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C.F.R - Table of Contents

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CFR > Title 42 - Public Health > CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES > SUBCHAPTER B—MEDICARE PROGRAM (parts 405 to 426) > PART 417—HEALTH MAINTENANCE ORGANIZATIONS, COMPETITIVE MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS > SUBPART O—Medicare Payment: Cost Basis (§417.530 to §417.576)

SUBPART O—Medicare Payment: Cost Basis (§417.530 to §417.576)

  • 417.530—Basis and scope.
  • 417.531—Hospice care services.
  • 417.532—General considerations.
  • 417.533—Part B carrier responsibilities.
  • 417.534—Allowable costs.
  • 417.536—Cost payment principles.
  • 417.538—Enrollment and marketing costs.
  • 417.540—Enrollment costs.
  • 417.542—Reinsurance costs.
  • 417.544—Physicians' services furnished directly by the HMO or CMP.
  • 417.546—Physicians' services and other Part B supplier services furnished under arrangements.
  • 417.548—Provider services through arrangements.
  • 417.550—Special Medicare program requirements.
  • 417.552—Cost apportionment: General provisions.
  • 417.554—Apportionment: Provider services furnished directly by the HMO or CMP.
  • 417.556—Apportionment: Provider services furnished by the HMO or CMP through arrangements with others.
  • 417.558—Emergency, urgently needed, and out-of-area services for which the HMO or CMP accepts responsibility.
  • 417.560—Apportionment: Part B physician and supplier services.
  • 417.564—Apportionment and allocation of administrative and general costs.
  • 417.566—Other methods of allocation and apportionment.
  • 417.568—Adequate financial records, statistical data, and cost finding.
  • 417.570—Interim per capita payments.
  • 417.572—Budget and enrollment forecast and interim reports.
  • 417.574—Interim settlement.
  • 417.576—Final settlement.




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