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Code of Federal Regulations Title 42. Public Health § 42.417.481 Maintenance of records:  Risk HMOs and CMPs

Current as of January 02, 2025 | Updated by Findlaw Staff

A risk contract must provide that the HMO or CMP agrees to maintain and make available to CMS upon request, books, records, documents, and other evidence of accounting procedures and practices that—

(a) Are sufficient to—

(1) Establish component rates of the ACR for determining additional and supplementary benefits;  and

(2) Determine the rates utilized in setting premiums for State insurance agency purposes;  and

(b) Include at least any records or financial reports filed with other Federal agencies or State authorities.

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Cite this article: FindLaw.com - Code of Federal Regulations Title 42. Public Health § 42.417.481 Maintenance of records:  Risk HMOs and CMPs - last updated January 02, 2025 | https://codes.findlaw.com/cfr/title-42-public-health/cfr-sect-42-417-481/

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