What role does CMS play in the assessment of an LEP?

The role of CMS, or the Centers for Medicare & Medicaid Services, in the assessment of a Low-Income Subsidy (LEP) is primarily concerned with evaluating members who may qualify for assistance after experiencing gaps in their creditable coverage. This assessment helps determine eligibility for additional benefits and subsidies that can aid members in managing healthcare costs.

This process is vital because maintaining continuous creditable coverage is important for members to avoid potential penalties or coverage gaps, and CMS plays a foundational role in overseeing these assessments to ensure members receive the support they need based on their coverage history. This oversight helps align with the goals of making healthcare more accessible, especially for those who are economically disadvantaged.