Code of Federal Regulations (Last Updated: November 8, 2024) |
Title 42 - Public Health |
Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
SubChapter D - State Children'S Health Insurance Programs (Schips) |
Part 457 - Allotments and Grants to States |
Subpart E - State Plan Requirements: Enrollee Financial Responsibilities |
§ 457.560 - Cumulative cost-sharing maximum.
Latest version.
-
§ 457.560 Cumulative cost-sharing maximum.
(a) A State may not impose premiums, enrollment fees, copayments, coinsurance, deductibles, or similar cost-sharing charges that, in the aggregate, exceed 5 percent of a family's total income for the length of a child's eligibility period in the State.
(b) The State must inform the enrollee's family in writing and orally if appropriate of their individual cumulative cost-sharing maximum amount at the time of enrollment and reenrollment.
[66 FR 2681, Jan. 11, 2001, as amended at 66 FR 33824, June 25, 2001]