Title 42

PART 417 SUBPART O

Subpart O - Medicare Payment: Cost Basis Source:50 FR 1346, Jan. 10, 1985, unless otherwise noted.

• 42 U.S.C. 1302 and 1395hh, and 300e, 300e-5, and 300e-9, and 31 U.S.C. 9701.
• Source:

42:3.0.1.1.4.13.5.1	SECTION 417.530	417.530 Basis and scope.
42:3.0.1.1.4.13.5.2	SECTION 417.531	417.531 Hospice care services.
42:3.0.1.1.4.13.5.3	SECTION 417.532	417.532 General considerations.
42:3.0.1.1.4.13.5.4	SECTION 417.533	417.533 Part B carrier responsibilities.
42:3.0.1.1.4.13.5.5	SECTION 417.534	417.534 Allowable costs.
42:3.0.1.1.4.13.5.6	SECTION 417.536	417.536 Cost payment principles.
42:3.0.1.1.4.13.5.7	SECTION 417.538	417.538 Enrollment and marketing costs.
42:3.0.1.1.4.13.5.8	SECTION 417.540	417.540 Enrollment costs.
42:3.0.1.1.4.13.5.9	SECTION 417.542	417.542 Reinsurance costs.
42:3.0.1.1.4.13.5.10	SECTION 417.544	417.544 Physicians' services furnished directly by the HMO or CMP.
42:3.0.1.1.4.13.5.11	SECTION 417.546	417.546 Physicians' services and other Part B supplier services furnished under arrangements.
42:3.0.1.1.4.13.5.12	SECTION 417.548	417.548 Provider services through arrangements.
42:3.0.1.1.4.13.5.13	SECTION 417.550	417.550 Special Medicare program requirements.
42:3.0.1.1.4.13.5.14	SECTION 417.552	417.552 Cost apportionment: General provisions.
42:3.0.1.1.4.13.5.15	SECTION 417.554	417.554 Apportionment: Provider services furnished directly by the HMO or CMP.
42:3.0.1.1.4.13.5.16	SECTION 417.556	417.556 Apportionment: Provider services furnished by the HMO or CMP through arrangements with others.
42:3.0.1.1.4.13.5.17	SECTION 417.558	417.558 Emergency, urgently needed, and out-of-area services for which the HMO or CMP accepts responsibility.
42:3.0.1.1.4.13.5.18	SECTION 417.560	417.560 Apportionment: Part B physician and supplier services.
42:3.0.1.1.4.13.5.19	SECTION 417.564	417.564 Apportionment and allocation of administrative and general costs.
42:3.0.1.1.4.13.5.20	SECTION 417.566	417.566 Other methods of allocation and apportionment.
42:3.0.1.1.4.13.5.21	SECTION 417.568	417.568 Adequate financial records, statistical data, and cost finding.
42:3.0.1.1.4.13.5.22	SECTION 417.570	417.570 Interim per capita payments.
42:3.0.1.1.4.13.5.23	SECTION 417.572	417.572 Budget and enrollment forecast and interim reports.
42:3.0.1.1.4.13.5.24	SECTION 417.574	417.574 Interim settlement.
42:3.0.1.1.4.13.5.25	SECTION 417.576	417.576 Final settlement.

---