Part 600 - Administration, Eligibility, Essential Health Benefits, Performance Standards, Service Delivery Requirements, Premium and Cost Sharing, Allotments, and Reconcilation  


Subpart A - General Provisions and Definitions
§ 600.1 - Scope.
§ 600.5 - Definitions and use of terms.
Subpart B - Establishment and Certification of State Basic Health Programs
§ 600.100 - Program description.
§ 600.105 - Basis, scope, and applicability of subpart B.
§ 600.110 - BHP Blueprint.
§ 600.115 - Development and submission of the BHP Blueprint.
§ 600.120 - Certification of a BHP Blueprint.
§ 600.125 - Revisions to a certified BHP Blueprint.
§ 600.130 - Withdrawal of a BHP Blueprint prior to implementation.
§ 600.135 - Notice and timing of HHS action on an initial BHP Blueprint submission.
§ 600.140 - State termination of a BHP.
§ 600.142 - HHS withdrawal of certification and termination of a BHP.
§ 600.145 - State program administration and operation.
§ 600.150 - Enrollment assistance and information requirements.
§ 600.155 - Tribal consultation.
§ 600.160 - Protections for American Indian and Alaska Natives.
§ 600.165 - Nondiscrimination standards.
§ 600.170 - Annual report content and timing.
Subpart C - Federal Program Administration
§ 600.200 - Federal program compliance reviews and audits.
Subpart D - Eligibility and Enrollment
§ 600.300 - Basis, scope, and applicability.
§ 600.305 - Eligible individuals.
§ 600.310 - Application.
§ 600.315 - Certified application counselors.
§ 600.320 - Determination of eligibility for and enrollment in a standard health plan.
§ 600.330 - Coordination with other insurance affordability programs.
§ 600.335 - Appeals.
§ 600.340 - Periodic redetermination and renewal of BHP eligibility.
§ 600.345 - Eligibility verification.
§ 600.350 - Privacy and security of information.
Subpart E - Standard Health Plan
§ 600.400 - Basis, scope, and applicability.
§ 600.405 - Standard health plan coverage.
§ 600.410 - Competitive contracting process.
§ 600.415 - Contracting qualifications and requirements.
§ 600.420 - Enhanced availability of standard health plans.
§ 600.425 - Coordination with other insurance affordability programs.
Subpart F - Enrollee Financial Responsibilities
§ 600.500 - Basis, scope, and applicability.
§ 600.505 - Premiums.
§ 600.510 - Cost-sharing.
§ 600.515 - Public schedule of enrollee premium and cost sharing.
§ 600.520 - General cost-sharing protections.
§ 600.525 - Disenrollment procedures and consequences for nonpayment of premiums.
Subpart G - Payment to States
§ 600.600 - Basis, scope, and applicability.
§ 600.605 - BHP payment methodology.
§ 600.610 - Secretarial determination of BHP payment amount.
§ 600.615 - Deposit of Federal BHP payment.
Subpart H - BHP Trust Fund
§ 600.700 - Basis, scope, and applicability.
§ 600.705 - BHP trust fund.
§ 600.710 - Fiscal policies and accountability.
§ 600.715 - Corrective action, restitution, and disallowance of questioned BHP transactions.