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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 H - Health Care Infrastructure and Model Programs |
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Part 513 - Most Favored Nation (MFN) Model |
| Subpart A - General Provisions |
| § 513.1 - Basis, scope, and duration. |
| § 513.2 - Definitions. |
| Subpart B - Inclusion in the Model |
| § 513.100 - MFN Model payments and MFN participants. |
| § 513.120 - MFN Model geographic area. |
| § 513.130 - MFN Model drugs, updates, categories and excluded drugs. |
| § 513.140 - Included international data. |
| Subpart C - Payment Process and Methodology |
| § 513.200 - Payment process and beneficiary cost-sharing. |
| § 513.210 - Model payment methodology for MFN Model drugs. |
| § 513.220 - Model alternative add-on payment. |
| § 513.230 - Financial hardship exemptions, request process, and reconciliation payment. |
| Subpart D - XXX |
| Subpart E - Quality Strategy, Beneficiary Protections, and Compliance Activities |
| § 513.400 - Quality measures. |
| § 513.410 - Beneficiary protections. |
| § 513.420 - Monitoring and compliance activities. |
| § 513.430 - Audits and record retention. |
| § 513.440 - Enforcement authority. |
| § 513.450 - Limitations on review. |
| Subpart F - Waivers |
| § 513.500 - Waivers of Medicare program requirements for purposes of testing the MFN Model. |
| Subparts G--J - XXX |
| Subpart K - Model Termination |
| § 513.1000 - Termination of the MFN Model. |