Reduction of Issuer Burden Through Technology Grant
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Issuing agencies
Abstract
This notice announces the issuance of the March 10, 2021 (and amended on April 29, 2021) single-source funding opportunity titled ``Reduction of Issuer Burden Through Technology Grant'' (hereafter referred to as the ``RIBTT Grant'') available solely to the National Association of Insurance Commissioners (NAIC) to build a connection between the State Electronic Rate and Form Filing (SERFF) system, owned and operated by the NAIC, and the Health Insurance Oversight System (HIOS), which is operated by the Centers for Medicare and Medicaid Services (CMS). This connection will enable health insurance issuers to enter rate justification data into the SERFF system and then have this rate justification data automatically transfer to HIOS. Currently, health insurance issuers have to enter duplicate data into both the SERFF system and HIOS in order to maintain compliance with federal and state law in 49 states and the District of Columbia.
Full Text
<html>
<head>
<title>Federal Register, Volume 86 Issue 139 (Friday, July 23, 2021)</title>
</head>
<body><pre>
[Federal Register Volume 86, Number 139 (Friday, July 23, 2021)]
[Notices]
[Page 39028]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-15656]
[[Page 39028]]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
Reduction of Issuer Burden Through Technology Grant
AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of
Health and Human Services (HHS).
ACTION: Notice of funding opportunity.
-----------------------------------------------------------------------
SUMMARY: This notice announces the issuance of the March 10, 2021 (and
amended on April 29, 2021) single-source funding opportunity titled
``Reduction of Issuer Burden Through Technology Grant'' (hereafter
referred to as the ``RIBTT Grant'') available solely to the National
Association of Insurance Commissioners (NAIC) to build a connection
between the State Electronic Rate and Form Filing (SERFF) system, owned
and operated by the NAIC, and the Health Insurance Oversight System
(HIOS), which is operated by the Centers for Medicare and Medicaid
Services (CMS). This connection will enable health insurance issuers to
enter rate justification data into the SERFF system and then have this
rate justification data automatically transfer to HIOS. Currently,
health insurance issuers have to enter duplicate data into both the
SERFF system and HIOS in order to maintain compliance with federal and
state law in 49 states and the District of Columbia.
DATES: The project period of the award, in the amount of $250,000 to
the NAIC, will be 24 months from the date of award. The tentative award
date is July 29, 2021.
FOR FURTHER INFORMATION CONTACT: Jim Taing, (301) 492-4182.
SUPPLEMENTARY INFORMATION:
I. Background
The Reduction of Issuer Burden Through Technology Grant (RIBTT
Grant) provides a funding source to build a connection between the
SERFF system and the Unified Rate Review (URR) module of HIOS. Forty-
nine states and the District of Columbia currently use the SERFF system
to collect and review rate data. Building a connection between SERFF
and HIOS will reduce burden on health insurance issuers and decrease
the potential for data mismatches between the two systems. It will
enable health insurance issuers to enter rate justification data into
the SERFF system and the rate justification data will automatically
transfer to HIOS. Currently, health insurance issuers have to enter
duplicate data into both the SERFF system and HIOS in order to maintain
compliance with applicable federal and state law. Funding under the
RIBTT Grant is available to the NAIC to complete their portion of the
technical changes needed in order to build such a connection between
the SERFF system and HIOS.
II. Provisions of the Notice
CMS is anticipating approximately a total of $250,000 will be
available for the RIBTT Grant, pending availability of funds, to the
NAIC to complete their portion of the technical changes needed in order
to build such a connection between the SERFF system and HIOS for the
transfer of rate filing information. The NAIC may use grant funds for a
variety of planning, development, testing, and implementation
objectives related to the technical changes needed to build the
connection between the SERFF system and HIOS. This includes, but is not
limited to, hiring or contracting with information technology
professionals or firms to complete the work. Pending an acceptable
application and budget, the CMS will recommend awarding a single source
grant to the NAIC who is uniquely qualified to complete the work
requested. The NAIC is uniquely positioned to perform this work as they
are the only applicant under this funding opportunity to meet the
objectives of this funding opportunity as they own, operate, and
maintain the SERFF system and the SERFF system is what is utilized by
health insurance issuers to submit rate filing justification data in 49
states and the District of Columbia. The NAIC has built previous IT
connections between their SERFF system and HIOS for the submission of
Qualified Health Plan certification data between SERFF and the Plan
Management module of HIOS. Funds enable NAIC to establish this new IT
connection between the SERFF system and the URR module of HIOS based on
the prior system architecture.
The Administrator of the Centers for Medicare & Medicaid Services
(CMS), Chiquita Brooks-LaSure, having reviewed and approved this
document, authorizes Lynette Wilson, who is the Federal Register
Liaison, to electronically sign this document for purposes of
publication in the Federal Register.
Dated: July 19, 2021.
Lynette Wilson,
Federal Register Liaison, Centers for Medicare & Medicaid Services.
[FR Doc. 2021-15656 Filed 7-22-21; 8:45 am]
BILLING CODE 4120-01-P
</pre></body>
</html>This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.