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The Kentucky Health Benefit Exchange (KHBE), a part of the Department of Medicaid Services (DMS), has submitted the following new administrative regulation(s).  Administrative regulations are also published on the LRC Website.


Current Regulations


900 KAR 10:111 – Definitions for 900 KAR Chapter 10

900 KAR 10:111

This administrative regulation establishes the definitions used for 900 KAR Chapter 10.

900 KAR 10:115 – Exchange Participation Requirements and Certification of Qualified Health Plans and Qualified Stand-Alone Dental Plans

900 KAR 10:115

This administrative regulation establishes the policies and procedures relating to the certification of a qualified health plan or a qualified stand-alone dental plan to be offered on the Kentucky Health Benefit Exchange.


900 KAR 10:120 – KHBE Eligibility and Enrollment in a Qualified Health Plan SHOP, and SHOP Formal Resolution Process

900 KAR 10:120

This administrative regulation establishes the policies and procedures relating to eligibility and enrollment in a qualified health plan in the individual market, the operation of a Small Business Health Options Program, and the formal review process related to SHOP on the Kentucky Health Benefit Exchange.

*There is a proposed update to this Regulation*


900 KAR 10:125 – KHBE Consumer Assistance Program, kynector Certification, and Individual Agent Participation with KHBE

900 KAR 10:125

This administrative regulation establishes the consumer assistance program for the Kentucky Health Benefit Exchange and the policies and procedures relating to the certification of kynectors, and the registration of an individual agent.


900 KAR 10:130 – Appeals of Eligibility for KHBE Participation and Insurance Affordability Programs

900 KAR 10:130

This administrative regulation establishes the policies and procedures relating to appeals of eligibility determinations for KHBE participation and insurance affordability programs on the Kentucky Health Benefit Exchange.


900 KAR 13:010 Guaranteed Acceptance Program (GAP) reporting requirements.

900 KAR 13:010 Guaranteed Acceptance Program (GAP) reporting requirements.


This regulation prescribes the form and time schedule for submitting reports to the office.

 

Archived Information

“The following information is being maintained for reference, research, or recordkeeping only, and meets the ADA compliance exemption per U.S. Department of Justice regulations 28 C.F.R. Part 35.” 


Proposed Regulations

​900 KAR 10:120 – KHBE Eligibility and Enrollment in a Qualified Health Plan SHOP, and SHOP Formal Resolution Process (Amendment)

900 KAR 10:120 – KHBE Eligibility and Enrollment in a Qualified Health Plan SHOP, and SHOP Formal Resolution Process

This administrative regulation establishes the policies and procedures relating to eligibility and enrollment in a qualified health plan in the individual market, the operation of a Small Business Health Options Program, and the formal review process related to SHOP on the Kentucky Health Benefit Exchange.

CONTACT PERSON: Krista Quarles, Policy Analyst, Office of Legislative and Regulatory Affairs, 275 East Main Street 5 W-A, Frankfort, KY 40621; Phone: 502-564-6746; Fax: 502-564-7091; CHFSregs@ky.gov​.​

Exchange Verification Plan – March 2021

KHBE-C1 Issuer Participation Intent Form