CMS Launches SEP Verification Program

CMS Launches SEP Verification Program

CMS Launches SEP Verification Program

Today, the Centers for Medicare and Medicaid Services (CMS) announced the launch of the special enrollment period (SEP) pre-enrollment verification program that will be conducting pre-enrollment verification of eligibility of applicants applying for exchange coverage through applicable SEPs.

Beginning on June 23, 2017, consumers newly enrolling in marketplace coverage through a SEP due to a move or loss of qualifying coverage (also called minimum essential coverage) will be required to submit documents to confirm their SEP eligibility before they can begin using their coverage. After they submit their application, they’ll get an Eligibility Determination Notice (eligibility notice) with a list of documents they can send to provide this confirmation.

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