42 CFR Part 417 - HEALTH MAINTENANCE ORGANIZATIONS, COMPETITIVE MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS
- SUBPART A — General Provisions (§§ 417.1 - 417.2)
- SUBPART B — Qualified Health Maintenance Organizations: Services (§§ 417.101 - 417.106)
- SUBPART C — Qualified Health Maintenance Organizations: Organization and Operation (§§ 417.120 - 417.126)
- SUBPART D — Application for Federal Qualification (§§ 417.140 - 417.144)
- SUBPART E — Inclusion of Qualified Health Maintenance Organizations in Employee Health Benefits Plans (§§ 417.150 - 417.159)
- SUBPART F — Continued Regulation of Federally Qualified Health Maintenance Organizations (§§ 417.160 - 417.166)
- SUBPART G — I [Reserved]
- SUBPART J — Qualifying Conditions for Medicare Contracts (§§ 417.400 - 417.418)
- SUBPART K — Enrollment, Entitlement, and Disenrollment under Medicare Contract (§§ 417.420 - 417.464)
- SUBPART L — Medicare Contract Requirements (§§ 417.470 - 417.500)
- SUBPART M — Change of Ownership and Leasing of Facilities: Effect on Medicare Contract (§§ 417.520 - 417.520)
- SUBPART N — Medicare Payment to HMOs and CMPs: General Rules (§§ 417.524 - 417.528)
- SUBPART O — Medicare Payment: Cost Basis (§§ 417.530 - 417.576)
- SUBPART P — Medicare Payment: Risk Basis (§§ 417.580 - 417.598)
- SUBPART Q — Beneficiary Appeals (§§ 417.600 - 417.600)
- SUBPART R — Medicare Contract Appeals (§§ 417.640 - 417.640)
- SUBPART S — T [Reserved]
- SUBPART U — Health Care Prepayment Plans (§§ 417.800 - 417.840)
- SUBPART V — Administration of Outstanding Loans and Loan Guarantees (§§ 417.910 - 417.940)
Title 42 published on 2012-10-01
The following are only the Rules published in the Federal Register after the published date of Title 42.
For a complete list of all Rules, Proposed Rules, and Notices view the Rulemaking tab.
This is a list of United States Code sections, Statutes at Large, Public Laws, and Presidential Documents, which provide rulemaking authority for this CFR Part.
This list is taken from the Parallel Table of Authorities and Rules provided by GPO [Government Printing Office].
It is not guaranteed to be accurate or up-to-date, though we do refresh the database weekly. More limitations on accuracy are described at the GPO site.
§ 300e - Requirements of health maintenance organizations
42 USC § 300e–5 - Application requirements
42 USC § 300e–9 - Employees’ health benefits plans
§ 1395x - Definitions
§ 1395kk - Administration of insurance programs
Title 42 published on 2012-10-01
The following are ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 42 CFR 417 after this date.
GPO FDSys XML | Text type regulations.gov FR Doc. 2012-26903 RIN 0938-AR13 CMS-1352-F DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services Final rule. Effective Date: These regulations are effective on January 1, 2013. Applicability Date: The regulations setting forth the reductions in Medicare bad debt pursuant to section 3201 of the Middle Class Tax Extension and Job Creation Act of 2012 (Pub. L. 112-96) are applicable for cost reporting periods beginning October 1, 2012. 42 CFR Parts 413 and 417 This final rule updates and makes revisions to the end-stage renal disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2013. This rule also sets forth requirements for the ESRD quality incentive program (QIP), including for payment year (PY) 2015 and beyond. In addition, this rule implements changes to bad debt reimbursement for all Medicare providers, suppliers, and other entities eligible to receive Medicare payment for bad debt and removes the cap on bad debt reimbursement to ESRD facilities. (See the Table of Contents for a listing of the specific issues addressed in this final rule.)