Title 42

PART 421

Part 421 - Medicare Contracting

PART 421 - MEDICARE CONTRACTING Authority:42 U.S.C. 1302 and 1395hh. Source:45 FR 42179, June 23, 1980, unless otherwise noted.

• Authority: 42 U.S.C. 1302 and 1395hh.
• Source: 45 FR 42179, June 23, 1980, unless otherwise noted.

42:3.0.1.1.8.1	SUBPART A	Subpart A - Scope, Definitions, and General Provisions
42:3.0.1.1.8.1.9.1	SECTION 421.1	421.1 Basis, applicability, and scope.
42:3.0.1.1.8.1.9.2	SECTION 421.3	421.3 Definitions.
42:3.0.1.1.8.1.9.3	SECTION 421.5	421.5 General provisions.
42:3.0.1.1.8.2	SUBPART B	Subpart B - Intermediaries
42:3.0.1.1.8.2.9.1	SECTION 421.100	421.100 Intermediary functions.
42:3.0.1.1.8.2.9.2	SECTION 421.103	421.103 Payment to providers.
42:3.0.1.1.8.2.9.3	SECTION 421.104	421.104 Assignment of providers of services to intermediaries during transition to Medicare Administrative Contractors (MACs).
42:3.0.1.1.8.2.9.4	SECTION 421.110	421.110 Requirements for approval of an agreement.
42:3.0.1.1.8.2.9.5	SECTION 421.112	421.112 Considerations relating to the effective and efficient administration of the program.
42:3.0.1.1.8.2.9.6	SECTION 421.114	421.114 Assignment and reassignment of providers by CMS.
42:3.0.1.1.8.2.9.7	SECTION 421.120	421.120 Performance criteria.
42:3.0.1.1.8.2.9.8	SECTION 421.122	421.122 Performance standards.
42:3.0.1.1.8.2.9.9	SECTION 421.124	421.124 Intermediary's failure to perform efficiently and effectively.
42:3.0.1.1.8.2.9.10	SECTION 421.126	421.126 Termination of agreements.
42:3.0.1.1.8.2.9.11	SECTION 421.128	421.128 Intermediary's opportunity for hearing and right to judicial review.
42:3.0.1.1.8.3	SUBPART C	Subpart C - Carriers
42:3.0.1.1.8.3.9.1	SECTION 421.200	421.200 Carrier functions.
42:3.0.1.1.8.3.9.2	SECTION 421.201	421.201 Performance criteria and standards.
42:3.0.1.1.8.3.9.3	SECTION 421.202	421.202 Requirements and conditions.
42:3.0.1.1.8.3.9.4	SECTION 421.203	421.203 Carrier's failure to perform efficiently and effectively.
42:3.0.1.1.8.3.9.5	SECTION 421.205	421.205 Termination by the Secretary.
42:3.0.1.1.8.3.9.6	SECTION 421.210	421.210 Designations of regional carriers to process claims for durable medical equipment, prosthetics, orthotics and supplies.
42:3.0.1.1.8.3.9.7	SECTION 421.212	421.212 Railroad Retirement Board contracts.
42:3.0.1.1.8.3.9.8	SECTION 421.214	421.214 Advance payments to suppliers furnishing items or services under Part B.
42:3.0.1.1.8.4	SUBPART D	Subpart D - Medicare Integrity Program Contractors
42:3.0.1.1.8.4.9.1	SECTION 421.300	421.300 Basis, applicability, and scope.
42:3.0.1.1.8.4.9.2	SECTION 421.302	421.302 Eligibility requirements for Medicare integrity program contractors.
42:3.0.1.1.8.4.9.3	SECTION 421.304	421.304 Medicare integrity program contractor functions.
42:3.0.1.1.8.4.9.4	SECTION 421.306	421.306 Awarding of a contract.
42:3.0.1.1.8.4.9.5	SECTION 421.308	421.308 Renewal of a contract.
42:3.0.1.1.8.4.9.6	SECTION 421.310	421.310 Conflict of interest requirements.
42:3.0.1.1.8.4.9.7	SECTION 421.312	421.312 Conflict of interest resolution.
42:3.0.1.1.8.4.9.8	SECTION 421.316	421.316 Limitation on Medicare integrity program contractor liability.
42:3.0.1.1.8.5	SUBPART E	Subpart E - Medicare Administrative Contractors (MACs)
42:3.0.1.1.8.5.9.1	SECTION 421.400	421.400 Statutory basis and scope.
42:3.0.1.1.8.5.9.2	SECTION 421.401	421.401 Definitions.
42:3.0.1.1.8.5.9.3	SECTION 421.404	421.404 Assignment of providers and suppliers to MACs.
42:3.0.1.1.8.6	SUBPART F	Subpart F [Reserved]

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