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ACA Financial Appeals (ACA FA) FAQ

Guidance for FAQ regarding Request for Reconsideration and Form Completion

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

Issue Date: July 22, 2016

Program Area: ACA Financial Appeals (ACA FA)

Question: The Centers for Medicare & Medicaid Services (CMS) sent the Cost-sharing Reduction (CSR) Reconciliation Request for Reconsideration Web Form to issuers' Technical Point of Contact (POC); however, one (1) issuer noted that the designated Technical POC did not receive the email communication. Can CMS clarify why the issuer's Technical POC did not receive the web form?

Answer: CMS encourages issuers to email ACAfinancialappeals@cms.hhs.gov to ensure CMS has the issuer's Technical POC on file. Issuers can also locate the web form link on the Center for Consumer Information and Insurance Oversight (CCIIO) website and the 'CSR Request for Reconsideration Guide 2014 and 2015 Benefit Years', located in the Registration for Technical Assistant Portal (REGTAP) Library under the ACA Financial Appeals program area.

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