Enrollment and Eligibility (ENR) FAQ
Guidance for FAQ regarding Enrollment and Mid-year Changes
Program Area: Enrollment and Eligibility (ENR)
Question: Does the definition of a policy change mean a change in coverage, contract type, or anything else?
Answer: Within the FFM, policy change can be a re-determination of a QI's status that is triggered by an event or change in circumstance such as relocation, household income changes, household size changes, becoming qualified for other health coverage, changes in immigration status, becoming incarcerated, or any event that results in loss of MEC. Furthermore, some of these changes will result in a Special Enrollment Period.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 09, 2014
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