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US · guidance

CMS Pub. 100-16, ch. 9, § 60.2

Financial Solvency

activein force · 2026-08-25 – presentas-observed

An MAO generally must be licensed as a risk-bearing entity eligible to offer health insurance or

health benefits coverage under State law. (See 42 CFR 422.400(a).) CMS waived the licensure

requirement for employer/union direct contract MAOs that provide coverage to their own

members pursuant to its waiver authority. However, as a condition of this waiver, CMS requires

that these entities meet certain financial solvency standards. CMS requires that the entity

demonstrate that its fiscal soundness is commensurate with its financial risk, and that through

other means, the entity can assure that claims for benefits paid for by CMS and beneficiaries will

be covered.

History

(Rev. 111, 05-03-13, Effective: 05-03-13, Implementation: 05-03-13)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
6441a932a85f847e2b8473dd6e418011569c0304e8503862ec86f54dd30b871a
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