-First CMS Contract Award Under COBRA Provisions of the Recovery Act-
MAXIMUS (NYSE:MMS) announced today that its Federal Services subsidiary
has been awarded a one-year contract by the Centers for Medicare &
Medicaid Services (CMS) to assist with expedited reviews and information
services regarding COBRA premium assistance benefits provided under the
American Recovery and Reinvestment Act of 2009 (Recovery Act). The
contract is valued at approximately $2 million.
Under the contract, MAXIMUS Federal will review requests for expedited
reviews and make recommendations — subject to CMS’s review and final
action — as to whether certain individuals denied premium assistance are
eligible for the benefit. MAXIMUS Federal will also answer questions
from the public about the premium assistance available under the
Recovery Act and the expedited review process through a website (www.continuationcoverage.net)
and toll-free helpline (1-866-400-6689). MAXIMUS Federal will direct
callers, as appropriate, to the Department of Labor, which handles cases
involving private employers with 20 or more employees.
“This contract represents the first award made by CMS under the Recovery
Act’s COBRA provisions, and we are excited to be the provider of choice
for CMS,” commented MAXIMUS CEO Richard Montoni. “This award further
demonstrates our longstanding experience and industry-leading expertise
in health appeals and reconsiderations. Additionally, we are eager to
support our clients as they navigate the challenges surrounding the
utilization and implementation of Recovery Act funds.”
To help displaced workers maintain health care coverage for themselves
and their families, the Recovery Act provides a 65 percent subsidy for
health insurance premiums for workers who have elected COBRA after they
have been involuntarily terminated from their jobs. This premium
assistance benefit potentially can last for up to 9 months. When a group
health plan, employer or insurer denies an individual access to premium
assistance under the Recovery Act, he or she may request expedited
review of the denial. Under the law, CMS handles appeals for government
employees (federal and non-federal) under COBRA, as well as for those
individuals covered by comparable “State mini-COBRA” programs that apply
to group health plans offered by private employers with fewer than 20
employees).