The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule regarding the Notice of Benefit and Payment Parameters (NBPP) for 2025, which outlines new parameters and regulations for insurance sold on the Affordable Care Act (ACA) Individual and Small Group markets. This proposed rule also includes several provisions that will impact Medicaid, CHIP, and the Basic Health Program (BHP). If finalized as proposed, states will be free to include routine adult dental coverage as Essential Health Benefits in their benchmark plans. Comments on the proposed rule are due by January 8, 2024, and can be submitted at http://www.regulations.gov with reference CMS-9895-P.
- CMS Fact Sheet: https://www.cms.gov/newsroom/fact-sheets/hhs-notice-benefit-and-payment-parameters-2025-proposed-rule
December 14, 2023 – K. Kertesz