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Federally Facilitated Marketplace

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The Federally Facilitated Marketplace (FFM) is an organized marketplace for health insurance plans operated by the U.S. Department of Health and Human Services (HHS). The FFM opened for enrollments starting October 1, 2013.[1] The Federally Facilitated Marketplace is established in a state by the HHS Secretary for states that chose not to set up their own marketplace or did not get approval for one.[2]

Individuals (i.e. citizens of a state) and employers will have the ability to find and purchase Qualified Health Plans through the FFM and its partners.[1] Individuals will be able to qualify for and receive Advance Premium Tax Credits (APTC) which can be used to subsidize their premium obligations. Individuals can also qualify for Cost Sharing Reductions (CSRs) which would reduce their out-of-pocket expenses for healthcare.[3]

Participating states

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Twenty-two states opted to participate in the FFM. Three states opted to partner with the FFM. Nineteen states opted to set up their State-Based Marketplace (SBM).[4]

Federally Facilitated Marketplaces

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The following 22 states are Federally Facilitated Marketplaces:

  1. Alabama
  2. Alaska
  3. Arizona
  4. Florida
  5. Indiana
  6. Kansas
  7. Louisiana
  8. Maine
  9. Mississippi
  10. Missouri
  11. Montana
  12. Nebraska
  13. North Carolina
  14. North Dakota
  15. Ohio
  16. Oklahoma
  17. South Carolina
  18. South Dakota
  19. Tennessee
  20. Texas
  21. Utah
  22. Wisconsin
  23. Wyoming

Partnership Marketplaces

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The following 3 states are Partnership Marketplaces. In Partnership Marketplaces, states retain certain essential functionality for operating an insurance marketplace.

  1. Arkansas
  2. Georgia
  3. Oregon

State-Based Marketplaces (SBM) Manage Marketplace functions, but rely on Healthcare.gov platform to manage their eligibility and enrollment functions. The following 19 states are SBMs:

  1. California
  2. Colorado
  3. Connecticut
  4. District of Columbia
  5. Idaho
  6. Kentucky
  7. Maine
  8. Maryland
  9. Massachusetts
  10. Minnesota
  11. Nevada
  12. New Jersey
  13. New Mexico
  14. New York
  15. Pennsylvania
  16. Rhode Island
  17. Vermont
  18. Virginia
  19. Washington

References

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  1. ^ a b "Federal Marketplace Progress Fact Sheet - Centers for Medicare & Medicaid Services". Cms.gov. 2012-05-16. Retrieved 2013-07-02.
  2. ^ §1321(c) of ACA
  3. ^ "Fact sheet" (PDF). www.cms.gov. 2013. Retrieved 2019-07-03.
  4. ^ "State-based Exchanges | CMS".
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