Benchmark Benefit and Benchmark-Equivalent Coverage

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medical Assistance Programs
  6. Services: General Provisions
  7. Benchmark Benefit and Benchmark-Equivalent Coverage

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Section
440.300

Basis.

Section
440.305

Scope.

Section
440.310

Applicability.

Section
440.315

Exempt individuals.

Section
440.320

State plan requirements: Optional enrollment for exempt individuals.

Section
440.325

State plan requirements: Coverage and benefits.

Section
440.330

Benchmark health benefits coverage.

Section
440.335

Benchmark-equivalent health benefits coverage.

Section
440.340

Actuarial report for benchmark-equivalent coverage.

Section
440.345

EPSDT and other required benefits.

Section
440.347

Essential health benefits.

Section
440.350

Employer-sponsored insurance health plans.

Section
440.355

Payment of premiums.

Section
440.360

State plan requirements for providing additional services.

Section
440.365

Coverage of rural health clinic and federally qualified health center (FQHC) services.

Section
440.370

Economy and efficiency.

Section
440.375

Comparability.

Section
440.380

Statewideness.

Section
440.385

Delivery of benchmark and benchmark-equivalent coverage through managed care entities.

Section
440.386

Public notice.

Section
440.390

Assurance of transportation.

Section
440.395

Parity in mental health and substance use disorder benefits.