Subpart C—Benefits and Beneficiary Protections

1. CFR
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3. Title 42
4. ›
5. Chapter IV
6. ›
7. Part 422
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9. Subpart C

Sections

Section numbering in the official eCFR can be non-consecutive. Omitted section numbers are not treated here as reserved unless the source explicitly labels them that way.

• 422.100
  § 422.100 General requirements.
• 422.101
  § 422.101 Requirements relating to basic benefits.
• 422.102
  § 422.102 Supplemental benefits.
• 422.103
  § 422.103 Benefits under an MA MSA plan.
• 422.104
  § 422.104 Special rules on supplemental benefits for MA MSA plans.
• 422.105
  § 422.105 Special rules for self-referral and point of service option.
• 422.106
  § 422.106 Coordination of benefits with employer or union group health plans and Medicaid.
• 422.107
  § 422.107 Requirements for dual eligible special needs plans.
• 422.108
  § 422.108 Medicare secondary payer (MSP) procedures.
• 422.109
  § 422.109 Effect of national coverage determinations (NCDs) and legislative changes in benefits; coverage of clinical trials and A and B device trials.
• 422.110
  § 422.110 Discrimination against beneficiaries prohibited.
• 422.111
  § 422.111 Disclosure requirements.
• 422.112
  § 422.112 Access to services.
• 422.113
  § 422.113 Special rules for ambulance services, emergency and urgently needed services, and maintenance and post-stabilization care services.
• 422.114
  § 422.114 Access to services under an MA private fee-for-service plan.
• 422.116
  § 422.116 Network adequacy.
• 422.118
  § 422.118 Confidentiality and accuracy of enrollee records.
• 422.119
  § 422.119 Access to and exchange of health data and plan information.
• 422.120
  § 422.120 Access to published provider directory information.
• 422.121
  § 422.121 Access to and exchange of health data for providers and payers.
• 422.122
  § 422.122 Prior authorization requirements.
• 422.125
  § 422.125 Resolution of complaints in a Complaints Tracking Module.
• 422.128
  § 422.128 Information on advance directives.
• 422.132
  § 422.132 Protection against liability and loss of benefits.
• 422.133
  § 422.133 Return to home skilled nursing facility.
• 422.134
  § 422.134 Reward and incentive programs.
• 422.135
  § 422.135 Additional telehealth benefits.
• 422.136
  § 422.136 Medicare Advantage (MA) and step therapy for Part B drugs.
• 422.137
  § 422.137 Medicare Advantage Utilization Management Committee.
• 422.138
  § 422.138 Prior authorization.