Section 800.10
|
Definitions |
Section 800.20
|
General requirements |
Section 800.101
|
Compliance with Federal law |
Section 800.102
|
Authority to contract with issuers |
Section 800.103
|
Phased expansion, etc |
Section 800.104
|
Benefits |
Section 800.105
|
Cost-sharing limits, advance payments of premium tax credits, and cost-sharing reductions |
Section 800.106
|
Levels of coverage |
Section 800.107
|
Assessments and user fees |
Section 800.108
|
Network adequacy |
Section 800.109
|
Service area |
Section 800.110
|
Accreditation requirement |
Section 800.111
|
Reporting requirements |
Section 800.112
|
Benefit plan material or information |
Section 800.113
|
Compliance with applicable State law |
Section 800.114
|
Level playing field |
Section 800.115
|
Process for dispute resolution |
Section 800.116
|
General requirements |
Section 800.201
|
Rating factors |
Section 800.202
|
Medical loss ratio |
Section 800.203
|
Reinsurance, risk corridors, and risk adjustment |
Section 800.204
|
Application process |
Section 800.301
|
Review of applications |
Section 800.302
|
MSP Program contracting |
Section 800.303
|
Term of the contract |
Section 800.304
|
Contract renewal process |
Section 800.305
|
Nonrenewal |
Section 800.306
|
Contract performance |
Section 800.401
|
Contract quality assurance |
Section 800.402
|
Fraud and abuse |
Section 800.403
|
Compliance actions |
Section 800.404
|
Reconsideration of compliance actions |
Section 800.405
|
General requirements |
Section 800.501
|
MSP issuer internal claims and appeals |
Section 800.502
|
External review |
Section 800.503
|
Judicial review |
Section 800.504
|
Reservation of authority |
Section 800.601
|
Consumer choice with respect to certain services |
Section 800.602
|
Disclosure of information |
Section 800.603
|
Scope |