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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. Medicare Advantage Program
  7. Requirements for a Minimum Medical Loss Ratio

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Section
422.2400

Basis and scope.

Section
422.2401

Definitions.

Section
422.2410

General requirements.

Section
422.2420

Calculation of the medical loss ratio.

Section
422.2430

Activities that improve health care quality.

Section
422.2440

Credibility adjustment.

Section
422.2450

§ 422.2450 [Reserved]

Section
422.2460

Reporting requirements.

Section
422.2470

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

Section
422.2480

MLR review and non-compliance.

Section
422.2490

Release of Part C MLR data.

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