CMS released a fact sheet on a proposed rule that would require Health Insurance Exchanges to verify eligibility criteria before providing advance premium tax credits and cost-sharing reductions. The proposal directly affects when subsidy payments are made and is aimed at improving payment accuracy and program integrity in coverage affordability programs. Because the topic centers on pre-eligibility checks for Exchange subsidies rather than Medicare, Medicaid managed care, or pricing transparency, it is materially different from the titles already published.
