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Code of Federal Regulations (Last Updated: November 8, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter B - Medicare Program |
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Part 422 - Medicare Advantage Program |
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Subpart C - Benefits and Beneficiary Protections |
| § 422.100 - General requirements. |
| § 422.101 - Requirements relating to basic benefits. |
| § 422.102 - Supplemental benefits. |
| § 422.103 - Benefits under an MA MSA plan. |
| § 422.104 - Special rules on supplemental benefits for MA MSA plans. |
| § 422.105 - Special rules for self-referral and point of service option. |
| § 422.106 - Coordination of benefits with employer or union group health plans and Medicaid. |
| § 422.107 - Requirements for dual eligible special needs plans. |
| § 422.108 - Medicare secondary payer (MSP) procedures. |
| § 422.109 - Effect of national coverage determinations (NCDs) and legislative changes in benefits; coverage of clinical trials and A and B device trials. |
| § 422.110 - Discrimination against beneficiaries prohibited. |
| § 422.111 - Disclosure requirements. |
| § 422.112 - Access to services. |
| § 422.113 - Special rules for ambulance services, emergency and urgently needed services, and maintenance and post-stabilization care services. |
| § 422.114 - Access to services under an MA private fee-for-service plan. |
| § 422.116 - Network adequacy. |
| § 422.118 - Confidentiality and accuracy of enrollee records. |
| § 422.119 - Access to and exchange of health data and plan information. |
| § 422.120 - xxx |
| § 422.121 - Access to and exchange of health data for providers and payers. |
| § 422.122 - Prior authorization requirements. |
| § 422.125 - Resolution of complaints in a Complaints Tracking Module. |
| § 422.128 - Information on advance directives. |
| § 422.132 - Protection against liability and loss of benefits. |
| § 422.133 - Return to home skilled nursing facility. |
| § 422.134 - Reward and incentive programs. |
| § 422.135 - xxx |
| § 422.136 - xxx |
| § 422.137 - Medicare Advantage Utilization Management Committee. |
| § 422.138 - Prior authorization. |