42 CFR 417.481
§ 417.481 Maintenance of records: Risk HMOs and CMPs.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 417.481, § 417.481 Maintenance of records: Risk HMOs and CMPs, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/204238
- Permanent ID
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Full text
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—
(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.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.