Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: December 10, 2018

Program Area: ACA Financial Appeals (ACA FA)

Question: How can an issuer submit an Affordable Care Act (ACA) financial appeal?

Answer: The ACA Financial Appeals process may vary depending on program area. Instructions for each program area are posted in the REGTAP Library under the ACA Financial Appeals program area prior to the opening of the appeals window or located on the CCIIO website at: https://www.cms.gov/CCIIO/Programs-and-Initiatives/Premium-Stabilization-Programs/Financial-Administrative-Appeals-Process-for-Issuers/Information-and-Insurance-Oversight.html.

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.