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- 42 CFR 426.510 · Docketing and evaluating the acceptability of NCD complaints.
- 42 CFR 426.513 · Participation as amicus curiae.
- 42 CFR 426.515 · CMS' role in making the NCD record available.
- 42 CFR 426.516 · Role of Medicare Managed Care Organizations (MCOs) and State agencies in the NCD review process.
- 42 CFR 426.517 · CMS' statement regarding new evidence.
- 42 CFR 426.518 · NCD record furnished to the aggrieved party.
- 42 CFR 426.519 · NCD record furnished to the Board.
- 42 CFR 426.520 · Withdrawing an NCD under review or issuing a revised or reconsidered NCD.
- 42 CFR 426.523 · Withdrawing a complaint regarding an NCD under review.
- 42 CFR 426.525 · NCD review.
- 42 CFR 426.531 · Board's review of the NCD to apply the reasonableness standard.
- 42 CFR 426.532 · Discovery.
- 42 CFR 426.535 · Subpoenas.
- 42 CFR 426.540 · Evidence.
- 42 CFR 426.544 · Dismissals for cause.
- 42 CFR 426.545 · Witness fees.
- 42 CFR 426.546 · Record of hearing.
- 42 CFR 426.547 · Issuance, notification, and posting of a Board's decision.
- 42 CFR 426.550 · Mandatory provisions of the Board's decision.
- 42 CFR 426.555 · Prohibited provisions of the Board's decision.
- 42 CFR 426.557 · Optional provisions of the Board's decision.
- 42 CFR 426.560 · Effect of the Board's decision.
- 42 CFR 426.562 · Notice of the Board's decision.
- 42 CFR 426.563 · Future new or revised or reconsidered NCDs.
- 42 CFR 426.565 · Board's role in making an LCD or NCD review record available.
- 42 CFR 426.566 · Board decision.
- 42 CFR 426.587 · Record for appeal of a Board NCD decision.
- 42 CFR 427.10 · Basis and scope.
- 42 CFR 427.20 · Definitions.
- 42 CFR 427.100 · Definitions.
- 42 CFR 427.101 · Identification of Part B rebatable drugs.
- 42 CFR 427.200 · Definitions.
- 42 CFR 427.201 · Computation of beneficiary coinsurance and adjusted Medicare payment for Part B rebatable drugs with price increases faster than inflation.
- 42 CFR 427.300 · Definitions.
- 42 CFR 427.301 · Calculation of the total Part B rebate amount to be paid by manufacturers.
- 42 CFR 427.302 · Calculation of the per unit Part B rebate.
- 42 CFR 427.303 · Determination of total number of billing units.
- 42 CFR 427.304 · Adjustments for changes to billing and payment codes.
- 42 CFR 427.400 · Definitions.
- 42 CFR 427.401 · Reducing the rebate amount for Part B rebatable drugs currently in shortage.
- 42 CFR 427.402 · Reducing the rebate amount for certain Part B rebatable drugs when there is a severe supply chain disruption.
- 42 CFR 427.500 · Definitions.
- 42 CFR 427.501 · Rebate Reports and reconciliation.
- 42 CFR 427.502 · Rebate Reports for applicable calendar quarters in calendar years 2023 and 2024.
- 42 CFR 427.503 · Suggestion of Error.
- 42 CFR 427.504 · Manufacturer access to Rebate Reports.
- 42 CFR 427.505 · Deadline and process for payment of rebate amount.
- 42 CFR 427.600 · Civil money penalty notice and appeals procedures.
- 42 CFR 428.10 · Basis and scope.
- 42 CFR 428.20 · Definitions.
- 42 CFR 428.100 · Definitions.
- 42 CFR 428.101 · Identification of Part D rebatable drugs.
- 42 CFR 428.200 · Definitions.
- 42 CFR 428.201 · Calculation of the total rebate amount to be paid by manufacturers.
- 42 CFR 428.202 · Calculation of the per unit Part D rebate amount.
- 42 CFR 428.203 · Determination of the total number of units dispensed under Part D.
- 42 CFR 428.204 · Treatment of new formulations of Part D rebatable drugs.
- 42 CFR 428.300 · Definitions.
- 42 CFR 428.301 · Reducing the rebate amount for Part D rebatable drugs currently in shortage.
- 42 CFR 428.302 · Reducing the rebate amount for certain Part D rebatable drugs when there is a severe supply chain disruption.
- 42 CFR 428.303 · Reducing the rebate amount for generic Part D rebatable drugs likely to be in shortage.
- 42 CFR 428.400 · Definitions.
- 42 CFR 428.401 · Rebate Reports and reconciliation.
- 42 CFR 428.402 · Rebate Reports for applicable periods beginning October 1, 2022, and October 1, 2023.
- 42 CFR 428.403 · Suggestion of Error.
- 42 CFR 428.404 · Manufacturer access to Rebate Reports.
- 42 CFR 428.405 · Deadline and process for payment of rebate amount.
- 42 CFR 428.500 · Civil money penalty notice and appeals procedures.
- 42 CFR 430.0 · Program description.
- 42 CFR 430.1 · Scope of subchapter C.
- 42 CFR 430.2 · Other applicable Federal regulations.
- 42 CFR 430.3 · Appeals under Medicaid.
- 42 CFR 430.5 · Definitions.
- 42 CFR 430.10 · The State plan.
- 42 CFR 430.12 · Submittal of State plans and plan amendments.
- 42 CFR 430.14 · Review of State plan material.
- 42 CFR 430.15 · Basis and authority for action on State plan material.
- 42 CFR 430.16 · Timing and notice of action on State plan material.
- 42 CFR 430.18 · Administrative review of action on State plan material.
- 42 CFR 430.20 · Effective dates of State plans and plan amendments.
- 42 CFR 430.25 · Waivers of State plan requirements.
- 42 CFR 430.30 · Grants procedures.
- 42 CFR 430.32 · Program reviews.
- 42 CFR 430.33 · Audits.
- 42 CFR 430.35 · Withholding of payment for failure to comply with Federal requirements.
- 42 CFR 430.38 · Judicial review.
- 42 CFR 430.40 · Deferral of claims for FFP.
- 42 CFR 430.42 · Disallowance of claims for FFP.
- 42 CFR 430.45 · Reduction of Federal Medicaid payments.
- 42 CFR 430.48 · Repayment of Federal funds by installments.
- 42 CFR 430.49 · Corrective action plans, suspensions of procedural disenrollments, and civil money penalties.
- 42 CFR 430.60 · Scope.
- 42 CFR 430.62 · Records to be public.
- 42 CFR 430.63 · Filing and service of papers.
- 42 CFR 430.64 · Suspension of rules.
- 42 CFR 430.66 · Designation of presiding officer for hearing.
- 42 CFR 430.70 · Notice of hearing or opportunity for hearing.
- 42 CFR 430.72 · Time and place of hearing.
- 42 CFR 430.74 · Issues at hearing.
- 42 CFR 430.76 · Parties to the hearing.