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Requirements for a Minimum Medical Loss Ratio

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medicare Program
  6. Voluntary Medicare Prescription Drug Benefit
  7. Requirements for a Minimum Medical Loss Ratio

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Section
423.2400

Basis and scope.

Section
423.2401

Definitions.

Section
423.2410

General requirements.

Section
423.2420

Calculation of medical loss ratio.

Section
423.2430

Activities that improve health care quality.

Section
423.2440

Credibility adjustment.

Section
423.2450

§ 423.2450 [Reserved]

Section
423.2460

Reporting requirements.

Section
423.2470

Remittance to CMS if the applicable MLR requirement is not met.

Section
423.2480

MLR review and non-compliance.

Section
423.2490

Release of Part D MLR data.

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