Source: https://healthlaw.healthreformquotes.com/medical-loss-ratio-mrl/cfr-code-federal-regulations/cfr-rate-regulation/
Timestamp: 2019-04-19 00:42:21+00:00

Document:
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§154.200Rate increases subject to review.
§154.210Review of rate increases subject to review by CMS or by a State.
§154.215Submission of disclosure to CMS for rate increases subject to review.
§154.220Timing of providing the Preliminary Justification.
§154.225Determination by CMS or a State of an unreasonable rate increase.
§154.230Submission and posting of Final Justifications for unreasonable rate increases.
CMS’s determinations of Effective Rate Review Programs.
Reporting requirements related to premiums and expenditures.
Reimbursement for clinical services provided to enrollees.
Activities that improve health care quality.
Expenditures related to Health Information Technology and meaningful use requirements.
Reporting of Federal and State licensing and regulatory fees.
Reporting of Federal and State taxes.
Standard for adjustment to the medical loss ratio.
Who may request adjustment to the medical loss ratio.
Duration of adjustment to the medical loss ratio.
Information supporting a request for adjustment to the medical loss ratio.
Information regarding the State’s individual health insurance market.
Proposal for adjusted medical loss ratio.
Criteria for assessing request for adjustment to the medical loss ratio.
Process for submitting request for adjustment to the medical loss ratio.
Treatment as a public document.
Secretary’s discretion to hold a hearing.
Determination on a State’s request for adjustment to the medical loss ratio.
Subsequent requests for adjustment to the medical loss ratio.

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