Establish MARS-E applicability scope for ACA Affordable Care Act Section 1311 Health Insurance Exchanges. CMS Centers for Medicare and Medicaid Services + CCIIO Center for Consumer Information and Insurance Oversight under HHS Department of Health and Human Services is the issuing and oversight authority. Required for all State-Based Marketplaces (SBM) + State-Based Exchanges on Federal Platform (SBE-FP) + Federally-Facilitated Marketplace (FFM) HealthCare.gov + Exchange agents and brokers + non-Exchange entities receiving Exchange data. 45 CFR 155.260 Privacy and Security Standards + 45 CFR 155.270 Use of Standards and Protocols for Electronic Transactions + 45 CFR 155.280 Oversight and Monitoring. ACA Section 1311(d)(4)(B) + Section 1411 + Section 1412 + Section 1413 statutory anchors. CMS Federal Data Services Hub interface authorization required. State Medicaid Modernization projects require MARS-E compliance for Medicaid Eligibility and Enrollment systems. Authorization to Operate (ATO) issued by CMS based on Security Assessment Report (SAR) + System Security Plan (SSP) + Plan of Action and Milestones (POAM). v2.0 current 2026 + v2.2 in development.
The graph holds this control, the 0 it maps to, and the evidence behind each claim, over MCP and REST.