42 CFR Subpart C - Subpart C—Benefits and Beneficiary Protections

  1. § 422.100 General requirements.
  2. § 422.101 Requirements relating to basic benefits.
  3. § 422.102 Supplemental benefits.
  4. § 422.103 Benefits under an MA MSA plan.
  5. § 422.104 Special rules on supplemental benefits for MA MSA plans.
  6. § 422.105 Special rules for self-referral and point of service option.
  7. § 422.106 Coordination of benefits with employer or union group health plans and Medicaid.
  8. § 422.107 Requirements for dual eligible special needs plans.
  9. § 422.108 Medicare secondary payer (MSP) procedures.
  10. § 422.109 Effect of national coverage determinations (NCDs) and legislative changes in benefits; coverage of clinical trials and A and B device trials.
  11. § 422.110 Discrimination against beneficiaries prohibited.
  12. § 422.111 Disclosure requirements.
  13. § 422.112 Access to services.
  14. § 422.113 Special rules for ambulance services, emergency and urgently needed services, and maintenance and post-stabilization care services.
  15. § 422.114 Access to services under an MA private fee-for-service plan.
  16. § 422.116 Network adequacy.
  17. § 422.118 Confidentiality and accuracy of enrollee records.
  18. § 422.119 Access to and exchange of health data and plan information.
  19. § 422.120 Access to published provider directory information.
  20. § 422.128 Information on advance directives.
  21. § 422.132 Protection against liability and loss of benefits.
  22. § 422.133 Return to home skilled nursing facility.
  23. § 422.134 Reward and incentive programs.
  24. § 422.135 Additional telehealth benefits.
  25. § 422.136 Medicare Advantage (MA) and step therapy for Part B drugs.
  26. § 422.137 Medicare Advantage Utilization Management Committee.
  27. § 422.138 Prior authorization.
Source:
63 FR 35077, June 26, 1998, unless otherwise noted.