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Title 42 Part 600

Title 42 → Chapter IV → Subchapter I → Part 600

Electronic Code of Federal Regulations e-CFR

Title 42 Part 600

Title 42Chapter IVSubchapter IPart 600


TITLE 42—Public Health

CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED)

SUBCHAPTER I—BASIC HEALTH PROGRAM

PART 600—ADMINISTRATION, ELIGIBILITY, ESSENTIAL HEALTH BENEFITS, PERFORMANCE STANDARDS, SERVICE DELIVERY REQUIREMENTS, PREMIUM AND COST SHARING, ALLOTMENTS, AND RECONCILATION

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Subpart A—GENERAL PROVISIONS AND DEFINITIONS

§600.1
Scope.
§600.5
Definitions and use of terms.
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Subpart B—ESTABLISHMENT AND CERTIFICATION OF STATE BASIC HEALTH PROGRAMS

§600.100
Program description.
§600.105
Basis, scope, and applicability of subpart B.
§600.110
BHP Blueprint.
§600.115
Development and submission of the BHP Blueprint.
§600.120
Certification of a BHP Blueprint.
§600.125
Revisions to a certified BHP Blueprint.
§600.130
Withdrawal of a BHP Blueprint prior to implementation.
§600.135
Notice and timing of HHS action on a BHP Blueprint.
§600.140
State termination of a BHP.
§600.142
HHS withdrawal of certification and termination of a BHP.
§600.145
State program administration and operation.
§600.150
Enrollment assistance and information requirements.
§600.155
Tribal consultation.
§600.160
Protections for American Indian and Alaska Natives.
§600.165
Nondiscrimination standards.
§600.170
Annual report content and timing.
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Subpart C—FEDERAL PROGRAM ADMINISTRATION

§600.200
Federal program compliance reviews and audits.
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Subpart D—ELIGIBILITY AND ENROLLMENT

§600.300
Basis, scope, and applicability.
§600.305
Eligible individuals.
§600.310
Application.
§600.315
Certified application counselors.
§600.320
Determination of eligibility for and enrollment in a standard health plan.
§600.330
Coordination with other insurance affordability programs.
§600.335
Appeals.
§600.340
Periodic redetermination and renewal of BHP eligibility.
§600.345
Eligibility verification.
§600.350
Privacy and security of information.
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Subpart E—STANDARD HEALTH PLAN

§600.400
Basis, scope, and applicability.
§600.405
Standard health plan coverage.
§600.410
Competitive contracting process.
§600.415
Contracting qualifications and requirements.
§600.420
Enhanced availability of standard health plans.
§600.425
Coordination with other insurance affordability programs.
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Subpart F—ENROLLEE FINANCIAL RESPONSIBILITIES

§600.500
Basis, scope, and applicability.
§600.505
Premiums.
§600.510
Cost-sharing.
§600.515
Public schedule of enrollee premium and cost sharing.
§600.520
General cost-sharing protections.
§600.525
Disenrollment procedures and consequences for nonpayment of premiums.
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Subpart G—PAYMENT TO STATES

§600.600
Basis, scope, and applicability.
§600.605
BHP payment methodology.
§600.610
Secretarial determination of BHP payment amount.
§600.615
Deposit of Federal BHP payment.
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Subpart H—BHP TRUST FUND

§600.700
Basis, scope, and applicability.
§600.705
BHP trust fund.
§600.710
Fiscal policies and accountability.
§600.715
Corrective action, restitution, and disallowance of questioned BHP transactions.

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