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- 42 CFR 417.428 · Marketing activities.
- 42 CFR 417.430 · Application procedures.
- 42 CFR 417.432 · Conversion of enrollment.
- 42 CFR 417.434 · Reenrollment.
- 42 CFR 417.436 · Rules for enrollees.
- 42 CFR 417.440 · Entitlement to health care services from an HMO or CMP.
- 42 CFR 417.442 · Risk HMO's and CMP's: Conditions for provision of additional benefits.
- 42 CFR 417.444 · Special rules for certain enrollees of risk HMOs and CMPs.
- 42 CFR 417.446 · [Reserved]
- 42 CFR 417.448 · Restriction on payments for services received by Medicare enrollees of risk HMOs or CMPs.
- 42 CFR 417.450 · Effective date of coverage.
- 42 CFR 417.452 · Liability of Medicare enrollees.
- 42 CFR 417.454 · Charges to Medicare enrollees.
- 42 CFR 417.456 · Refunds to Medicare enrollees.
- 42 CFR 417.458 · Recoupment of uncollected deductible and coinsurance amounts.
- 42 CFR 417.460 · Disenrollment of beneficiaries by an HMO or CMP.
- 42 CFR 417.461 · Disenrollment by the enrollee.
- 42 CFR 417.464 · End of CMS's liability for payment: Disenrollment of beneficiaries and termination or default of contract.
- 42 CFR 417.470 · Basis and scope.
- 42 CFR 417.472 · Basic contract requirements.
- 42 CFR 417.474 · Effective date and term of contract.
- 42 CFR 417.476 · Waived conditions.
- 42 CFR 417.478 · Requirements of other laws and regulations.
- 42 CFR 417.479 · Requirements for physician incentive plans.
- 42 CFR 417.480 · Maintenance of records: Cost HMOs and CMPs.
- 42 CFR 417.481 · Maintenance of records: Risk HMOs and CMPs.
- 42 CFR 417.482 · Access to facilities and records.
- 42 CFR 417.484 · Requirement applicable to related entities.
- 42 CFR 417.486 · Disclosure of information and confidentiality.
- 42 CFR 417.488 · Notice of termination and of available alternatives: Risk contract.
- 42 CFR 417.490 · Renewal of contract.
- 42 CFR 417.492 · Nonrenewal of contract.
- 42 CFR 417.494 · Modification or termination of contract.
- 42 CFR 417.496 · Cost plan crosswalk.
- 42 CFR 417.500 · Intermediate sanctions for and civil monetary penalties against HMOs and CMPs.
- 42 CFR 417.520 · Effect on HMO and CMP contracts.
- 42 CFR 417.524 · Payment to HMOs or CMPs: General.
- 42 CFR 417.526 · Payment for covered services.
- 42 CFR 417.528 · Payment when Medicare is not primary payer.
- 42 CFR 417.530 · Basis and scope.
- 42 CFR 417.531 · Hospice care services.
- 42 CFR 417.532 · General considerations.
- 42 CFR 417.533 · Part B carrier responsibilities.
- 42 CFR 417.534 · Allowable costs.
- 42 CFR 417.536 · Cost payment principles.
- 42 CFR 417.538 · Enrollment and marketing costs.
- 42 CFR 417.540 · Enrollment costs.
- 42 CFR 417.542 · Reinsurance costs.
- 42 CFR 417.544 · Physicians' services furnished directly by the HMO or CMP.
- 42 CFR 417.546 · Physicians' services and other Part B supplier services furnished under arrangements.
- 42 CFR 417.548 · Provider services through arrangements.
- 42 CFR 417.550 · Special Medicare program requirements.
- 42 CFR 417.552 · Cost apportionment: General provisions.
- 42 CFR 417.554 · Apportionment: Provider services furnished directly by the HMO or CMP.
- 42 CFR 417.556 · Apportionment: Provider services furnished by the HMO or CMP through arrangements with others.
- 42 CFR 417.558 · Emergency, urgently needed, and out-of-area services for which the HMO or CMP accepts responsibility.
- 42 CFR 417.560 · Apportionment: Part B physician and supplier services.
- 42 CFR 417.564 · Apportionment and allocation of administrative and general costs.
- 42 CFR 417.566 · Other methods of allocation and apportionment.
- 42 CFR 417.568 · Adequate financial records, statistical data, and cost finding.
- 42 CFR 417.570 · Interim per capita payments.
- 42 CFR 417.572 · Budget and enrollment forecast and interim reports.
- 42 CFR 417.574 · Interim settlement.
- 42 CFR 417.576 · Final settlement.
- 42 CFR 417.580 · Basis and scope.
- 42 CFR 417.582 · Definitions.
- 42 CFR 417.584 · Payment to HMOs or CMPs with risk contracts.
- 42 CFR 417.585 · Special rules: Hospice care.
- 42 CFR 417.588 · Computation of adjusted average per capita cost (AAPCC).
- 42 CFR 417.590 · Computation of the average of the per capita rates of payment.
- 42 CFR 417.592 · Additional benefits requirement.
- 42 CFR 417.594 · Computation of adjusted community rate (ACR).
- 42 CFR 417.596 · Establishment of a benefit stabilization fund.
- 42 CFR 417.597 · Withdrawal from a benefit stabilization fund.
- 42 CFR 417.598 · Annual enrollment reconciliation.
- 42 CFR 417.600 · Basis and scope.
- 42 CFR 417.640 · Applicability.
- 42 CFR 417.800 · Payment to HCPPs: Definitions and basic rules.
- 42 CFR 417.801 · Agreements between CMS and health care prepayment plans.
- 42 CFR 417.802 · Allowable costs.
- 42 CFR 417.804 · Cost apportionment.
- 42 CFR 417.806 · Financial records, statistical data, and cost finding.
- 42 CFR 417.808 · Interim per capita payments.
- 42 CFR 417.810 · Final settlement.
- 42 CFR 417.830 · Scope of regulations on beneficiary appeals.
- 42 CFR 417.832 · Applicability of requirements and procedures.
- 42 CFR 417.834 · Responsibility for establishing administrative review procedures.
- 42 CFR 417.836 · Written description of administrative review procedures.
- 42 CFR 417.838 · Organization determinations.
- 42 CFR 417.840 · Administrative review procedures.
- 42 CFR 417.910 · Applicability.
- 42 CFR 417.911 · Definitions.
- 42 CFR 417.920 · Planning and initial development.
- 42 CFR 417.930 · Initial costs of operation.
- 42 CFR 417.931 · [Reserved]
- 42 CFR 417.934 · Reserve requirement.
- 42 CFR 417.937 · Loan and loan guarantee provisions.
- 42 CFR 417.940 · Civil action to enforce compliance with assurances.
- 42 CFR 418.1 · Statutory basis.
- 42 CFR 418.2 · Scope of part.