HHS Releases Guidance on Exchanges, Including Draft Exchange Blueprint and Rules for Federally Facilitated Exchanges and SHOPs


HHS has issued a flurry of guidance on Exchanges, including a draft blueprint for use by states establishing an Exchange, and an outline of the agency’s approach to implementing a federally facilitated Exchange (FFE) and federally facilitated Small Business Health Options Program (FF-SHOP) in states that do not establish a state-based Exchange. Here are highlights from some of the recent guidance:

FFEs and State Partnership FFEs


Note: Many commentators predict that a relatively small number of states will qualify by the January 2013 deadline for approval to run their own Exchanges in 2014, and as a consequence, expect to see continued development of the FFE, state partnership FFEs, and FF-SHOP models. Despite the guidance, there is continued uncertainty about what plans will be available, as HHS anticipates that FFEs will not complete agreements with QHP insurers until late summer 2013.

For the full texts, see:
General Guidance
Fact Sheet
Draft Blueprint
Information Collection Activity

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