§154.301. CMS's determinations of Effective Rate Review Programs. — Inbound Citations

45 C.F.R. § 154.301

Statutory Authority

Cited by 6 regulations in release Current.

45 C.F.R. § 154.210(b)(1)

Go to provision →

(1) Has an Effective Rate Review Program as described in § 154.301; and

45 C.F.R. § 154.210(b)(2)

Go to provision →

(2) The State provides to CMS, on a form and in a manner prescribed by the Secretary, its final determination of whether a rate increase is unreasonable, which must include a brief explanation of how its analysis of the relevant factors set forth in § 154.301(a)(3) caused it to arrive at that determination, within five business days following the State's final determination.
45 C.F.R. § 154.215(f)

Go to provision →

(f) The rate filing documentation must include an actuarial memorandum that contains the reasoning and assumptions supporting the data contained in Part I of the Rate Filing Justification. Parts I and III must be sufficient to conduct an examination satisfying the requirements of § 154.301(a)(3) and (4) and determine whether the rate increase is an unreasonable increase. Instructions concerning the requirements for the rate filing documentation will be provided in guidance issued by CMS.

45 C.F.R. § 154.215(f)

Go to provision →

(f) The rate filing documentation must include an actuarial memorandum that contains the reasoning and assumptions supporting the data contained in Part I of the Rate Filing Justification. Parts I and III must be sufficient to conduct an examination satisfying the requirements of § 154.301(a)(3) and (4) and determine whether the rate increase is an unreasonable increase. Instructions concerning the requirements for the rate filing documentation will be provided in guidance issued by CMS.