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Centers for Medicare & Medicaid Services Monitoring Activities for Consumer Operated and Oriented Plan Loan Program

The Patient Protection and Affordable Care Act, § 1322, directs the HHS Secretary to establish the Consumer Operated and Oriented Plan (CO-OP) program by providing loans to assist the awardees with startup costs and State solvency requirements; 45 CFR Part 156 implements section 1322. We will follow up on prior OIG work that examined the loan award selection process, financial condition, and other factors that could impair the effectiveness of the CO-OP loan program. We will reassess the CO-OPs financial condition to determine whether any improvements were made in 2015 and 2016 and monitor actions by Centers for Medicare & Medicaid Services to address underperforming CO-OPs.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
Nov-16 Centers for Medicare & Medicaid Services Centers for Medicare & Medicaid Services Monitoring Activities for Consumer Operated and Oriented Plan Loan Program Office of Audit Services W-00-16-59019 2017

Office of Inspector General, U.S. Department of Health and Human Services | 330 Independence Avenue, SW, Washington, DC 20201