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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 G. Payments to Medicare Advantage Organizations

42 CFR Subpart G - Payments to Medicare Advantage Organizations

  • CFR
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  1. § 422.300 Basis and scope.
  2. § 422.304 Monthly payments.
  3. § 422.306 Annual MA capitation rates.
  4. § 422.308 Adjustments to capitation rates, benchmarks, bids, and payments.
  5. § 422.310 Risk adjustment data.
  6. § 422.311 RADV audit dispute and appeal processes.
  7. § 422.312 Announcement of annual capitation rate, benchmarks, and methodology changes.
  8. § 422.314 Special rules for beneficiaries enrolled in MA MSA plans.
  9. § 422.316 Special rules for payments to Federally qualified health centers.
  10. § 422.318 Special rules for coverage that begins or ends during an inpatient hospital stay.
  11. § 422.320 Special rules for hospice care.
  12. § 422.322 Source of payment and effect of MA plan election on payment.
  13. § 422.324 Payments to MA organizations for graduate medical education costs.
  14. § 422.326 Reporting and returning of overpayments.
  15. § 422.330 CMS-identified overpayments associated with payment data submitted by MA organizations.
Source:
70 FR 4729, Jan. 28, 2005, unless otherwise noted.

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