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Title 45

Displaying title 45, up to date as of 7/16/2026. Title 45 was last amended 7/14/2026.
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Title 45Public WelfarePart / Section
Subtitle BRegulations Relating to Public Welfare200 – 2599
Chapter VIIIOffice of Personnel Management800 – 899
Part 800Multi-State Plan Program800.10 – 800.603
Subpart AGeneral Provisions and Definitions800.10 – 800.20
§ 800.10Basis and scope.
§ 800.20Definitions.
Subpart BMulti-State Plan Program Issuer Requirements800.101 – 800.116
Subpart CPremiums, Rating Factors, Medical Loss Ratios, and Risk Adjustment800.201 – 800.204
§ 800.201General requirements.
§ 800.202Rating factors.
§ 800.203Medical loss ratio.
§ 800.204Reinsurance, risk corridors, and risk adjustment.
Subpart DApplication and Contracting Procedures800.301 – 800.306
Subpart ECompliance800.401 – 800.405
§ 800.401Contract performance.
§ 800.402Contract quality assurance.
§ 800.403Fraud and abuse.
§ 800.404Compliance actions.
§ 800.405Reconsideration of compliance actions.
Subpart FAppeals by Enrollees of Denials of Claims for Payment or Service800.501 – 800.504
§ 800.501General requirements.
§ 800.502MSP issuer internal claims and appeals.
§ 800.503External review.
§ 800.504Judicial review.
Subpart GMiscellaneous800.601 – 800.603
§ 800.601Reservation of authority.
§ 800.602Consumer choice with respect to certain services.
§ 800.603Disclosure of information.