Title 42

PART 600

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 Authority:Section 1331 of the Patient Protection and Affordable Care Act of 2010 (Pub. L. 111-148, 124 Stat. 119), as amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. 111-152, 124 Stat 1029). Source:79 FR 14140, Mar. 12, 2014, unless otherwise noted.

42:5.0.1.3.17.1SUBPART A
Subpart A - General Provisions and Definitions
42:5.0.1.3.17.1.69.1SECTION 600.1
   600.1 Scope.
42:5.0.1.3.17.1.69.2SECTION 600.5
   600.5 Definitions and use of terms.
42:5.0.1.3.17.2SUBPART B
Subpart B - Establishment and Certification of State Basic Health Programs
42:5.0.1.3.17.2.69.1SECTION 600.100
   600.100 Program description.
42:5.0.1.3.17.2.69.2SECTION 600.105
   600.105 Basis, scope, and applicability of subpart B.
42:5.0.1.3.17.2.69.3SECTION 600.110
   600.110 BHP Blueprint.
42:5.0.1.3.17.2.69.4SECTION 600.115
   600.115 Development and submission of the BHP Blueprint.
42:5.0.1.3.17.2.69.5SECTION 600.120
   600.120 Certification of a BHP Blueprint.
42:5.0.1.3.17.2.69.6SECTION 600.125
   600.125 Revisions to a certified BHP Blueprint.
42:5.0.1.3.17.2.69.7SECTION 600.130
   600.130 Withdrawal of a BHP Blueprint prior to implementation.
42:5.0.1.3.17.2.69.8SECTION 600.135
   600.135 Notice and timing of HHS action on a BHP Blueprint.
42:5.0.1.3.17.2.69.9SECTION 600.140
   600.140 State termination of a BHP.
42:5.0.1.3.17.2.69.10SECTION 600.142
   600.142 HHS withdrawal of certification and termination of a BHP.
42:5.0.1.3.17.2.69.11SECTION 600.145
   600.145 State program administration and operation.
42:5.0.1.3.17.2.69.12SECTION 600.150
   600.150 Enrollment assistance and information requirements.
42:5.0.1.3.17.2.69.13SECTION 600.155
   600.155 Tribal consultation.
42:5.0.1.3.17.2.69.14SECTION 600.160
   600.160 Protections for American Indian and Alaska Natives.
42:5.0.1.3.17.2.69.15SECTION 600.165
   600.165 Nondiscrimination standards.
42:5.0.1.3.17.2.69.16SECTION 600.170
   600.170 Annual report content and timing.
42:5.0.1.3.17.3SUBPART C
Subpart C - Federal Program Administration
42:5.0.1.3.17.3.69.1SECTION 600.200
   600.200 Federal program compliance reviews and audits.
42:5.0.1.3.17.4SUBPART D
Subpart D - Eligibility and Enrollment
42:5.0.1.3.17.4.69.1SECTION 600.300
   600.300 Basis, scope, and applicability.
42:5.0.1.3.17.4.69.2SECTION 600.305
   600.305 Eligible individuals.
42:5.0.1.3.17.4.69.3SECTION 600.310
   600.310 Application.
42:5.0.1.3.17.4.69.4SECTION 600.315
   600.315 Certified application counselors.
42:5.0.1.3.17.4.69.5SECTION 600.320
   600.320 Determination of eligibility for and enrollment in a standard health plan.
42:5.0.1.3.17.4.69.6SECTION 600.330
   600.330 Coordination with other insurance affordability programs.
42:5.0.1.3.17.4.69.7SECTION 600.335
   600.335 Appeals.
42:5.0.1.3.17.4.69.8SECTION 600.340
   600.340 Periodic redetermination and renewal of BHP eligibility.
42:5.0.1.3.17.4.69.9SECTION 600.345
   600.345 Eligibility verification.
42:5.0.1.3.17.4.69.10SECTION 600.350
   600.350 Privacy and security of information.
42:5.0.1.3.17.5SUBPART E
Subpart E - Standard Health Plan
42:5.0.1.3.17.5.69.1SECTION 600.400
   600.400 Basis, scope, and applicability.
42:5.0.1.3.17.5.69.2SECTION 600.405
   600.405 Standard health plan coverage.
42:5.0.1.3.17.5.69.3SECTION 600.410
   600.410 Competitive contracting process.
42:5.0.1.3.17.5.69.4SECTION 600.415
   600.415 Contracting qualifications and requirements.
42:5.0.1.3.17.5.69.5SECTION 600.420
   600.420 Enhanced availability of standard health plans.
42:5.0.1.3.17.5.69.6SECTION 600.425
   600.425 Coordination with other insurance affordability programs.
42:5.0.1.3.17.6SUBPART F
Subpart F - Enrollee Financial Responsibilities
42:5.0.1.3.17.6.69.1SECTION 600.500
   600.500 Basis, scope, and applicability.
42:5.0.1.3.17.6.69.2SECTION 600.505
   600.505 Premiums.
42:5.0.1.3.17.6.69.3SECTION 600.510
   600.510 Cost-sharing.
42:5.0.1.3.17.6.69.4SECTION 600.515
   600.515 Public schedule of enrollee premium and cost sharing.
42:5.0.1.3.17.6.69.5SECTION 600.520
   600.520 General cost-sharing protections.
42:5.0.1.3.17.6.69.6SECTION 600.525
   600.525 Disenrollment procedures and consequences for nonpayment of premiums.
42:5.0.1.3.17.7SUBPART G
Subpart G - Payment to States
42:5.0.1.3.17.7.69.1SECTION 600.600
   600.600 Basis, scope, and applicability.
42:5.0.1.3.17.7.69.2SECTION 600.605
   600.605 BHP payment methodology.
42:5.0.1.3.17.7.69.3SECTION 600.610
   600.610 Secretarial determination of BHP payment amount.
42:5.0.1.3.17.7.69.4SECTION 600.615
   600.615 Deposit of Federal BHP payment.
42:5.0.1.3.17.8SUBPART H
Subpart H - BHP Trust Fund
42:5.0.1.3.17.8.69.1SECTION 600.700
   600.700 Basis, scope, and applicability.
42:5.0.1.3.17.8.69.2SECTION 600.705
   600.705 BHP trust fund.
42:5.0.1.3.17.8.69.3SECTION 600.710
   600.710 Fiscal policies and accountability.
42:5.0.1.3.17.8.69.4SECTION 600.715
   600.715 Corrective action, restitution, and disallowance of questioned BHP transactions.