Code of Federal Regulations (Last Updated: November 8, 2024) |
Title 45 - Public Welfare |
Subtitle A - Department of Health and Human Services |
SubChapter B - Requirements Relating to Health Care Access |
Part 155 - Exchange Establishment Standards and Other Related Standards Under the Affordable Care Act |
Subpart D - Exchange Functions in the Individual Market: Eligibility Determinations for Exchange Participation and Insurance Affordability Programs |
Subpart D - Exchange Functions in the Individual Market: Eligibility Determinations for Exchange Participation and Insurance Affordability Programs
§ 155.300 - Definitions and general standards for eligibility determinations. |
§ 155.302 - Options for conducting eligibility determinations. |
§ 155.305 - Eligibility standards. |
§ 155.310 - Eligibility process. |
§ 155.315 - Verification process related to eligibility for enrollment in a QHP through the Exchange. |
§ 155.320 - Verification process related to eligibility for insurance affordability programs. |
§ 155.330 - Eligibility redetermination during a benefit year. |
§ 155.335 - Annual eligibility redetermination. |
§ 155.340 - Administration of advance payments of the premium tax credit and cost-sharing reductions. |
§ 155.345 - Coordination with Medicaid, CHIP, the Basic Health Program, and the Pre-existing Condition Insurance Plan. |
§ 155.350 - Special eligibility standards and process for Indians. |
§ 155.355 - Right to appeal. |