X95-10501. Medicare Program; Revisions to Criteria and Standards for Evaluating Intermediaries and Carriers

[Federal Register Volume 60, Number 83 (Monday, May 1, 1995)]
[Rules and Regulations]
[Page 21048]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: X95-10501]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

42 CFR Part 421

[BPO-083-F]
RIN 0938-AF84


Medicare Program; Revisions to Criteria and Standards for 
Evaluating Intermediaries and Carriers

CFR Correction

    In title 42 of the Code of Federal Regulations, parts 400 to 429, 
revised as of October 1, 1994, on page 617, Sec. 421.120 was 
inadvertently omitted. The section should have appeared as set forth 
below:


Sec. 421.120  Performance criteria.

    (a) Application of performance criteria. As part of the 
intermediary evaluations authorized by section 1816(f) of the Act, HCFA 
periodically assesses the performance of intermediaries in their 
Medicare operations using performance criteria. The criteria measure 
and evaluate intermediary performance of functional responsibilities 
such as--
    (1) Correct coverage and payment determinations;
    (2) Responsiveness to beneficiary concerns; and
    (3) Proper management of administrative funds.
    (b) Basis for criteria. HCFA will base the performance criteria 
on--
    (1) Nationwide intermediary experience;
    (2) Changes in intermediary operations due to fiscal constraints; 
and
    (3) HFCA's objectives in achieving better performance.
    (c) Publication of criteria. The development and revision of 
criteria for evaluating intermediary performance is a continuing 
process. Therefore, before the beginning of each evaluation period, 
HCFA will publish the performance criteria as a notice in the Federal 
Register.

[48 FR 7178, Feb. 18, 1983]

BILLING CODE 1505-01-D