42 C.F.R. § 423.258

Definitions.

Last amended: 2017Year: 2026Length: 142 wordsOfficial source

Cite as 42 C.F.R. § 423.258 (2026)

For the purposes of this subpart, the following definitions apply: Full risk plan means a prescription drug plan that is not a limited risk plan or a fallback prescription drug plan. Limited risk plan means a prescription drug plan that provides basic prescription drug coverage and for which the PDP sponsor includes a modification of risk level described in § 423.265(d) in its bid submitted for the plan. This term does not include a fallback prescription drug plan. Standardized bid amount means, for a prescription drug plan that provides basic prescription drug coverage, the PDP approved bid; for a prescription drug plan that provides supplemental prescription drug coverage, the portion of the PDP approved bid that is attributable to basic prescription drug coverage; for a MA-PD plan, the portion of the accepted bid amount that is attributable to basic prescription drug coverage.
Cross-references to the CFR
423.265
42 C.F.R. § 423.258: Definitions. | Justis AI