Plan Management Compliance Review (PMCR)
Forecast
FederalContract Overview
Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.
General Info
Place of Performance
USASet-Aside
SBA
Documents
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Organization & Contact Information
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AgencyCenters for Medicare and Medicaid Services → Centers For Medicare And Medicaid Services
Contacts2 people available
OfficeN/A
Organization / AgencyCenters for Medicare and Medicaid Services → Centers For Medicare And Medicaid Services
Office AddressN/A
Contacts
Lesa Paige
Full Description
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Plan Management Compliance Review (PMCR): The purpose of this procurement is to obtain services to conduct various types of compliance reviews of health insurance issuers who operate Qualified Health Plans (QHHP)/Stand-Alone Dental Plans (SADP) in the Federally-Facilitated Exchange (FFE). These reviews are being procured by the Centers for Medicare & Medicaid Services' (CMS) Center for Consumer Information and Insurance Oversight's (CCIIO), in support of the health insurance Exchanges (Exchanges), as required under the Patient Protection and Affordable Care Act (PPACA). Compliance reviews serve as one of the primary mechanisms that CMS will use for ensuring and documenting QHP issuers' compliance with Affordable Care Act (ACA) requirements. Compliance reviews are necessary to identify irregularities, validate self-reported data, and to ensure that CCIIO is managing the FFE programs effectively.
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