§457.430. Benchmark-equivalent health benefits coverage. — Inbound Citations

(2) Benchmark-equivalent coverage in accordance with § 457.430.

(a) To obtain approval for benchmark-equivalent health benefits coverage described under § 457.430, the State must submit to CMS an actuarial report that contains an actuarial opinion that the health benefits coverage meets the actuarial requirements under § 457.430. The report must also specify the benchmark coverage used for comparison.

(ii) The actuarial value of a benchmark benefit package as described in § 457.430 evaluated at the time the modification is requested.