The 17 states, and the District of Columbia, electing to operate a State-based Marketplace (SBM) are subject to comprehensive oversight from a varied set of federal and state agencies, committees, and regulators. Ongoing reporting, site visits, and auditing spans the full range of SBM functions, including eligibility and enrollment, data security, consumer privacy, financial transactions, business operations, grant monitoring, budget, consumer assistance, and marketplace personnel policies.
For SBM states to cooperate and assist with the numerous inquiries and audits related to their operations, they must utilize staff resources from all marketplace departments. SBMs also frequently need to rely on other agencies such as IT, data, policy, legal, and Medicaid in order to meet all components of an oversight request. In addition to this staff time, SBMs also typically have one staff member who is responsible for coordinating with the auditors and obtaining all the necessary information and data for compliance.
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