Subpart D. 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.