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Federal regulations · Through 2026-08-25 · Newer source version available

42 CFR 423.2400: Basis and scope.

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Where this section sits in the code
  1. Title 42—Public Health
  2. CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  3. SUBCHAPTER B—MEDICARE PROGRAM
  4. PART 423—VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT
  5. Subpart X—Requirements for a Minimum Medical Loss Ratio

This subpart is based on sections 1857(e)(4), 1860D-12(b)(3)(D), and 1106 of the Act, and sets forth medical loss ratio requirements for Part D sponsors, financial penalties and sanctions against Part D sponsors when minimum medical loss ratios are not achieved by Part D sponsors and release of medical loss ratio data to entities outside of CMS.

Collected 2026-08-27T02:26:11Z. Source file · JSON

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