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- 42 CFR 600.400 · Basis, scope, and applicability.
- 42 CFR 600.405 · Standard health plan coverage.
- 42 CFR 600.410 · Competitive contracting process.
- 42 CFR 600.415 · Contracting qualifications and requirements.
- 42 CFR 600.420 · Enhanced availability of standard health plans.
- 42 CFR 600.425 · Coordination with other insurance affordability programs.
- 42 CFR 600.500 · Basis, scope, and applicability.
- 42 CFR 600.505 · Premiums.
- 42 CFR 600.510 · Cost-sharing.
- 42 CFR 600.515 · Public schedule of enrollee premium and cost sharing.
- 42 CFR 600.520 · General cost-sharing protections.
- 42 CFR 600.525 · Disenrollment procedures and consequences for nonpayment of premiums.
- 42 CFR 600.600 · Basis, scope, and applicability.
- 42 CFR 600.605 · BHP payment methodology.
- 42 CFR 600.610 · Secretarial determination of BHP payment amount.
- 42 CFR 600.615 · Deposit of Federal BHP payment.
- 42 CFR 600.700 · Basis, scope, and applicability.
- 42 CFR 600.705 · BHP trust fund.
- 42 CFR 600.710 · Fiscal policies and accountability.
- 42 CFR 600.715 · Corrective action, restitution, and disallowance of questioned BHP transactions.
- 42 CFR 1000.10 · General definitions.
- 42 CFR 1001.1 · Scope and purpose.
- 42 CFR 1001.2 · Definitions.
- 42 CFR 1001.101 · Basis for liability.
- 42 CFR 1001.102 · Length of exclusion.
- 42 CFR 1001.201 · Conviction relating to program or health care fraud.
- 42 CFR 1001.301 · Conviction relating to obstruction of an investigation or audit.
- 42 CFR 1001.401 · Conviction relating to controlled substances.
- 42 CFR 1001.501 · License revocation or suspension.
- 42 CFR 1001.601 · Exclusion or suspension under a Federal or State health care program.
- 42 CFR 1001.701 · Excessive claims or furnishing of unnecessary or substandard items and services.
- 42 CFR 1001.801 · Failure of HMOs and CMPs to furnish medically necessary items and services.
- 42 CFR 1001.901 · False or improper claims.
- 42 CFR 1001.951 · Fraud and kickbacks and other prohibited activities.
- 42 CFR 1001.952 · Exceptions.
- 42 CFR 1001.1001 · Exclusion of entities owned or controlled by a sanctioned person.
- 42 CFR 1001.1101 · Failure to disclose certain information.
- 42 CFR 1001.1201 · Failure to provide payment information.
- 42 CFR 1001.1301 · Failure to grant immediate access.
- 42 CFR 1001.1401 · Violations of PPS corrective action.
- 42 CFR 1001.1501 · Default of health education loan or scholarship obligations.
- 42 CFR 1001.1551 · Exclusion of individuals with ownership or control interest in sanctioned entities.
- 42 CFR 1001.1552 · Making false statements or misrepresentation of material facts.
- 42 CFR 1001.1601 · Violations of the limitations on physician charges.
- 42 CFR 1001.1701 · Billing for services of assistant at surgery during cataract operations.
- 42 CFR Appendix A to Subpart C of Part 1001 · Appendix A to Subpart C of Part 1001
- 42 CFR 1001.1801 · Waivers of exclusions.
- 42 CFR 1001.1901 · Scope and effect of exclusion.
- 42 CFR 1001.2001 · Notice of intent to exclude.
- 42 CFR 1001.2002 · Notice of exclusion.
- 42 CFR 1001.2003 · Notice of proposal to exclude.
- 42 CFR 1001.2004 · Notice to State agencies.
- 42 CFR 1001.2005 · Notice to State licensing agencies.
- 42 CFR 1001.2006 · Notice to others regarding exclusion.
- 42 CFR 1001.2007 · Appeal of exclusions.
- 42 CFR 1001.3001 · Timing and method of request for reinstatement.
- 42 CFR 1001.3002 · Basis for reinstatement.
- 42 CFR 1001.3003 · Approval of request for reinstatement.
- 42 CFR 1001.3004 · Denial of request for reinstatement.
- 42 CFR 1001.3005 · Withdrawal of exclusion for reversed or vacated decisions.
- 42 CFR 1002.1 · Basis and scope.
- 42 CFR 1002.2 · Other applicable regulations.
- 42 CFR 1002.3 · General authority.
- 42 CFR 1002.4 · Disclosure by providers and State Medicaid agencies.
- 42 CFR 1002.5 · State plan requirement.
- 42 CFR 1002.6 · Payment prohibitions.
- 42 CFR 1002.203 · State exclusion of certain managed care entities.
- 42 CFR 1002.210 · General authority.
- 42 CFR 1002.211 · [Reserved]
- 42 CFR 1002.212 · State agency notifications.
- 42 CFR 1002.213 · Appeals of exclusions.
- 42 CFR 1002.214 · Basis for reinstatement after State agency-initiated exclusion.
- 42 CFR 1002.215 · Action on request for reinstatement.
- 42 CFR 1002.230 · Notification of State or local convictions of crimes against Medicaid.
- 42 CFR 1003.100 · Basis and purpose.
- 42 CFR 1003.110 · Definitions.
- 42 CFR 1003.120 · Liability for penalties and assessments.
- 42 CFR 1003.130 · Assessments.
- 42 CFR 1003.140 · Determinations regarding the amount of penalties and assessments and the period of exclusion.
- 42 CFR 1003.150 · Delegation of authority.
- 42 CFR 1003.160 · Waiver of exclusion.
- 42 CFR 1003.200 · Basis for civil money penalties, assessments, and exclusions.
- 42 CFR 1003.210 · Amount of penalties and assessments.
- 42 CFR 1003.220 · Determinations regarding the amount of penalties and assessments and the period of exclusion.
- 42 CFR 1003.300 · Basis for civil money penalties, assessments, and exclusions.
- 42 CFR 1003.310 · Amount of penalties and assessments.
- 42 CFR 1003.320 · Determinations regarding the amount of penalties and assessments and the period of exclusion.
- 42 CFR 1003.400 · Basis for civil money penalties and assessments.
- 42 CFR 1003.410 · Amount of penalties and assessments for Contracting Organization.
- 42 CFR 1003.420 · Determinations regarding the amount of penalties and assessments.
- 42 CFR 1003.500 · Basis for civil money penalties and exclusions.
- 42 CFR 1003.510 · Amount of penalties.
- 42 CFR 1003.520 · Determinations regarding the amount of penalties and the period of exclusion.
- 42 CFR 1003.600 · Basis for civil money penalties.
- 42 CFR 1003.610 · Amount of penalties.
- 42 CFR 1003.620 · Determinations regarding the amount of penalties.
- 42 CFR 1003.700 · Basis for civil money penalties, assessments, and exclusions.
- 42 CFR 1003.710 · Amount of penalties and assessments.
- 42 CFR 1003.720 · Determinations regarding the amount of penalties and assessments and period of exclusion.
- 42 CFR 1003.800 · Basis for civil money penalties.