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Qualified Health Plan Minimum Certification Standards
Law
CFR 45
Public Welfare
Department of Health and Human Services
Requirements Relating to Health Care Access
Health Insurance Issuer Standards Under the Affordable Care Act, Including Standards Related to Exchanges
Qualified Health Plan Minimum Certification Standards
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Section
156.200
QHP issuer participation standards.
Section
156.210
QHP rate and benefit information.
Section
156.215
Advance payments of the premium tax credit and cost-sharing reduction standards.
Section
156.220
Transparency in coverage.
Section
156.221
Access to and exchange of health data and plan information.
Section
156.225
Marketing and Benefit Design of QHPs.
Section
156.230
Network adequacy standards.
Section
156.235
Essential community providers.
Section
156.245
Treatment of direct primary care medical homes.
Section
156.250
Meaningful access to qualified health plan information.
Section
156.255
Rating variations.
Section
156.260
Enrollment periods for qualified individuals.
Section
156.265
Enrollment process for qualified individuals.
Section
156.270
Termination of coverage or enrollment for qualified individuals.
Section
156.272
Issuer participation for the full plan year.
Section
156.275
Accreditation of QHP issuers.
Section
156.280
Segregation of funds for abortion services.
Section
156.285
Additional standards specific to SHOP for plan years beginning prior to January 1, 2018.
Section
156.286
Additional standards specific to SHOP for plan years beginning on or after January 1, 2018.
Section
156.290
Non-certification and decertification of QHPs.
Section
156.295
Prescription drug distribution and cost reporting by QHP issuers.