22-927m Updated Letter Templates for Coverage Suspension for Enrollee Using APTCs

Date: 11/04/22

Use the letter templates to notify providers of coverage suspension for nonpayment within the three-month grace period

Download this provider update (PDF).

Template: Type 3B–APTC Claims Look-Back letter (PDF).

Template: Type 4–APTC Authorization Rescind letter (PDF).

 

This information applies to Participating Physician Groups (PPGs).