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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 G - Payments to Medicare Advantage Organizations |
| § 422.300 - Basis and scope. |
| § 422.302 - Terminology. |
| § 422.304 - Monthly payments. |
| § 422.306 - Annual MA capitation rates. |
| § 422.308 - Adjustments to capitation rates, benchmarks, bids, and payments. |
| § 422.309 - Incorrect collections of premiums and cost-sharing. |
| § 422.310 - Risk adjustment data. |
| § 422.311 - RADV audit dispute and appeal processes. |
| § 422.312 - Announcement of annual capitation rate, benchmarks, and methodology changes. |
| § 422.314 - Special rules for beneficiaries enrolled in MA MSA plans. |
| § 422.316 - Special rules for payments to Federally qualified health centers. |
| § 422.318 - Special rules for coverage that begins or ends during an inpatient hospital stay. |
| § 422.320 - Special rules for hospice care. |
| § 422.322 - Source of payment and effect of MA plan election on payment. |
| § 422.324 - Payments to MA organizations for graduate medical education costs. |
| § 422.326 - Reporting and returning of overpayments. |
| § 422.330 - CMS-identified overpayments associated with payment data submitted by MA organizations. |