Administering Entity Model Sample Clauses

Administering Entity Model. The Administering Entity will request via the Hub information necessary to make an Eligibility Determination. The Hub will facilitate the sharing of information for a data match with federal agencies and other data sources, as appropriate for the type of Eligibility Determination and Administering Entity, and then transmit the results of the data match back to the Administering Entity. The Administering Entity under this Agreement is: (Check all that apply.) □ Medicaid Agency □ Children’s Health Insurance Program □ Basic Health Program □ State-based Marketplace The Administering Entity will determine eligibility for the following: (Check all that apply.) □ Medicaid □ Children’s Health Insurance Program □ Basic Health Program □ Qualified Health Plan Enrollment □ Advance Payments of the Premium Tax Credit □ Cost-Sharing Reductions The authorized Administering Entity program official, whose signature appears below, accepts and expressly agrees to the terms and conditions expressed herein, confirms that no verbal agreements of any kind shall be binding or recognized, and hereby commits his/her respective organization to the terms of this Agreement. Approved By (Signature of Authorized Administering Entity Official) (Insert name and title for the person Date: signing for the Administering Entity Attachment A: Proposed Federal Register Notice Attachment B: Proposed Master Cost Benefit Analysis (CBA) Attachment C: Guidance Regarding Identity Proofing for the Marketplace, Medicaid, and CHIP, and the Disclosure of Certain Data Obtained through the Data Services Hub. ATTACHMENT A Billing Code: 4120-03 COMPUTER MATCHING AGREEMENT BETWEEN DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES AND STATE-BASED ADMINISTERING ENTITIES FOR DETERMINING ELIGIBILITY FOR ENROLLMENT IN APPLICABLE STATE HEALTH SUBSIDY PROGRAMS UNDER THE PATIENT PROTECTION AND AFFORDABLE CARE ACT Computer Matching Agreement No. 2016-11 The Department of Health and Human Services No. 1601 Effective Date – April 2, 2016 Expiration Date – October 2, 2017 AGENCY: Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS) ACTION: Notice of Computer Matching Program (CMP) SUMMARY: In accordance with the requirements of the Privacy Act of 1974, as amended, this notice announces the establishment of a CMP that CMS plans to conduct with the State-Based Administering Entities. EFFECTIVE DATES: Comments are invited on all portions of this notice. ...
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