Subpart A - XXX

Subpart B - Medicare Supplemental Policies

§ 403.200 - Basis and scope.

Voluntary Certification Program: General Provisions

§ 403.231 - Emblem.

§ 403.232 - Requirements and procedures for obtaining certification.

§ 403.235 - Review and certification of policies.

§ 403.239 - Submittal of material to retain certification.

§ 403.245 - Loss of certification.

§ 403.248 - Administrative review of CMS determinations.

Voluntary Certification Program: Loss Ratio Provisions

§ 403.250 - Loss ratio calculations: General provisions.

§ 403.251 - Loss ratio date and time frame provisions.

§ 403.253 - Calculation of benefits.

§ 403.254 - Calculation of premiums.

§ 403.256 - Loss ratio supporting data.

§ 403.258 - Statement of actuarial opinion.

State Regulatory Programs

§ 403.220 - Supplemental Health Insurance Panel.

§ 403.222 - State with an approved regulatory program.

General Provisions

§ 403.201 - State regulation of insurance policies.

§ 403.205 - Medicare supplemental policy.

§ 403.206 - General standards for Medicare supplemental policies.

§ 403.210 - NAIC model standards.

§ 403.215 - Loss ratio standards.

Subpart C - Recognition of State Reimbursement Control Systems

§ 403.300 - Basis and purpose.

§ 403.302 - Definitions.

§ 403.304 - Minimum requirements for State systems - discretionary approval.

§ 403.306 - Additional requirements for State systems - mandatory approval.

§ 403.308 - State systems under demonstration projects - mandatory approval.

§ 403.310 - Reduction in payments.

§ 403.312 - Submittal of application.

§ 403.314 - Evaluation of State systems.

§ 403.316 - Reconsideration of certain denied applications.

§ 403.318 - Approval of State systems.

§ 403.320 - CMS review and monitoring of State systems.

§ 403.321 - State systems for hospital outpatient services.

§ 403.322 - Termination of agreements for Medicare recognition of State systems.

Subparts D--F - XXX

Subpart E - Beneficiary Counseling and Assistance Grants

§ 403.500 - Basis, scope, and definition.

§ 403.501 - Eligibility for grants.

§ 403.502 - Availability of grants.

§ 403.504 - Number and size of grants.

§ 403.508 - Limitations.

§ 403.510 - Reporting requirements.

§ 403.512 - Administration.

Subpart G - Religious Nonmedical Health Care Institutions - Benefits, Conditions of Participation, and Payment

§ 403.700 - Basis and purpose.

§ 403.702 - Definitions and terms.

§ 403.720 - Conditions for coverage.

§ 403.724 - Valid election requirements.

§ 403.730 - Condition of participation: Patient rights.

§ 403.732 - Condition of participation: Quality assessment and performance improvement.

§ 403.734 - Condition of participation: Food services.

§ 403.736 - Condition of participation: Discharge planning.

§ 403.738 - Condition of participation: Administration.

§ 403.740 - Condition of participation: Staffing.

§ 403.742 - Condition of participation: Physical environment.

§ 403.744 - Condition of participation: Life safety from fire.

§ 403.745 - Condition of participation: Building safety.

§ 403.746 - Condition of participation: Utilization review.

§ 403.748 - Condition of participation: Emergency preparedness.

§ 403.750 - Estimate of expenditures and adjustments.

§ 403.752 - Payment provisions.

§ 403.754 - Monitoring expenditure level.

§ 403.756 - Sunset provision.

§ 403.764 - Basis and purpose of religious nonmedical health care institutions providing home service.

§ 403.766 - Requirements for coverage and payment of RNHCI home services.

§ 403.768 - Excluded services.

§ 403.770 - Payments for home services.

Subpart H - Medicare Prescription Drug Discount Card and Transitional Assistance Program

§ 403.800 - Basis and scope.

§ 403.802 - Definitions.

§ 403.804 - General rules for solicitation, application and Medicare endorsement period.

§ 403.806 - Sponsor requirements for eligibility for endorsement.

§ 403.807 - Application process.

§ 403.808 - Use of transitional assistance funds.

§ 403.810 - Eligibility and reconsiderations.

§ 403.811 - Enrollment and disenrollment and associated endorsed sponsor requirements.

§ 403.812 - HIPAA privacy, security, administrative data standards, and national identifiers.

§ 403.813 - Marketing limitations and record retention requirements.

§ 403.814 - Special rules concerning Part C organizations and Medicare cost plans and their enrollees.

§ 403.815 - Special rules concerning States.

§ 403.816 - Special rules concerning long-term care and I/T/U pharmacies.

§ 403.817 - Special rules concerning the territories.

§ 403.820 - Sanctions, penalties, and termination.

§ 403.822 - Reimbursement of transitional assistance and associated sponsor requirements.

Subpart I - Transparency Reports and Reporting of Physician Ownership or Investment Interests

§ 403.900 - Purpose and scope.

§ 403.902 - Definitions.

§ 403.904 - Reports of payments or other transfers of value to covered recipients.

§ 403.906 - Reports of physician ownership and investment interests.

§ 403.908 - Procedures for electronic submission of reports.

§ 403.910 - Delayed publication for payments made under product research or development agreements and clinical investigations.

§ 403.912 - Penalties for failure to report.

§ 403.914 - Preemption of State laws.

Subpart K - Access to Identifiable Data for the Center for Medicare and Medicaid Models

§ 403.1100 - Purpose and scope.

§ 403.1105 - Definitions.

§ 403.1110 - Evaluation of models.

Subpart L - Requirements for Direct-to-Consumer Television Advertisements of Drugs and Biological Products To Include the List Price of That Advertised Product

§ 403.1200 - Scope.

§ 403.1201 - Definitions.

§ 403.1202 - Pricing information.

§ 403.1203 - Specific presentation requirements.

§ 403.1204 - Compliance.