CHAPTER IV — CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES  


SUBCHAPTER A — GENERAL PROVISIONS
Part 402 - CIVIL MONEY PENALTIES, ASSESSMENTS, AND EXCLUSIONS
Part 403 - SPECIAL PROGRAMS AND PROJECTS
Part 400 - INTRODUCTION; DEFINITIONS
Part 401 - GENERAL ADMINISTRATIVE REQUIREMENTS
SUBCHAPTER B — MEDICARE PROGRAM
Part 411 - EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE PAYMENT
Part 408 - PREMIUMS FOR SUPPLEMENTARY MEDICAL INSURANCE
Part 421 - MEDICARE CONTRACTING
Part 423 - VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT
Part 416 - AMBULATORY SURGICAL SERVICES
Part 422 - MEDICARE ADVANTAGE PROGRAM
Part 409 - HOSPITAL INSURANCE BENEFITS
Part 417 - HEALTH MAINTENANCE ORGANIZATIONS, COMPETITIVE MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS
Part 425 - MEDICARE SHARED SAVINGS PROGRAM
Part 406 - HOSPITAL INSURANCE ELIGIBILITY AND ENTITLEMENT
Part 407 - SUPPLEMENTARY MEDICAL INSURANCE (SMI) ENROLLMENT AND ENTITLEMENT
Part 410 - SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
Part 424 - CONDITIONS FOR MEDICARE PAYMENT
Part 419 - PROSPECTIVE PAYMENT SYSTEM FOR HOSPITAL OUTPATIENT DEPARTMENT SERVICES
Part 405 - FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED
Part 418 - HOSPICE CARE
Part 412 - PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES
Part 420 - PROGRAM INTEGRITY: MEDICARE
Part 415 - SERVICES FURNISHED BY PHYSICIANS IN PROVIDERS, SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN CERTAIN SETTINGS
Part 413 - PRINCIPLES OF REASONABLE COST REIMBURSEMENT; PAYMENT FOR END-STAGE RENAL DISEASE SERVICES; PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING FACILITIES; PAYMENT FOR ACUTE KIDNEY INJURY DIALYSIS
Part 426 - REVIEW OF NATIONAL COVERAGE DETERMINATIONS AND LOCAL COVERAGE DETERMINATIONS
Part 414 - PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
Part 427-429 - [Reserved]
SUBCHAPTER C — MEDICAL ASSISTANCE PROGRAMS
Part 441 - SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC SERVICES
Part 456 - UTILIZATION CONTROL
Part 442 - STANDARDS FOR PAYMENT TO NURSING FACILITIES AND INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES
Part 432 - STATE PERSONNEL ADMINISTRATION
Part 434 - CONTRACTS
Part 435 - ELIGIBILITY IN THE STATES, DISTRICT OF COLUMBIA, THE NORTHERN MARIANA ISLANDS, AND AMERICAN SAMOA
Part 433 - STATE FISCAL ADMINISTRATION
Part 440 - SERVICES: GENERAL PROVISIONS
Part 431 - STATE ORGANIZATION AND GENERAL ADMINISTRATION
Part 430 - GRANTS TO STATES FOR MEDICAL ASSISTANCE PROGRAMS
Part 447 - PAYMENTS FOR SERVICES
Part 436 - ELIGIBILITY IN GUAM, PUERTO RICO, AND THE VIRGIN ISLANDS
Part 455 - PROGRAM INTEGRITY: MEDICAID
Part 438 - MANAGED CARE
SUBCHAPTER D — STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs)
Part 457 - ALLOTMENTS AND GRANTS TO STATES
SUBCHAPTER E — PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)
Part 460 - PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)
SUBCHAPTER F — QUALITY IMPROVEMENT ORGANIZATIONS
Part 480 - ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION INFORMATION
Part 476 - QUALITY IMPROVEMENT ORGANIZATION REVIEW
Part 475 - QUALITY IMPROVEMENT ORGANIZATIONS
Part 481 - [Reserved]
Part 478 - RECONSIDERATIONS AND APPEALS
SUBCHAPTER G — STANDARDS AND CERTIFICATION
Part 493 - LABORATORY REQUIREMENTS
Part 494 - — CONDITIONS FOR COVERAGE FOR END-STAGE RENAL DISEASE FACILITIES
Part 488 - SURVEY, CERTIFICATION, AND ENFORCEMENT PROCEDURES
Part 485 - CONDITIONS OF PARTICIPATION: SPECIALIZED PROVIDERS
Part 498 - APPEALS PROCEDURES FOR DETERMINATIONS THAT AFFECT PARTICIPATION IN THE MEDICARE PROGRAM AND FOR DETERMINATIONS THAT AFFECT THE PARTICIPATION OF ICFS/IID AND CERTAIN NFS IN THE MEDICAID PROGRAM
Part 495 - STANDARDS FOR THE ELECTRONIC HEALTH RECORD TECHNOLOGY INCENTIVE PROGRAM
Part 491 - CERTIFICATION OF CERTAIN HEALTH FACILITIES
Part 484 - HOME HEALTH SERVICES
Part 486 - CONDITIONS FOR COVERAGE OF SPECIALIZED SERVICES FURNISHED BY SUPPLIERS
Part 482 - CONDITIONS OF PARTICIPATION FOR HOSPITALS
Part 483 - REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES
Part 489 - PROVIDER AGREEMENTS AND SUPPLIER APPROVAL
SUBCHAPTER H — HEALTH CARE INFRASTRUCTURE AND MODEL PROGRAMS
Part 505 - ESTABLISHMENT OF THE HEALTH CARE INFRASTRUCTURE IMPROVEMENT PROGRAM
Part 510 - COMPREHENSIVE CARE FOR JOINT REPLACEMENT MODEL
Part 512 - [RESERVED]
SUBCHAPTER I — BASIC HEALTH PROGRAM
Part 600 - ADMINISTRATION, ELIGIBILITY, ESSENTIAL HEALTH BENEFITS, PERFORMANCE STANDARDS, SERVICE DELIVERY REQUIREMENTS, PREMIUM AND COST SHARING, ALLOTMENTS, AND RECONCILATION
Part 601-699 - [Reserved]
Subchapter I— Basic Health Program