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Code of Federal Regulations (Last Updated: April 5, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter I - Basic Health Program |
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Part 600 - Administration, Eligibility, Essential Health Benefits, Performance Standards, Service Delivery Requirements, Premium and Cost Sharing, Allotments, and Reconcilation |
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. |