§417.481. Maintenance of records: Risk HMOs and CMPs.
42 C.F.R. § 417.481
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 acounting procedures and practices that—
Are sufficient to—
Establish component rates of the ACR for determining additional and supplementary benefits; and
Determine the rates utilized in setting premiums for State insurance agency purposes; and
Include at least any records or financial reports filed with other Federal agencies or State authorities.
Notes, amendments, and revision history
Amendments
[50 FR 1346, Jan. 10, 1985, as amended at 58 FR 38082, July 15, 1993; 60 FR 45680, Sept. 1, 1995]
Source
Source: 50 FR 1346, Jan. 10, 1985, unless otherwise noted.
Authority
Authority: 42 U.S.C. 1302 and 1395hh, and 300e, 300e-5, and 300e-9, and 31 U.S.C. 9701.
Amendments
[50 FR 1346, Jan. 10, 1985, as amended at 58 FR 38082, July 15, 1993; 60 FR 45680, Sept. 1, 1995]