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- 42 CFR 457.1100 · Basis, scope and applicability.
- 42 CFR 457.1110 · Privacy protections.
- 42 CFR 457.1120 · State plan requirement: Description of review process.
- 42 CFR 457.1130 · Program specific review process: Matters subject to review.
- 42 CFR 457.1140 · Program specific review process: Core elements of review.
- 42 CFR 457.1150 · Program specific review process: Impartial review.
- 42 CFR 457.1160 · Program specific review process: Time frames.
- 42 CFR 457.1170 · Program specific review process: Continuation of enrollment.
- 42 CFR 457.1180 · Program specific review process: Notice.
- 42 CFR 457.1190 · Application of review procedures when States offer premium assistance for group health plans.
- 42 CFR 457.1200 · Basis, scope, and applicability.
- 42 CFR 457.1201 · Standard contract requirements.
- 42 CFR 457.1203 · Rate development standards and medical loss ratio.
- 42 CFR 457.1206 · Non-emergency medical transportation PAHPs.
- 42 CFR 457.1207 · Information requirements.
- 42 CFR 457.1208 · Provider discrimination prohibited.
- 42 CFR 457.1209 · Requirements that apply to MCO, PIHP, PAHP, PCCM, and PCCM entity contracts involving Indians, Indian health care provider (IHCP), and Indian managed care entities (IMCE).
- 42 CFR 457.1210 · Enrollment process.
- 42 CFR 457.1212 · Disenrollment.
- 42 CFR 457.1214 · Conflict of interest safeguards.
- 42 CFR 457.1216 · Continued services to enrollees.
- 42 CFR 457.1218 · Network adequacy standards.
- 42 CFR 457.1220 · Enrollee rights.
- 42 CFR 457.1222 · Provider-enrollee communication.
- 42 CFR 457.1224 · Marketing activities.
- 42 CFR 457.1226 · Liability for payment.
- 42 CFR 457.1228 · Emergency and poststabilization services.
- 42 CFR 457.1230 · Access standards.
- 42 CFR 457.1233 · Structure and operation standards.
- 42 CFR 457.1240 · Quality measurement and improvement.
- 42 CFR 457.1250 · External quality review.
- 42 CFR 457.1260 · Grievance system.
- 42 CFR 457.1270 · Sanctions.
- 42 CFR 457.1280 · Conditions necessary to contract as an MCO, PAHP, or PIHP.
- 42 CFR 457.1285 · Program integrity safeguards.
- 42 CFR 460.2 · Basis.
- 42 CFR 460.3 · Part D program requirements.
- 42 CFR 460.4 · Scope and purpose.
- 42 CFR 460.6 · Definitions.
- 42 CFR 460.10 · Purpose.
- 42 CFR 460.12 · Application requirements.
- 42 CFR 460.14 · [Reserved]
- 42 CFR 460.16 · [Reserved]
- 42 CFR 460.18 · CMS evaluation of applications.
- 42 CFR 460.19 · Issuance of compliance actions for failure to comply with the terms of the PACE program agreement.
- 42 CFR 460.20 · Notice of CMS determination.
- 42 CFR 460.24 · Limit on number of PACE program agreements.
- 42 CFR 460.26 · Submission and evaluation of waiver requests.
- 42 CFR 460.28 · Notice of CMS determination on waiver requests.
- 42 CFR 460.30 · Program agreement requirement.
- 42 CFR 460.32 · Content and terms of PACE program agreement.
- 42 CFR 460.34 · Duration of PACE program agreement.
- 42 CFR 460.40 · Violations for which CMS may impose sanctions.
- 42 CFR 460.42 · Suspension of enrollment or payment by CMS.
- 42 CFR 460.46 · Civil money penalties.
- 42 CFR 460.48 · Additional actions by CMS or the State.
- 42 CFR 460.50 · Termination of PACE program agreement.
- 42 CFR 460.52 · Transitional care during termination.
- 42 CFR 460.54 · Termination procedures.
- 42 CFR 460.56 · Procedures for imposing sanctions and civil money penalties.
- 42 CFR 460.60 · PACE organizational structure.
- 42 CFR 460.62 · Governing body.
- 42 CFR 460.63 · Compliance oversight requirements.
- 42 CFR 460.64 · Personnel qualifications for staff with direct participant contact.
- 42 CFR 460.66 · Training.
- 42 CFR 460.68 · Program integrity.
- 42 CFR 460.70 · Contracted services.
- 42 CFR 460.71 · Oversight of direct participant care.
- 42 CFR 460.72 · Physical environment.
- 42 CFR 460.74 · Infection control.
- 42 CFR 460.76 · Transportation services.
- 42 CFR 460.78 · Dietary services.
- 42 CFR 460.80 · Fiscal soundness.
- 42 CFR 460.82 · Marketing.
- 42 CFR 460.84 · Emergency preparedness.
- 42 CFR 460.86 · Payment to individuals and entities excluded by the OIG or included on the preclusion list.
- 42 CFR 460.90 · PACE benefits under Medicare and Medicaid.
- 42 CFR 460.92 · Required services.
- 42 CFR 460.94 · Required services for Medicare participants.
- 42 CFR 460.96 · Excluded services.
- 42 CFR 460.98 · Service delivery.
- 42 CFR 460.100 · Emergency care.
- 42 CFR 460.102 · Interdisciplinary team.
- 42 CFR 460.104 · Participant assessment.
- 42 CFR 460.106 · Plan of care.
- 42 CFR 460.110 · Bill of rights.
- 42 CFR 460.112 · Specific rights to which a participant is entitled.
- 42 CFR 460.114 · Restraints.
- 42 CFR 460.116 · Explanation of rights.
- 42 CFR 460.118 · Violation of rights.
- 42 CFR 460.119 · Resolution of complaints in the complaints tracking module.
- 42 CFR 460.120 · Grievance process.
- 42 CFR 460.121 · Service determination process.
- 42 CFR 460.122 · PACE organization's appeals process.
- 42 CFR 460.124 · Additional appeal rights under Medicare or Medicaid.
- 42 CFR 460.130 · General rule.
- 42 CFR 460.132 · Quality improvement plan.
- 42 CFR 460.134 · Minimum requirements for quality improvement program.
- 42 CFR 460.136 · Internal quality improvement activities.
- 42 CFR 460.138 · Committees with community input.