Small Business Health Options Program (SHOP) FAQ
Guidance for FAQ regarding Employer/Employee Interaction and Special Enrollment Periods (SEPs)
Program Area: Small Business Health Options Program (SHOP)
Question: How will the Federally-facilitated Small Business Health Options Program (FF-SHOP) handle state mandates that require 31-day free coverage for newborns and adoptions charges? Will the FF-SHOP allow issuers to customize billing processes in these instances?
Answer: The FF-SHOP cannot accommodate this state-level rating scenario and therefore will always charge for newborns.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 16, 2014
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