Title 42

Volume 2 CHAPTER IV

Chapter Iv - Centers For Medicare & Medicaid Services, Department Of Health And Human Services

CHAPTER IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES

42:2.0.1.1	SUBCHAP A	SUBCHAPTER A - GENERAL PROVISIONS
42:2.0.1.1.1	PART 400	PART 400 - INTRODUCTION; DEFINITIONS
42:2.0.1.1.2	PART 401	PART 401 - GENERAL ADMINISTRATIVE REQUIREMENTS
42:2.0.1.1.3	PART 402	PART 402 - CIVIL MONEY PENALTIES, ASSESSMENTS, AND EXCLUSIONS
42:2.0.1.1.4	PART 403	PART 403 - SPECIAL PROGRAMS AND PROJECTS
42:2.0.1.1.4.2.5	SUBJGRP 5	General Provisions
42:2.0.1.1.4.2.6	SUBJGRP 6	State Regulatory Programs
42:2.0.1.1.4.2.7	SUBJGRP 7	Voluntary Certification Program: General Provisions
42:2.0.1.1.4.2.8	SUBJGRP 8	Voluntary Certification Program: Loss Ratio Provisions
42:2.0.1.1.5	PART 404	Part 404 - XXX
42:2.0.1.2	SUBCHAP B	SUBCHAPTER B - MEDICARE PROGRAM
42:2.0.1.2.6	PART 405	PART 405 - FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED
42:2.0.1.2.6.3.21	SUBJGRP 21	General Provisions
42:2.0.1.2.6.3.22	SUBJGRP 22	Liability for Payments To Providers or Suppliers and Handling of Incorrect Payments
42:2.0.1.2.6.3.23	SUBJGRP 23	Suspension and Recoupment of Payment to Providers and Suppliers and Collection and Compromise of Overpayments
42:2.0.1.2.6.3.24	SUBJGRP 24	Repayment of Scholarships and Loans
42:2.0.1.2.6.9.25	SUBJGRP 25	Initial Determinations
42:2.0.1.2.6.9.26	SUBJGRP 26	Redeterminations
42:2.0.1.2.6.9.27	SUBJGRP 27	Reconsideration
42:2.0.1.2.6.9.28	SUBJGRP 28	Reopenings
42:2.0.1.2.6.9.29	SUBJGRP 29	Expedited Access to Judicial Review
42:2.0.1.2.6.9.30	SUBJGRP 30	ALJ Hearings
42:2.0.1.2.6.9.31	SUBJGRP 31	Applicability of Medicare Coverage Policies
42:2.0.1.2.6.9.32	SUBJGRP 32	Medicare Appeals Council Review
42:2.0.1.2.6.16.33	SUBJGRP 33	Federally Qualified Health Center Services
42:2.0.1.2.6.16.34	SUBJGRP 34	Payment for Rural Health Clinic and Federally Qualified Health Center Services
42:2.0.1.2.7	PART 406	PART 406 - HOSPITAL INSURANCE ELIGIBILITY AND ENTITLEMENT
42:2.0.1.2.8	PART 407	PART 407 - SUPPLEMENTARY MEDICAL INSURANCE (SMI) ENROLLMENT AND ENTITLEMENT
42:2.0.1.2.9	PART 408	PART 408 - PREMIUMS FOR SUPPLEMENTARY MEDICAL INSURANCE
42:2.0.1.2.10	PART 409	PART 409 - HOSPITAL INSURANCE BENEFITS
42:2.0.1.2.11	PART 410	PART 410 - SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
42:2.0.1.2.12	PART 411	PART 411 - EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE PAYMENT
42:2.0.1.2.13	PART 412	PART 412 - PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES
42:2.0.1.2.13.6.48	SUBJGRP 48	Payment for Outlier Cases
42:2.0.1.2.13.6.49	SUBJGRP 49	Payment Adjustment for Certain Clinical Trial Cases and Expanded Access Use Immunotherapy
42:2.0.1.2.13.6.50	SUBJGRP 50	Additional Special Payment for Certain New Technology
42:2.0.1.2.13.6.51	SUBJGRP 51	Payment Adjustment for Certain Replaced Devices
42:2.0.1.2.13.9.52	SUBJGRP 52	Payment Adjustments Under the Hospital Readmissions Reduction Program
42:2.0.1.2.13.9.53	SUBJGRP 53	Incentive Payments Under the Hospital Value-Based Purchasing Program
42:2.0.1.2.13.9.54	SUBJGRP 54	Payment Adjustments Under the Hospital-Acquired Condition Reduction Program
42:2.0.1.2.13.12.55	SUBJGRP 55	Criteria and Conditions for Redesignation
42:2.0.1.2.13.12.56	SUBJGRP 56	Composition and Procedures
42:2.0.1.2.13.13.57	SUBJGRP 57	General Provisions
42:2.0.1.2.13.13.58	SUBJGRP 58	Basic Methodology for Determining the Federal Rate for Capital-Related Costs
42:2.0.1.2.13.13.59	SUBJGRP 59	Determination of Transition Period Payment Rates for Capital-Related Costs
42:2.0.1.2.13.13.60	SUBJGRP 60	Special Rules for Puerto Rico Hospitals
42:2.0.1.2.14	PART 413	PART 413 - PRINCIPLES OF REASONABLE COST REIMBURSEMENT; PAYMENT FOR END-STAGE RENAL DISEASE SERVICES; PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING FACILITIES; PAYMENT FOR ACUTE KIDNEY INJURY DIALYSIS

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