GIS 15 MA/09: Discontinue Production of Certificates of Creditable Coverage
To: Local District Commissioners, Medicaid Directors
From: Judith Arnold, Director -Division of Eligibility and Marketplace Integration
Subject: Discontinue Production of Certificates of Creditable Coverage
Effective Date: April 1, 2015
Contact Person: Local District Support Unit - Upstate (518) 474-8887, New York City (212) 417-4500
The purpose of this General Information System (GIS) message is to inform local departments of social services (LDSS) that the production of Certificates of Creditable Coverage has been discontinued effective April 1, 2015.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required Certificates of Creditable Coverage to be issued when an individual lost health insurance, including Medicaid. Individuals who lost health insurance were notified of certain rights regarding pre-existing condition waiting periods. More recently, the Affordable Care Act (ACA) of 2010 included a provision prohibiting group health plans from imposing pre-existing condition exclusions. As a result, the Centers for Medicare and Medicaid Services issued final regulations that amend the Health Insurance Portability Accountability Act (HIPAA) rules. Pursuant to 45 CFR §146.115, the rules for providing Certificates of Creditable Coverage and demonstrating creditable coverage have been superseded by the prohibition on pre-existing condition exclusions.
Please direct any questions to your Local District liaison.
