Lone Star state officials have put out a bulletin to help health insurers and health maintenance organizations bring policy and contract forms into compliance with the Patient Protection and Affordable Care Act (PPACA).
PPACA, part of the new federal Affordable Care Act package, will require health care carriers to make many changes in the coverage rules by Sept. 23.
Health insurers should use the “file and use” rules for policy form amendments to update their policies, Texas department officials say in the new PPACA Implementation, Form Filings bulletin.
Insurers can combine amendments and riders for plans that will qualify for “grandfathered status” under PPACA and plans that will bear the full brunt of PPACA changes in the same filing, officials say.
Texas does not have a “file and use” program for HMO filings, but the Texas department will review amendatory contract language accompanied by a completed PPACA Uniform Compliance Summary and related forms will be reviewed as soon as possible, officials say.