§422.2400. Basis and scope.
42 C.F.R. § 422.2400
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 Medicare Advantage organizations, financial penalties and sanctions against MA organizations when minimum medical loss ratios are not achieved by MA organizations, and release of medical loss ratio data to entities outside of CMS.
Notes, amendments, and revision history
Amendments
[81 FR 80557, Nov. 15, 2016]
Source
Source: 78 FR 31307, May 23, 2013, unless otherwise noted.
Authority
Authority: 42 U.S.C. 1302, 1306, 1395w-21 through 1395w-28, and 1395hh.
Source
Source: 63 FR 18134, Apr. 14, 1998, unless otherwise noted.
Amendments
[81 FR 80557, Nov. 15, 2016]