GroundRules
45 CFR 156.1250: Acceptance of certain third party payments.
Where this section sits in the code
- Title 45—Public Welfare
- SUBTITLE A—Department of Health and Human Services
- SUBCHAPTER B—REQUIREMENTS RELATING TO HEALTH CARE ACCESS
- PART 156—HEALTH INSURANCE ISSUER STANDARDS UNDER THE AFFORDABLE CARE ACT, INCLUDING STANDARDS RELATED TO EXCHANGES
- Subpart M—Qualified Health Plan Issuer Responsibilities
Issuers offering individual market QHPs, including stand-alone dental plans, and their downstream entities, must accept premium and cost-sharing payments for the QHPs from the following third-party entities from plan enrollees (in the case of a downstream entity, to the extent the entity routinely collects premiums or cost sharing):
(a) A Ryan White HIV/AIDS Program under title XXVI of the Public Health Service Act;
(b) An Indian tribe, tribal organization, or urban Indian organization; and
(c) A local, State, or Federal government program, including a grantee directed by a government program to make payments on its behalf.
Collected 2026-08-27T02:26:21Z. Source file · JSON