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Section 153.10
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Definitions |
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Section 153.20
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State notice of benefit and payment parameters |
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Section 153.100
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Standards for the State notice of benefit and payment parameters |
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Section 153.110
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State establishment of a reinsurance program |
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Section 153.210
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Collection of reinsurance contribution funds |
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Section 153.220
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Calculation of reinsurance payments made under the national contribution rate |
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Section 153.230
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Calculation of reinsurance payments made under a State additional contribution rate |
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Section 153.232
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Eligibility under health insurance market rules |
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Section 153.234
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Allocation and distribution of reinsurance contributions |
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Section 153.235
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Disbursement of reinsurance payments |
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Section 153.240
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Coordination with high-risk pools |
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Section 153.250
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General oversight requirements for State-operated reinsurance programs |
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Section 153.260
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Restrictions on use of reinsurance funds for administrative expenses |
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Section 153.265
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HHS audits of State-operated reinsurance programs |
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Section 153.270
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Risk adjustment administration |
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Section 153.310
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Federally certified risk adjustment methodology |
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Section 153.320
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State alternate risk adjustment methodology |
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Section 153.330
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Data collection under risk adjustment |
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Section 153.340
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Risk adjustment data validation standards |
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Section 153.350
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Application of risk adjustment to the small group market |
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Section 153.360
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General oversight requirements for State-operated risk adjustment programs |
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Section 153.365
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Reinsurance contribution funds |
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Section 153.400
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Calculation of reinsurance contributions |
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Section 153.405
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Requests for reinsurance payment |
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Section 153.410
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Data collection |
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Section 153.420
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Definitions |
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Section 153.500
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Risk corridors establishment and payment methodology |
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Section 153.510
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Attribution and allocation of revenue and expense items |
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Section 153.520
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Risk corridors data requirements |
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Section 153.530
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Compliance with risk corridors standards |
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Section 153.540
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Risk adjustment issuer requirements |
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Section 153.610
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Compliance with risk adjustment standards |
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Section 153.620
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Data validation requirements when HHS operates risk adjustment |
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Section 153.630
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Distributed data environment |
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Section 153.700
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Data requirements |
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Section 153.710
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Establishment and usage of masked enrollee identification numbers |
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Section 153.720
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Deadline for submission of data |
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Section 153.730
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Failure to comply with HHS-operated risk adjustment and reinsurance data requirements |
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Section 153.740
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Basis and scope |