ACA Financial Appeals (ACA FA) FAQ
Guidance for FAQ regarding Request for Reconsideration and Other
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 01, 2016
Program Area: ACA Financial Appeals (ACA FA)
Question: What steps should issuers take who do not have funds to appeal for the Reinsurance (RI) and Risk Adjustment (RA) programs?
Answer: If an issuer does not have RI or RA funds to appeal, the issuer does not need to participate in the appeals process.
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