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

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