Part 153 — Standards Related to Reinsurance, Risk Corridors, and HHS Risk Adjustment Under the Affordable Care Act
Subpart A — General Provisions
Subpart B — State Notice of Benefit and Payment Parameters
Subpart C — State Standards Related to the Reinsurance Program
- § 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.
Subpart D — State Standards Related to the Risk Adjustment Program
- § 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.