Title 42

PART 422 SUBPART C

Subpart C - Benefits and Beneficiary Protections Source:63 FR 35077, June 26, 1998, unless otherwise noted.

• 42 U.S.C. 1302 and 1395hh.
• Source: 63 FR 18134, Apr. 14, 1998, unless otherwise noted.

42:3.0.1.1.9.3.10.1	SECTION 422.100	422.100 General requirements.
42:3.0.1.1.9.3.10.2	SECTION 422.101	422.101 Requirements relating to basic benefits.
42:3.0.1.1.9.3.10.3	SECTION 422.102	422.102 Supplemental benefits.
42:3.0.1.1.9.3.10.4	SECTION 422.103	422.103 Benefits under an MA MSA plan.
42:3.0.1.1.9.3.10.5	SECTION 422.104	422.104 Special rules on supplemental benefits for MA MSA plans.
42:3.0.1.1.9.3.10.6	SECTION 422.105	422.105 Special rules for self-referral and point of service option.
42:3.0.1.1.9.3.10.7	SECTION 422.106	422.106 Coordination of benefits with employer or union group health plans and Medicaid.
42:3.0.1.1.9.3.10.8	SECTION 422.107	422.107 Special needs plans and dual eligibles: Contract with State Medicaid Agency.
42:3.0.1.1.9.3.10.9	SECTION 422.108	422.108 Medicare secondary payer (MSP) procedures.
42:3.0.1.1.9.3.10.10	SECTION 422.109	422.109 Effect of national coverage determinations (NCDs) and legislative changes in benefits.
42:3.0.1.1.9.3.10.11	SECTION 422.110	422.110 Discrimination against beneficiaries prohibited.
42:3.0.1.1.9.3.10.12	SECTION 422.111	422.111 Disclosure requirements.
42:3.0.1.1.9.3.10.13	SECTION 422.112	422.112 Access to services.
42:3.0.1.1.9.3.10.14	SECTION 422.113	422.113 Special rules for ambulance services, emergency and urgently needed services, and maintenance and post-stabilization care services.
42:3.0.1.1.9.3.10.15	SECTION 422.114	422.114 Access to services under an MA private fee-for-service plan.
42:3.0.1.1.9.3.10.16	SECTION 422.116	422.116 Network adequacy.
42:3.0.1.1.9.3.10.17	SECTION 422.118	422.118 Confidentiality and accuracy of enrollee records.
42:3.0.1.1.9.3.10.18	SECTION 422.119	422.119 Access to and exchange of health data and plan information.
42:3.0.1.1.9.3.10.19	SECTION 422.120	422.120 Access to published provider directory information.
42:3.0.1.1.9.3.10.20	SECTION 422.128	422.128 Information on advance directives.
42:3.0.1.1.9.3.10.21	SECTION 422.132	422.132 Protection against liability and loss of benefits.
42:3.0.1.1.9.3.10.22	SECTION 422.133	422.133 Return to home skilled nursing facility.
42:3.0.1.1.9.3.10.23	SECTION 422.134	422.134 Reward and incentive programs.
42:3.0.1.1.9.3.10.24	SECTION 422.135	422.135 Additional telehealth benefits.
42:3.0.1.1.9.3.10.25	SECTION 422.136	422.136 Medicare Advantage (MA) and step therapy for Part B drugs.

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