yourstate.us
42 CFR 423.2490

§ 423.2490 Release of Part D MLR data.

United States · 42 CFR — Public Health · Status: effective

Get this as JSONEmbed this
Cite this
Citation
42 CFR 423.2490, § 423.2490 Release of Part D MLR data, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/205121
Permanent ID
ys:prov:205121@1
SHA-256
34949bd5810bcf473c389bab7436e199a017c7a1e5f588202868cc8e7ef02c45

The hash is SHA-256 of this version's text, with every run of whitespace collapsed to a single space and the ends trimmed. The ID always leads back here, and checking it says whether the text you cited is still the current version.

Full text

(a) Terminology. Subject to the exclusions in paragraph (b) of this section, Part D MLR data consists of the information submitted under § 423.2460. (b) Exclusions from Part D MLR data. For the purpose of this section, the following items are excluded from Part D MLR data: (1) Narrative descriptions that Part D sponsors submit to support the information reported to CMS pursuant to the reporting requirements at § 423.2460, such as descriptions of expense allocation methods. (2) Information that is reported at the plan level, such as the number of member months associated with each plan under a contract, including information submitted for a contract consisting of only one plan. (3) Any information that could be used to identify Medicare beneficiaries or other individuals. (4) MLR review correspondence. (5) Any information for a contract for those contract years for which the contract is determined to be non-credible, as defined in accordance with § 423.2440(d). (c) Data release. CMS releases to the public Part D MLR data, for each contract for each contract year, no earlier than 18 months after the end of the applicable contract year

Legislative history

This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.