Title 42

CHAPTER IV

Chapter Iv - Centers For Medicare & Medicaid Services, Department Of Health And Human Services

CHAPTER IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES

42:2.0.1.1SUBCHAP A
SUBCHAPTER A - GENERAL PROVISIONS
42:2.0.1.1.1PART 400
   PART 400 - INTRODUCTION; DEFINITIONS
42:2.0.1.1.2PART 401
   PART 401 - GENERAL ADMINISTRATIVE REQUIREMENTS
42:2.0.1.1.3PART 402
   PART 402 - CIVIL MONEY PENALTIES, ASSESSMENTS, AND EXCLUSIONS
42:2.0.1.1.4PART 403
   PART 403 - SPECIAL PROGRAMS AND PROJECTS
42:2.0.1.1.4.2.5SUBJGRP 5
      General Provisions
42:2.0.1.1.4.2.6SUBJGRP 6
      State Regulatory Programs
42:2.0.1.1.4.2.7SUBJGRP 7
      Voluntary Certification Program: General Provisions
42:2.0.1.1.4.2.8SUBJGRP 8
      Voluntary Certification Program: Loss Ratio Provisions
42:2.0.1.2SUBCHAP B
SUBCHAPTER B - MEDICARE PROGRAM
42:2.0.1.2.5PART 405
   PART 405 - FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED
42:2.0.1.2.5.3.21SUBJGRP 21
      General Provisions
42:2.0.1.2.5.3.22SUBJGRP 22
      Liability for Payments To Providers or Suppliers and Handling of Incorrect Payments
42:2.0.1.2.5.3.23SUBJGRP 23
      Suspension and Recoupment of Payment to Providers and Suppliers and Collection and Compromise of Overpayments
42:2.0.1.2.5.3.24SUBJGRP 24
      Repayment of Scholarships and Loans
42:2.0.1.2.5.8.25SUBJGRP 25
      Initial Determinations
42:2.0.1.2.5.8.26SUBJGRP 26
      Redeterminations
42:2.0.1.2.5.8.27SUBJGRP 27
      Reconsideration
42:2.0.1.2.5.8.28SUBJGRP 28
      Reopenings
42:2.0.1.2.5.8.29SUBJGRP 29
      Expedited Access to Judicial Review
42:2.0.1.2.5.8.30SUBJGRP 30
      ALJ Hearings
42:2.0.1.2.5.8.31SUBJGRP 31
      Applicability of Medicare Coverage Policies
42:2.0.1.2.5.8.32SUBJGRP 32
      Medicare Appeals Council Review
42:2.0.1.2.5.15.33SUBJGRP 33
      Federally Qualified Health Center Services
42:2.0.1.2.5.15.34SUBJGRP 34
      Payment for Rural Health Clinic and Federally Qualified Health Center Services
42:2.0.1.2.6PART 406
   PART 406 - HOSPITAL INSURANCE ELIGIBILITY AND ENTITLEMENT
42:2.0.1.2.7PART 407
   PART 407 - SUPPLEMENTARY MEDICAL INSURANCE (SMI) ENROLLMENT AND ENTITLEMENT
42:2.0.1.2.8PART 408
   PART 408 - PREMIUMS FOR SUPPLEMENTARY MEDICAL INSURANCE
42:2.0.1.2.9PART 409
   PART 409 - HOSPITAL INSURANCE BENEFITS
42:2.0.1.2.10PART 410
   PART 410 - SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
42:2.0.1.2.11PART 411
   PART 411 - EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE PAYMENT
42:2.0.1.2.12PART 412
   PART 412 - PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES
42:2.0.1.2.12.6.47SUBJGRP 47
      Payment for Outlier Cases
42:2.0.1.2.12.6.48SUBJGRP 48
      Additional Special Payment for Certain New Technology
42:2.0.1.2.12.6.49SUBJGRP 49
      Payment Adjustment for Certain Replaced Devices
42:2.0.1.2.12.9.50SUBJGRP 50
      Payment Adjustments Under the Hospital Readmissions Reduction Program
42:2.0.1.2.12.9.51SUBJGRP 51
      Incentive Payments Under the Hospital Value-Based Purchasing Program
42:2.0.1.2.12.9.52SUBJGRP 52
      Payment Adjustments Under the Hospital-Acquired Condition Reduction Program
42:2.0.1.2.12.12.53SUBJGRP 53
      Criteria and Conditions for Redesignation
42:2.0.1.2.12.12.54SUBJGRP 54
      Composition and Procedures
42:2.0.1.2.12.13.55SUBJGRP 55
      General Provisions
42:2.0.1.2.12.13.56SUBJGRP 56
      Basic Methodology for Determining the Federal Rate for Capital-Related Costs
42:2.0.1.2.12.13.57SUBJGRP 57
      Determination of Transition Period Payment Rates for Capital-Related Costs
42:2.0.1.2.12.13.58SUBJGRP 58
      Special Rules for Puerto Rico Hospitals
42:2.0.1.2.13PART 413
   PART 413 - PRINCIPLES OF REASONABLE COST REIMBURSEMENT; PAYMENT FOR END-STAGE RENAL DISEASE SERVICES; PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING FACILITIES; PAYMENT FOR ACUTE KIDNEY INJURY DIALYSIS