Title 42

PART 411 SUBPART E

Subpart E - Limitations on Payment for Services Covered Under Group Health Plans: General Provisions Source:60 FR 45362, Aug. 31, 1995, unless otherwise noted.

• 42 U.S.C. 1302, 1395w-101 through 1395w-152, 1395hh, and 1395nn.
• Source: 54 FR 41734, Oct. 11, 1989, unless otherwise noted.

42:2.0.1.2.12.5.35.1	SECTION 411.100	411.100 Basis and scope.
42:2.0.1.2.12.5.35.2	SECTION 411.101	411.101 Definitions.
42:2.0.1.2.12.5.35.3	SECTION 411.102	411.102 Basic prohibitions and requirements.
42:2.0.1.2.12.5.35.4	SECTION 411.103	411.103 Prohibition against financial and other incentives.
42:2.0.1.2.12.5.35.5	SECTION 411.104	411.104 Current employment status.
42:2.0.1.2.12.5.35.6	SECTION 411.106	411.106 Aggregation rules.
42:2.0.1.2.12.5.35.7	SECTION 411.108	411.108 Taking into account entitlement to Medicare.
42:2.0.1.2.12.5.35.8	SECTION 411.110	411.110 Basis for determination of nonconformance.
42:2.0.1.2.12.5.35.9	SECTION 411.112	411.112 Documentation of conformance.
42:2.0.1.2.12.5.35.10	SECTION 411.114	411.114 Determination of nonconformance.
42:2.0.1.2.12.5.35.11	SECTION 411.115	411.115 Notice of determination of nonconformance.
42:2.0.1.2.12.5.35.12	SECTION 411.120	411.120 Appeals.
42:2.0.1.2.12.5.35.13	SECTION 411.121	411.121 Hearing procedures.
42:2.0.1.2.12.5.35.14	SECTION 411.122	411.122 Hearing officer's decision.
42:2.0.1.2.12.5.35.15	SECTION 411.124	411.124 Administrator's review of hearing decision.
42:2.0.1.2.12.5.35.16	SECTION 411.126	411.126 Reopening of determinations and decisions.
42:2.0.1.2.12.5.35.17	SECTION 411.130	411.130 Referral to Internal Revenue Service (IRS).

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