Enrollment and Eligibility (ENR) FAQ
Guidance for FAQ regarding Notices and Enrollment Notices
Program Area: Enrollment and Eligibility (ENR)
Question: Will there be a sample letter regarding notification to providers of the possibility for denied claims for services rendered during an APTC grace period?
Answer: Issuers must notify providers of the possibility for denied claims when an enrollee is in the second and third months of the grace period as set forth in 45 CFR 156.270(d)(3). Issuers have flexibility in the wording and messaging of this notice. CMS does not intend to provide a sample letter regarding this notice.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 09, 2014
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