“In no event will coverage be provided to any subscribers, as of March 1, 2014, unless the premiums are paid by the subscriber (or a relative) unless otherwise required by law.”
—Blue Cross Blue Shield of Louisiana spokesman John Maginnis, explaining why BCBS of Louisiana will no longer comply with terms of the federal Ryan White Program.
Ryan White grantees “may use funds to pay for premiums on behalf of eligible enrollees in Marketplace plans, when it is cost-effective for the Ryan White program. The third-party payer guidance CMS released (in November) does not apply to” Ryan White programs.
—CMS spokesperson Tasha Bradley, refuting BCBS’s interpretation of a CMS anti-fraud directive issued in November.
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