF)</a> (PDF – 2.18 MB)</li></ul></li></ul><h2><a class="ck-anchor" id="Mental_Health_Parity"></a>Mental Health Parity</h2><h3>Training Resources</h3><ul><li><p>September 3, 2021<br><a href="/files/document/mhpaea-nqtl-presentation-health-insurance-issuers.pdf" data-entity-type="media" data-entity-uuid="d46a8e7e-c290-4b71-adfe-6a7cdae7ee0b" data-entity-substitution="canonical" title="MHPAEA-NQTL Presentation Health Insurance Issuers">Health Insurance Issuers and NQTL Comparative Analysis Reviews for MHPAEA Compliance (PDF)</a> </p><h2><a class="ck-anchor" id="Health_Insurance_Marketplaces"></a>Health Insurance Marketplaces</h2><h3>Presentations</h3><ul><li>September 2011<br><a href="/cciio/resources/presentations/hie-fall-2011-grantee-meeting" data-entity-type="node" data-entity-uuid="60a92f39-b5d6-4d82-a84d-a6bd113bdad3" data-entity-substitution="canonical" title="Affordable Insurance Exchanges">State Exchange Grantee Meeting Materials</a></li><li>March 2012<br><a href="/cciio/resources/files/downloads/hie-overview-presentation.pdf" data-entity-type="media" data-entity-uuid="9b13a40b-ff47-449d-b077-fc575cc8e356" data-entity-substitution="canonical" title="hie-overview-presentation">Affordable Insurance Exchanges Final Rule (PDF)</a> (PDF - 749 KB)</li><li>May 2012<br><a href="/cciio/resources/presentations/hie-spring-2012-conference" data-entity-type="node" data-entity-uuid="9fe184bf-4696-46dc-9051-41c09618f593" data-entity-substitution="canonical" title="Affordable Insurance Exchanges">System-wide Exchange Conference Materials</a></li><li>November 26, 2012<br><a href="/cciio/resources/files/downloads/ehb-av-accred-nprm-11-20-2012.pdf" data-entity-type="media" data-entity-uuid="32dfe440-bb7a-4b6f-bcb4-e0a418ae326c" data-entity-substitution="canonical" title="ehb-av-accred-nprm-11-20-2012">EHB/AV/Accreditation Notice of Proposed Rulemaking (PDF)</a> (PDF – 593 KB)</li><li>January 3, 2013<br><a href="/cciio/resources/files/downloads/partnership_presentation-01-03-2013.pdf" data-entity-type="media" data-entity-uuid="0fb0756d-551f-4978-8fdf-85ff551694b5" data-entity-substitution="canonical" title="partnership_presentation-01-03-2013">State Partnership Exchange (PDF)</a> (PDF – 267 KB)</li><li>February 25, 2013<br><a href="/cciio/resources/files/downloads/ehb-av-accred-final-2-25-2013v2.pdf" data-entity-type="media" data-entity-uuid="f38375a8-3189-4d12-88c1-9ed7c53bfd7d" data-entity-substitution="canonical" title="ehb-av-accred-final-2-25-2013v2">EHB/AV/Accreditation Final Rule (PDF)</a> (PDF - 549 KB)</li><li>May 13, 2013<br><a href="/cciio/resources/training-resources/downloads/mv-calculator-webinar-5-13-2013.pdf" data-entity-type="media" data-entity-uuid="42b210e3-91e7-4792-a347-de512f9ecff1" data-entity-substitution="canonical" title="mv-calculator-webinar-5-13-2013">MV Calculator (PDF)</a> (PDF - 343 KB)</li><li>May 14, 2013<br><a href="/cciio/resources/training-resources/downloads/navigators-and-assistance.pdf" data-entity-type="media" data-entity-uuid="4a4fa183-8e23-41de-83d6-dc11d2c6d032" data-entity-substitution="canonical" title="navigators-and-assistance">Navigators and Other Marketplace Assistance Programs (PDF)</a>  (PDF - 923 KB)</li><li>October 27, 2017<br><a href="/cciio/resources/training-resources/downloads/essential-health-benefits-proposed-policy-changes.pdf" data-entity-type="media" data-entity-uuid="41bc7d39-edfd-4880-be9d-b44299e6cfd7" data-entity-substitution="canonical" type="application/pdf" title="Essential Health Benefits: Proposed Policy Changes"><span>Essential Health Benefits: Proposed Policy Changes (PDF)</span></a><span> </span> </li></ul></li></ul><h3>         Resources</h3><ul><li> <ul><li>December 3, 2015<br><a href="/cciio/resources/training-resources/downloads/plan-submissions-and-displays-to-cms-12-03_508.pdf" data-entity-type="media" data-entity-uuid="995d323a-750e-4fd1-898a-29d67513bcaf" data-entity-substitution="canonical" title="Plan submissions and displays to CMS 12-03_508">Issuer Plan Submissions and Displays (PDF)</a> (PDF – 192 KB))</li></ul></li><li> </li><li><h2><a class="ck-anchor" id="Premium_Stabilization_Programs"></a>Premium Stabilization Programs</h2><h3>Presentations</h3><ul><li>March 23, 2012<br><a href="/cciio/resources/files/downloads/3rs-final-rule.pdf" data-entity-type="media" data-entity-uuid="36aa6ade-2219-44b5-a376-75c3edf927d3" data-entity-substitution="canonical" title="3rs-final-rule">Reinsurance, Risk Corridors, and Risk Adjustment Final Rule (PDF)</a> (PDF – 361 KB)</li><li>November 30, 2012<br><a href="/cciio/resources/files/downloads/proposed-hhs-payment-notice-11-30-2012.pdf" data-entity-type="media" data-entity-uuid="d1f948ae-c296-4f37-ad27-8f909d0ad972" data-entity-substitution="canonical" title="proposed-hhs-payment-notice-11-30-2012">Proposed Notice of Benefit and Payment Parameters for 2014 (PDF)</a> (PDF – 531 KB)</li><li>March 11, 2013<br><a href="/cciio/resources/files/downloads/payment-notice-3-11-2013.pdf" data-entity-type="media" data-entity-uuid="4196de77-6d85-4cbf-8862-706a1387ef8e" data-entity-substitution="canonical" title="payment-notice-3-11-2013">HHS Notice of Benefit and Payment Parameters for 2014 (PDF)</a> (PDF - 447 KB)</li><li>March 25, 2013<br><a href="/cciio/resources/files/downloads/pages_from_csr_recon_cleared-a.pdf" data-entity-type="media" data-entity-uuid="ad31ab5d-26a7-43e9-8165-8522607f5ec5" data-entity-substitution="canonical" title="pages_from_csr_recon_cleared-a">CSR Reconciliation (PDF)</a> (PDF - 741 KB)</li></ul></li></ul></div></div> </div> </div> </div> </div> </div> </div> </div> <div class="layout--onecol-section"> <div class="ds-l-container"> <div class="ds-l-row"> <div class="ds-l-col--12"> <div class="changed-date-block"> <div class="changed-date-decorative-bar" aria-hidden="true"></div> <div class="changed-date"> <div class="field__label">Page Last Modified:</div> <div class="field__item">09/10/2024 06:21 PM</div> </div> <div class="help-link"> <a 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