Continuum of exchange options
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Continuum of Exchange Options. State-based Exchange State operates all exchange activities. State-Federal Partnership Exchange State operates plan management and/or consumer assistance activities; may determine Medicaid/CHIP eligibility. Federally-Facilitated Exchange

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Continuum of exchange options
Continuum of Exchange Options

State-based Exchange

State operates all exchange activities

State-Federal Partnership Exchange

State operates plan management and/or consumer assistance activities; may determine Medicaid/CHIP eligibility

Federally-Facilitated Exchange

HHS operates all exchange activities; state may determine Medicaid/CHIP eligibility


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