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PPACA: NAIC Panel Has Full Calendar

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The Regulatory Framework Task Force will be busy updating National Association of Insurance Commissioners appeals and managed care models.

The task force, an arm of the NAIC, Kansas City, Mo., that helps develop model acts and regulations for state health care initiatives, recently posted a work plan for reviewing and revised NAIC models affected by the new Affordable Care Act, the legislative package that includes the Patient Protection and Affordable Care Act (PPACA).

The task force is expediting reviews of models affected by PPACA provisions that will take effect Sept. 23.

In September, the task force will review the Utilization Review and Benefit Determination Model Act, the Health Carrier Grievance Procedure Model Act and the Managed Care Plan Network Adequacy Model Act.

The reviews will reflect new federal regulations relating to matters such as coverage rescissions, emergency services access rules, and claim decision appeals.

In September, the task force hopes to make draft revisions available for discussion at the NAIC fall meeting in Orlando, Fla.

The task force will hold a conference call on the revisions in November and may adopt revisions in December.



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