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Part 153
FEDERAL · 45 CFR
Part 153 — Standards Related to Reinsurance, Risk Corridors, and HHS Risk Adjustment Under the Affordable Care Act
42 sections · Title 45: Public Welfare
§ 153.10
Basis and scope.
§ 153.20
Definitions.
§ 153.100
State notice of benefit and payment parameters.
§ 153.110
Standards for the State notice of benefit and payment parameters.
§ 153.200
§ 153.200 [Reserved]
§ 153.210
State establishment of a reinsurance program.
§ 153.220
Collection of reinsurance contribution funds.
§ 153.230
Calculation of reinsurance payments made under the national contribution rate.
§ 153.232
Calculation of reinsurance payments made under a State additional contribution rate.
§ 153.234
Eligibility under health insurance market rules.
§ 153.235
Allocation and distribution of reinsurance contributions
§ 153.240
Disbursement of reinsurance payments.
§ 153.250
Coordination with high-risk pools.
§ 153.260
General oversight requirements for State-operated reinsurance programs.
§ 153.265
Restrictions on use of reinsurance funds for administrative expenses.
§ 153.270
HHS audits of State-operated reinsurance programs.
§ 153.300
§ 153.300 [Reserved]
§ 153.310
Risk adjustment administration.
§ 153.320
Federally certified risk adjustment methodology.
§ 153.330
State alternate risk adjustment methodology.
§ 153.340
Data collection under risk adjustment.
§ 153.350
Risk adjustment data validation standards.
§ 153.360
Application of risk adjustment to the small group market.
§ 153.365
General oversight requirements for State-operated risk adjustment programs.
§ 153.400
Reinsurance contribution funds.
§ 153.405
Calculation of reinsurance contributions.
§ 153.410
Requests for reinsurance payment.
§ 153.420
Data collection.
§ 153.500
Definitions.
§ 153.510
Risk corridors establishment and payment methodology.
§ 153.520
Attribution and allocation of revenue and expense items.
§ 153.530
Risk corridors data requirements.
§ 153.540
Compliance with risk corridors standards.
§ 153.600
§ 153.600 [Reserved]
§ 153.610
Risk adjustment issuer requirements.
§ 153.620
Compliance with HHS risk adjustment standards.
§ 153.630
Data validation requirements when HHS operates risk adjustment.
§ 153.700
Distributed data environment.
§ 153.710
Data requirements.
§ 153.720
Establishment and usage of masked enrollee identification numbers.
§ 153.730
Deadline for submission of data.
§ 153.740
Failure to comply with HHS-operated risk adjustment and reinsurance data requirements.