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Qualified Health Plan Minimum Certification Standards | Midpage
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Code of Federal Regulations
Title 45
Subchapter B
Part 156
Subpart C
Qualified Health Plan Minimum Certification Standards
156.200
QHP issuer participation standards.
156.201
Standardized plan options.
156.202
Non-standardized plan option limits.
156.210
QHP rate and benefit information.
156.215
Advance payments of the premium tax credit and cost-sharing reduction standards.
156.220
Transparency in coverage.
156.221
Access to and exchange of health data and plan information.
156.222
Access to and exchange of health data for providers and payers.
156.223
Prior authorization requirements.
156.225
Marketing and benefit design of QHPs.
156.230
Network adequacy standards.
156.235
Essential community providers.
156.236
xxx
156.245
Treatment of direct primary care medical homes.
156.250
Meaningful access to qualified health plan information.
156.255
Rating variations.
156.260
Enrollment periods for qualified individuals.
156.265
Enrollment process for qualified individuals.
156.270
Termination of coverage or enrollment for qualified individuals.
156.272
Issuer participation for the full plan year.
156.275
Accreditation of QHP issuers.
156.280
Segregation of funds for abortion services.
156.285
Additional standards specific to SHOP for plan years beginning prior to January 1, 2018.
156.286
Additional standards specific to SHOP for plan years beginning on or after January 1, 2018.
156.290
Non-certification and decertification of QHPs.
156.295
Prescription drug distribution and cost reporting by QHP issuers.