Title 42

PART 422 SUBPART C

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

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