45 CFR 153.310 - Risk adjustment administration
| Cite as | 45 CFR 153.310 |
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12 practice notes
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Patient Protection and Affordable Care Act; Program Integrity: Exchange, Premium Stabilization Programs, and Market Standards; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014
...in both markets, and will evaluate the State's application to operate risk adjustment in accordance with the standards set forth in 45 CFR 153.310(d) to ensure the State is ready to operate risk adjustment in both markets. We emphasize that this policy does not alter the definition of ``Exc......
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Nondiscrimination in Health and Health Education Programs or Activities
...the Final Rule to the risk adjustments program (Section 1343 of the PPACA), and does not propose to do so in this proposed rule. See also 45 CFR 153.310 (risk adjustment The Department seeks specific comment on the proposed elimination of the ``plays a role'' language. The Final Rule applie......
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Patient Protection and Affordable Care Act; Program Integrity: Exchange, SHOP, Premium Stabilization Programs, and Market Standards
...Report and State Summary Report (Sec. 153.310(d)) In Sec. 153.310(d)(3), we propose that, in addition to the requirements set forth in 45 CFR 153.310(d)(1) and (d)(2), to obtain recertification from HHS to operate risk adjustment for a third benefit year, a State would be directed to, in th......
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New Mexico Health Connections v. U.S. Dep't of Health & Human Servs., No. CIV 16-0878 JB\JHR
...programs for "[a]ny State that does not elect to operate an Exchange, or that HHS has not approved to operate an Exchange," 45 C.F.R. § 153.310(a)(2); for "[a]ny State that elects to operate an Exchange but does not elect to administer risk adjustment," 45 C.F.R. § 153.310(a)(3); and for, "......
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8 cases
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New Mexico Health Connections v. U.S. Dep't of Health & Human Servs., No. CIV 16-0878 JB\JHR
...programs for "[a]ny State that does not elect to operate an Exchange, or that HHS has not approved to operate an Exchange," 45 C.F.R. § 153.310(a)(2); for "[a]ny State that elects to operate an Exchange but does not elect to administer risk adjustment," 45 C.F.R. § 153.310(a)(3); and for, "......
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N.M. Health Connections v. U.S. Dep't of Health & Human Servs., No. CIV 16–0878 JB/JHR
...PRA programs for "[a]ny State that does not elect to operate an Exchange, or that HHS has not approved to operate an Exchange," 45 C.F.R. § 153.310(a)(2), for "[a]ny State that elects to operate an Exchange but does not elect to administer risk adjustment," 45 C.F.R. § 153.310(a)(3), and fo......
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Minuteman Health, Inc. v. U.S. Dep't of Health & Human Servs., Civ. Action No. 16–11570–FDS
...risk-adjustment program, and the states would operate the program independently within those guidelines. See 42 U.S.C. § 18041(c) ; 45 C.F.R. § 153.310. The statutory scheme allowed HHS to operate the program on behalf of any state that chose not to do so. 45 C.F.R. § 153.310(a)(2) ; see 42......
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New Mex. Health Connections, Non-Profit Corp. v. U.S. Dep't of Health & Human Servs., No. CIV 16-0878 JB-JHR
...for "[a]ny State that does not elect to operate an Exchange, or that HHS has not approved 340 F.Supp.3d 1123to operate an Exchange," 45 C.F.R. § 153.310(a)(2) ; for "[a]ny State that elects to operate an Exchange but does not elect to administer risk adjustment," 45 C.F.R. § 153.310(a)(3) ;......
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