Title 42

Volume 5 CHAPTER IV SUBCHAP I

Subchapter I - Basic Health Program

42:5.0.1.3.17PART 600
PART 600 - ADMINISTRATION, ELIGIBILITY, ESSENTIAL HEALTH BENEFITS, PERFORMANCE STANDARDS, SERVICE DELIVERY REQUIREMENTS, PREMIUM AND COST SHARING, ALLOTMENTS, AND RECONCILATION
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.
42:5.0.1.3.18PART 601-699
PARTS 601-699 [RESERVED]