{"data":{"id":"us/42-cfr-417.533","jurisdiction":"us","citation":"42 CFR 417.533","heading":"Part B carrier responsibilities.","body":"In paying for Part B services furnished to its enrollees by suppliers, the HMO or CMP must—\n(a) Determine the eligibility of individuals to receive those services through the HMO or CMP;\n(b) Make proper coverage decisions and appropriate payment as authorized under § 421.200 of this chapter for the services for which its Medicare enrollees are eligible; and\n(c) Carry out any other procedures that CMS may require.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—MEDICARE PROGRAM","PART 417—HEALTH MAINTENANCE ORGANIZATIONS, COMPETITIVE MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS","Subpart O—Medicare Payment: Cost Basis"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"dcd873691c1a47a0a66d502fabe6839c0b80a2edfbfbfefa0590e005dbaa5057","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-417.532","next":"us/42-cfr-417.534"},"notice":"GroundRules: Original legal text. Not legal advice."}