45 CFR Part 155, Subpart D - Exchange Functions in the Individual Market: Eligibility Determinations for Exchange Participation and Insurance Affordability Programs
- § 155.300 Definitions and general standards for eligibility determinations.
- § 155.302 Options for conducting eligibility determinations.
- § 155.305 Eligibility standards.
- § 155.310 Eligibility process.
- § 155.315 Verification process related to eligibility for enrollment in a QHP through the Exchange.
- § 155.320 Verification process related to eligibility for insurance affordability programs.
- § 155.330 Eligibility redetermination during a benefit year.
- § 155.335 Annual eligibility redetermination.
- § 155.340 Administration of advance payments of the premium tax credit and cost-sharing reductions.
- § 155.345 Coordination with Medicaid, CHIP, the Basic Health Program, and the Pre-existing Condition Insurance Plan.
- § 155.350 Special eligibility standards and process for Indians.
- § 155.355 Right to appeal.