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Code of Federal Regulations (Last Updated: May 6, 2024) |
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Title 45 - Public Welfare |
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Subtitle A - Department of Health and Human Services |
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SubChapter B - Requirements Relating to Health Care Access |
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Part 155 - Exchange Establishment Standards and Other Related Standards Under the Affordable Care Act |
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Subpart K - Exchange Functions: Certification of Qualified Health Plans |
§ 155.1050 - Establishment of Exchange network adequacy standards.
Latest version.
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§ 155.1050 Establishment of Exchange network adequacy standards.
(a) An Exchange must ensure that the provider network of each QHP meets the standards specified in § 156.230 of this subtitle, except for multi-State plans.
(b) The U.S. Office of Personnel Management will ensure compliance with the standards specified in § 156.230 of this subtitle for multi-State plans.
(c) A QHP issuer in an Exchange may not be prohibited from contracting with any essential community provider designated under § 156.235(c) of this subtitle.