State Plan Requirements: Enrollee Financial Responsibilities

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. State Children's Health Insurance Programs (SCHIPs)
  6. Allotments and Grants to States
  7. State Plan Requirements: Enrollee Financial Responsibilities

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Section
457.500

Basis, scope, and applicability.

Section
457.505

General State plan requirements.

Section
457.510

Premiums, enrollment fees, or similar fees: State plan requirements.

Section
457.515

Co-payments, coinsurance, deductibles, or similar cost-sharing charges: State plan requirements.

Section
457.520

Cost sharing for well-baby and well-child care services.

Section
457.525

Public schedule.

Section
457.530

General cost-sharing protection for lower income children.

Section
457.535

Cost-sharing protection to ensure enrollment of American Indians and Alaska Natives.

Section
457.540

Cost-sharing charges for children in families with incomes at or below 150 percent of the FPL.

Section
457.555

Maximum allowable cost-sharing charges on targeted low-income children in families with income from 101 to 150 percent of the FPL.

Section
457.560

Cumulative cost-sharing maximum.

Section
457.570

Disenrollment protections.