Federal regulations · Through 2026-08-25 · Newer source version available

45 CFR 155.1640: SEIPM preparation phase.

(a) Any State Exchange in its first year of operation must participate in a 1-year SEIPM preparation phase prior to participating in SEIPM in the subsequent year.
(b) To satisfy the requirements of the SEIPM preparation phase, a State Exchange must:
(1) Complete the information submission requirements in § 155.1615(b)(1) and (3) using information from the most current Plan Year for a sample size not to exceed 10 unique tax households that address scenarios specified by HHS.
(2) Undergo the review procedures in § 155.1625(a) and (b).
(3) Participate in technical assistance activities provided by HHS, which may include:
(i) Training on SEIPM requirements and procedures;
(ii) System readiness assessments;
(iii) Data quality validation exercises; and
(iv) Process improvement recommendations.
(c) At the beginning of each calendar year, HHS will provide any State Exchange that meets the conditions in paragraph (a) of this section with a schedule that spans a 12-month period that specifies when the requirements of this section must be completed.

Where this section sits in the code

Title 45—Public Welfare
SUBTITLE A—Department of Health and Human Services
SUBCHAPTER B—REQUIREMENTS RELATING TO HEALTH CARE ACCESS
PART 155—EXCHANGE ESTABLISHMENT STANDARDS AND OTHER RELATED STANDARDS UNDER THE AFFORDABLE CARE ACT
Subpart Q—State Exchange Improper Payment Measurement (SEIPM)

(a) Any State Exchange in its first year of operation must participate in a 1-year SEIPM preparation phase prior to participating in SEIPM in the subsequent year.

(b) To satisfy the requirements of the SEIPM preparation phase, a State Exchange must:

(1) Complete the information submission requirements in § 155.1615(b)(1) and (3) using information from the most current Plan Year for a sample size not to exceed 10 unique tax households that address scenarios specified by HHS.

(2) Undergo the review procedures in § 155.1625(a) and (b).

(3) Participate in technical assistance activities provided by HHS, which may include:

(i) Training on SEIPM requirements and procedures;

(ii) System readiness assessments;

(iii) Data quality validation exercises; and

(iv) Process improvement recommendations.

(c) At the beginning of each calendar year, HHS will provide any State Exchange that meets the conditions in paragraph (a) of this section with a schedule that spans a 12-month period that specifies when the requirements of this section must be completed.

Collected 2026-08-27T02:26:21Z. Source file · JSON

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