Title 42

PART 401

Part 401 - General Administrative Requirements

PART 401 - GENERAL ADMINISTRATIVE REQUIREMENTS Authority:Secs. 1102, 1871, and 1874(e) of the Social Security Act (42 U.S.C. 1302, 1395hh, and 1395w-5) and sec. 105, Pub. L. 114-10, 129 Stat. 87.

• Authority: Secs. 1102, 1871, and 1874(e) of the Social Security Act (42 U.S.C. 1302, 1395hh, and 1395w-5) and sec. 105, Pub. L. 114-10, 129 Stat. 87.

42:2.0.1.1.2.1	SUBPART A	Subpart A [Reserved]
42:2.0.1.1.2.2	SUBPART B	Subpart B - Confidentiality and Disclosure
42:2.0.1.1.2.2.1.1	SECTION 401.101	401.101 Purpose and scope.
42:2.0.1.1.2.2.1.2	SECTION 401.102	401.102 Definitions.
42:2.0.1.1.2.2.1.3	SECTION 401.105	401.105 Rules for disclosure.
42:2.0.1.1.2.2.1.4	SECTION 401.106	401.106 Publication.
42:2.0.1.1.2.2.1.5	SECTION 401.108	401.108 CMS rulings.
42:2.0.1.1.2.2.1.6	SECTION 401.109	401.109 Precedential Final Decisions of the Secretary.
42:2.0.1.1.2.2.1.7	SECTION 401.110	401.110 Publications for sale.
42:2.0.1.1.2.2.1.8	SECTION 401.112	401.112 Availability of administrative staff manuals.
42:2.0.1.1.2.2.1.9	SECTION 401.116	401.116 Availability of records upon request.
42:2.0.1.1.2.2.1.10	SECTION 401.118	401.118 Deletion of identifying details.
42:2.0.1.1.2.2.1.11	SECTION 401.120	401.120 Creation of records.
42:2.0.1.1.2.2.1.12	SECTION 401.126	401.126 Information or records that are not available.
42:2.0.1.1.2.2.1.13	SECTION 401.128	401.128 Where requests for records may be made.
42:2.0.1.1.2.2.1.14	SECTION 401.130	401.130 Materials available at social security district offices and branch offices.
42:2.0.1.1.2.2.1.15	SECTION 401.132	401.132 Materials in field offices of the Office of Hearings and Appeals, SSA.
42:2.0.1.1.2.2.1.16	SECTION 401.133	401.133 Availability of official reports on providers and suppliers of services, State agencies, intermediaries, and carriers under Medicare.
42:2.0.1.1.2.2.1.17	SECTION 401.134	401.134 Release of Medicare information to State and Federal agencies.
42:2.0.1.1.2.2.1.18	SECTION 401.135	401.135 Release of Medicare information to the public.
42:2.0.1.1.2.2.1.19	SECTION 401.136	401.136 Requests for information or records.
42:2.0.1.1.2.2.1.20	SECTION 401.140	401.140 Fees and charges.
42:2.0.1.1.2.2.1.21	SECTION 401.144	401.144 Denial of requests.
42:2.0.1.1.2.2.1.22	SECTION 401.148	401.148 Administrative review.
42:2.0.1.1.2.2.1.23	SECTION 401.152	401.152 Court review.
42:2.0.1.1.2.3	SUBPART C	Subpart C [Reserved]
42:2.0.1.1.2.4	SUBPART D	Subpart D - Reporting and Returning of Overpayments
42:2.0.1.1.2.4.1.1	SECTION 401.301	401.301 Basis and scope.
42:2.0.1.1.2.4.1.2	SECTION 401.303	401.303 Definitions.
42:2.0.1.1.2.4.1.3	SECTION 401.305	401.305 Requirements for reporting and returning of overpayments.
42:2.0.1.1.2.5	SUBPART E	Subpart E [Reserved]
42:2.0.1.1.2.6	SUBPART F	Subpart F - Claims Collection and Compromise
42:2.0.1.1.2.6.1.1	SECTION 401.601	401.601 Basis and scope.
42:2.0.1.1.2.6.1.2	SECTION 401.603	401.603 Definitions.
42:2.0.1.1.2.6.1.3	SECTION 401.605	401.605 Omissions not a defense.
42:2.0.1.1.2.6.1.4	SECTION 401.607	401.607 Claims collection.
42:2.0.1.1.2.6.1.5	SECTION 401.613	401.613 Compromise of claims.
42:2.0.1.1.2.6.1.6	SECTION 401.615	401.615 Payment of compromise amount.
42:2.0.1.1.2.6.1.7	SECTION 401.617	401.617 Suspension of collection action.
42:2.0.1.1.2.6.1.8	SECTION 401.621	401.621 Termination of collection action.
42:2.0.1.1.2.6.1.9	SECTION 401.623	401.623 Joint and several liability.
42:2.0.1.1.2.6.1.10	SECTION 401.625	401.625 Effect of CMS claims collection decisions on appeals.
42:2.0.1.1.2.7	SUBPART G	Subpart G - Availability of Medicare Data for Performance Measurement
42:2.0.1.1.2.7.1.1	SECTION 401.701	401.701 Purpose and scope.
42:2.0.1.1.2.7.1.2	SECTION 401.703	401.703 Definitions.
42:2.0.1.1.2.7.1.3	SECTION 401.705	401.705 Eligibility criteria for qualified entities.
42:2.0.1.1.2.7.1.4	SECTION 401.707	401.707 Operating and governance requirements for qualified entities.
42:2.0.1.1.2.7.1.5	SECTION 401.709	401.709 The application process and requirements.
42:2.0.1.1.2.7.1.6	SECTION 401.711	401.711 Updates to plans submitted as part of the application process.
42:2.0.1.1.2.7.1.7	SECTION 401.713	401.713 Ensuring the privacy and security of data.
42:2.0.1.1.2.7.1.8	SECTION 401.715	401.715 Selection and use of performance measures.
42:2.0.1.1.2.7.1.9	SECTION 401.716	401.716 Non-public analyses.
42:2.0.1.1.2.7.1.10	SECTION 401.717	401.717 Provider and supplier requests for error correction.
42:2.0.1.1.2.7.1.11	SECTION 401.718	401.718 Dissemination of data.
42:2.0.1.1.2.7.1.12	SECTION 401.719	401.719 Monitoring and sanctioning of qualified entities.
42:2.0.1.1.2.7.1.13	SECTION 401.721	401.721 Terminating an agreement with a qualified entity.
42:2.0.1.1.2.7.1.14	SECTION 401.722	401.722 Qualified clinical data registries.

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