Subpart A - General Provisions and Definitions

§ 800.10 - Basis and scope.

§ 800.20 - Definitions.

Subpart B - Multi-State Plan Program Issuer Requirements

§ 800.101 - General requirements.

§ 800.102 - Compliance with Federal law.

§ 800.103 - Authority to contract with issuers.

§ 800.104 - Phased expansion, etc.

§ 800.105 - Benefits.

§ 800.106 - Cost-sharing limits, advance payments of premium tax credits, and cost-sharing reductions.

§ 800.107 - Levels of coverage.

§ 800.108 - Assessments and user fees.

§ 800.109 - Network adequacy.

§ 800.110 - Service area.

§ 800.111 - Accreditation requirement.

§ 800.112 - Reporting requirements.

§ 800.113 - Benefit plan material or information.

§ 800.114 - Compliance with applicable State law.

§ 800.115 - Level playing field.

§ 800.116 - Process for dispute resolution.

Subpart C - Premiums, Rating Factors, Medical Loss Ratios, and Risk Adjustment

§ 800.201 - General requirements.

§ 800.202 - Rating factors.

§ 800.203 - Medical loss ratio.

§ 800.204 - Reinsurance, risk corridors, and risk adjustment.

Subpart D - Application and Contracting Procedures

§ 800.301 - Application process.

§ 800.302 - Review of applications.

§ 800.303 - MSP Program contracting.

§ 800.304 - Term of the contract.

§ 800.305 - Contract renewal process.

§ 800.306 - Nonrenewal.

Subpart E - Compliance

§ 800.401 - Contract performance.

§ 800.402 - Contract quality assurance.

§ 800.403 - Fraud and abuse.

§ 800.404 - Compliance actions.

§ 800.405 - Reconsideration of compliance actions.

Subpart F - Appeals by Enrollees of Denials of Claims for Payment or Service

§ 800.501 - General requirements.

§ 800.502 - MSP issuer internal claims and appeals.

§ 800.503 - External review.

§ 800.504 - Judicial review.

Subpart G - Miscellaneous

§ 800.601 - Reservation of authority.

§ 800.602 - Consumer choice with respect to certain services.

§ 800.603 - Disclosure of information.