Text of CMS Interim Final Rule on Pre-Existing via Benefit Link

Text of CMS Interim Final Rule on Pre-Existing
Condition Insurance Plan Program

“This interim final rule with comment period sets the payment rates for
covered services furnished to individuals enrolled in the Pre-Existing
Condition Insurance Plan (PCIP) program administered directly by HHS beginning
with covered services furnished on June 15, 2013. This interim final rule also
prohibits facilities and providers who, with respect to dates of service
beginning on June 15, 2013, accept payment for most covered services furnished
to an enrollee in the federally-administered PCIP from charging the enrollee an
amount greater than the enrollee’s out-of-pocket cost for the covered service
as calculated by the plan.” (Centers for Medicare & Medicaid Services)