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  1. LII
  2. Electronic Code of Federal Regulations (e-CFR)
  3. Title 42. Public Health
  4. Chapter IV. CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  5. Subchapter B. MEDICARE PROGRAM
  6. Part 422. MEDICARE ADVANTAGE PROGRAM
  7. Subpart C. Benefits and Beneficiary Protections

42 CFR Subpart C - Benefits and Beneficiary Protections

  • CFR
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  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 Special needs plans and dual eligibles: Contract with State Medicaid Agency.
  9. § 422.108 Medicare secondary payer (MSP) procedures.
  10. § 422.109 Effect of national coverage determinations (NCDs) and legislative changes in benefits.
  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. § 422.118 Confidentiality and accuracy of enrollee records.
  17. § 422.128 Information on advance directives.
  18. § 422.132 Protection against liability and loss of benefits.
  19. § 422.133 Return to home skilled nursing facility.
  20. § 422.134 Reward and incentive programs.
  21. § 422.135 Additional telehealth benefits.
  22. § 422.136 Medicare Advantage (MA) and step therapy for Part B drugs.
Source:
63 FR 35077, June 26, 1998, unless otherwise noted.

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