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- 42 CFR 416.30 · Terms of agreement with CMS.
- 42 CFR 416.35 · Termination of agreement.
- 42 CFR 416.40 · Condition for coverage—Compliance with State licensure law.
- 42 CFR 416.41 · Condition for coverage—Governing body and management.
- 42 CFR 416.42 · Condition for coverage—Surgical services.
- 42 CFR 416.43 · Conditions for coverage—Quality assessment and performance improvement.
- 42 CFR 416.44 · Condition for coverage—Environment.
- 42 CFR 416.45 · Condition for coverage—Medical staff.
- 42 CFR 416.46 · Condition for coverage—Nursing services.
- 42 CFR 416.47 · Condition for coverage—Medical records.
- 42 CFR 416.48 · Condition for coverage—Pharmaceutical services.
- 42 CFR 416.49 · Condition for coverage—Laboratory and radiologic services.
- 42 CFR 416.50 · Condition for coverage—Patient rights.
- 42 CFR 416.51 · Conditions for coverage—Infection control.
- 42 CFR 416.52 · Conditions for coverage—Patient admission, assessment and discharge.
- 42 CFR 416.54 · Condition for coverage—Emergency preparedness.
- 42 CFR 416.60 · General rules.
- 42 CFR 416.61 · Scope of facility services.
- 42 CFR 416.65 · Covered surgical procedures.
- 42 CFR 416.75 · Performance of listed surgical procedures on an inpatient hospital basis.
- 42 CFR 416.76 · Applicability.
- 42 CFR 416.120 · Basis for payment.
- 42 CFR 416.121 · Applicability.
- 42 CFR 416.125 · ASC facility services payment rate.
- 42 CFR 416.130 · Publication of revised payment methodologies.
- 42 CFR 416.140 · Surveys.
- 42 CFR 416.160 · Basis and scope.
- 42 CFR 416.161 · Applicability of this subpart.
- 42 CFR 416.163 · General rules.
- 42 CFR 416.164 · Scope of ASC services.
- 42 CFR 416.166 · Covered surgical procedures.
- 42 CFR 416.167 · Basis of payment.
- 42 CFR 416.171 · Determination of payment rates for ASC services.
- 42 CFR 416.172 · Adjustments to national payment rates.
- 42 CFR 416.173 · Publication of revised payment methodologies and payment rates.
- 42 CFR 416.174 · Payment for non-opioid pain management drugs, biologicals, and medical devices.
- 42 CFR 416.178 · Limitations on administrative and judicial review.
- 42 CFR 416.179 · Payment and coinsurance reduction for devices replaced without cost or when full or partial credit is received.
- 42 CFR 416.180 · Basis and scope.
- 42 CFR 416.185 · Process for establishing a new class of new technology IOLs.
- 42 CFR 416.190 · Request for review of payment amount.
- 42 CFR 416.195 · Determination of membership in new classes of new technology IOLs.
- 42 CFR 416.200 · Payment adjustment.
- 42 CFR 416.300 · Basis and scope of subpart.
- 42 CFR 416.305 · Participation and withdrawal requirements under the ASCQR Program.
- 42 CFR 416.310 · Data collection and submission requirements under the ASCQR Program.
- 42 CFR 416.315 · Public reporting of data under the ASCQR Program.
- 42 CFR 416.320 · Retention and removal of quality measures under the ASCQR Program.
- 42 CFR 416.325 · Measure maintenance under the ASCQR Program.
- 42 CFR 416.330 · Reconsiderations under the ASCQR Program.
- 42 CFR 417.1 · Definitions.
- 42 CFR 417.2 · Basis and scope.
- 42 CFR 417.101 · Health benefits plan: Basic health services.
- 42 CFR 417.102 · Health benefits plan: Supplemental health services.
- 42 CFR 417.103 · Providers of basic and supplemental health services.
- 42 CFR 417.104 · Payment for basic health services.
- 42 CFR 417.105 · Payment for supplemental health services.
- 42 CFR 417.106 · Quality assurance program; Availability, accessibility, and continuity of basic and supplemental health services.
- 42 CFR 417.120 · Fiscally sound operation and assumption of financial risk.
- 42 CFR 417.122 · Protection of enrollees.
- 42 CFR 417.124 · Administration and management.
- 42 CFR 417.126 · Recordkeeping and reporting requirements.
- 42 CFR 417.140 · Scope.
- 42 CFR 417.142 · Requirements for qualification.
- 42 CFR 417.143 · Application requirements.
- 42 CFR 417.144 · Evaluation and determination procedures.
- 42 CFR 417.150 · Definitions.
- 42 CFR 417.151 · Applicability.
- 42 CFR 417.153 · Offer of HMO alternative.
- 42 CFR 417.155 · How the HMO option must be included in the health benefits plan.
- 42 CFR 417.156 · When the HMO must be offered to employees.
- 42 CFR 417.157 · Contributions for the HMO alternative.
- 42 CFR 417.158 · Payroll deductions.
- 42 CFR 417.159 · Relationship of section 1310 of the Public Health Service Act to the National Labor Relations Act and the Railway Labor Act.
- 42 CFR 417.160 · Applicability.
- 42 CFR 417.161 · Compliance with assurances.
- 42 CFR 417.162 · Reporting requirements.
- 42 CFR 417.163 · Enforcement procedures.
- 42 CFR 417.164 · Effect of revocation of qualification on inclusion in employee's health benefit plans.
- 42 CFR 417.165 · Reapplication for qualification.
- 42 CFR 417.166 · Waiver of assurances.
- 42 CFR 417.400 · Basis and scope.
- 42 CFR 417.401 · Definitions.
- 42 CFR 417.402 · Effective date of initial regulations.
- 42 CFR 417.404 · General requirements.
- 42 CFR 417.406 · Application and determination.
- 42 CFR 417.407 · Requirements for a Competitive Medical Plan (CMP).
- 42 CFR 417.408 · Contract application process.
- 42 CFR 417.410 · Qualifying conditions: General rules.
- 42 CFR 417.412 · Qualifying condition: Administration and management.
- 42 CFR 417.413 · Qualifying condition: Operating experience and enrollment.
- 42 CFR 417.414 · Qualifying condition: Range of services.
- 42 CFR 417.416 · Qualifying condition: Furnishing of services.
- 42 CFR 417.418 · Qualifying condition: Quality assurance program.
- 42 CFR 417.420 · Basic rules on enrollment and entitlement.
- 42 CFR 417.422 · Eligibility to enroll in an HMO or CMP.
- 42 CFR 417.423 · Special rules: ESRD and hospice patients.
- 42 CFR 417.424 · Denial of enrollment.
- 42 CFR 417.426 · Open enrollment requirements.
- 42 CFR 417.427 · Extending MA and Part D program disclosure requirements to section 1876 cost contract plans.