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

45 CFR 800.112: Reporting requirements.

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Where this section sits in the code
  1. Title 45—Public Welfare
  2. Subtitle B—Regulations Relating to Public Welfare
  3. CHAPTER VIII—OFFICE OF PERSONNEL MANAGEMENT
  4. PART 800—MULTI-STATE PLAN PROGRAM
  5. Subpart B—Multi-State Plan Program Issuer Requirements

(a) OPM specification of reporting requirements. OPM will specify the data and information that must be reported by an MSP issuer, including data permitted or required by the Affordable Care Act and such other data as OPM may determine necessary for the oversight and administration of the MSP Program. OPM will also specify the form, manner, processes, and frequency for the reporting of data and information. The Director may require that MSP issuers submit claims payment and enrollment data to facilitate OPM's oversight and administration of the MSP Program in a manner similar to the FEHB Program.

(b) Quality and quality improvement standards. An MSP issuer must comply with any standards required by OPM for reporting quality and quality improvement activities, including but not limited to implementation of a quality improvement strategy, disclosure of quality measures to enrollees and prospective enrollees, reporting of pediatric quality measures, and implementation of rating and enrollee satisfaction surveys, which will be similar to standards under section 1311(c)(1)(E), (H), and (I), (c)(3), and (c)(4) of the Affordable Care Act.

Collected 2026-08-27T02:26:21Z. Source file · JSON

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