Guidance for States, Plans, and Issuers on State External Review Processes
Regarding Requirements in the No Surprises Act
Guidance for states, plans, and issuers regarding implementation of Section 110 of Title I (the No Surprises Act (NSA)) of Division BB of the Consolidated Appropriations Act (CAA), 2021, and implementing regulations as part of an interim final rule with comment period, entitled “Requirements Related to Surprise Billing; Part II,” and the expanded scope of adverse benefit determinations eligible for external review.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 30, 2021
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