特别项目和方案

时间: 2009-05-20


2017-10-01

42 CFR 403

Special programs and projects

2018-07-12

Title 42--Public Health

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

PART 403--SPECIAL PROGRAMS AND PROJECTS


TEXT PDF 403.200 Basis and scope.
TEXT PDF 403.201 State regulation of insurance policies.
TEXT PDF 403.205 Medicare supplemental policy.
TEXT PDF 403.206 General standards for Medicare supplemental policies.
TEXT PDF 403.210 NAIC model standards.
TEXT PDF 403.215 Loss ratio standards.
TEXT PDF 403.220 Supplemental Health Insurance Panel.
TEXT PDF 403.222 State with an approved regulatory program.
TEXT PDF 403.231 Emblem.
TEXT PDF 403.232 Requirements and procedures for obtaining certification.
TEXT PDF 403.235 Review and certification of policies.
TEXT PDF 403.239 Submittal of material to retain certification.
TEXT PDF 403.245 Loss of certification.
TEXT PDF 403.248 Administrative review of CMS determinations.
TEXT PDF 403.250 Loss ratio calculations: General provisions.
TEXT PDF 403.251 Loss ratio date and time frame provisions.
TEXT PDF 403.253 Calculation of benefits.
TEXT PDF 403.254 Calculation of premiums.
TEXT PDF 403.256 Loss ratio supporting data.
TEXT PDF 403.258 Statement of actuarial opinion.
TEXT PDF 403.300 Basis and purpose.
TEXT PDF 403.302 Definitions.
TEXT PDF 403.304 Minimum requirements for State systems--discretionary approval.
TEXT PDF 403.306 Additional requirements for State systems--mandatory approval.
TEXT PDF 403.308 State systems under demonstration projects--mandatory approval.
TEXT PDF 403.310 Reduction in payments.
TEXT PDF 403.312 Submittal of application.
TEXT PDF 403.314 Evaluation of State systems.
TEXT PDF 403.316 Reconsideration of certain denied applications.
TEXT PDF 403.318 Approval of State systems.
TEXT PDF 403.320 CMS review and monitoring of State systems.
TEXT PDF 403.321 State systems for hospital outpatient services.
TEXT PDF 403.322 Termination of agreements for Medicare recognition of State systems.
TEXT PDF 403.500 Basis, scope, and definition.
TEXT PDF 403.501 Eligibility for grants.
TEXT PDF 403.502 Availability of grants.
TEXT PDF 403.504 Number and size of grants.
TEXT PDF 403.508 Limitations.
TEXT PDF 403.510 Reporting requirements.
TEXT PDF 403.512 Administration.
TEXT PDF 403.700 Basis and purpose.
TEXT PDF 403.702 Definitions and terms.
TEXT PDF 403.720 Conditions for coverage.
TEXT PDF 403.724 Valid election requirements.
TEXT PDF 403.730 Condition of participation: Patient rights.
TEXT PDF 403.732 Condition of participation: Quality assessment and performance improvement.
TEXT PDF 403.734 Condition of participation: Food services.
TEXT PDF 403.736 Condition of participation: Discharge planning.
TEXT PDF 403.738 Condition of participation: Administration.
TEXT PDF 403.740 Condition of participation: Staffing.
TEXT PDF 403.742 Condition of participation: Physical environment.
TEXT PDF 403.744 Condition of participation: Life safety from fire.
TEXT PDF 403.746 Condition of participation: Utilization review.
TEXT PDF 403.750 Estimate of expenditures and adjustments.
TEXT PDF 403.752 Payment provisions.
TEXT PDF 403.754 Monitoring expenditure level.
TEXT PDF 403.756 Sunset provision.
TEXT PDF 403.764 Basis and purpose of religious nonmedical health care institutions providing home service.
TEXT PDF 403.766 Requirements for coverage and payment of RNHCI home services.
TEXT PDF 403.768 Excluded services.
TEXT PDF 403.770 Payments for home services.
TEXT PDF 403.800 Basis and scope.
TEXT PDF 403.802 Definitions.
TEXT PDF 403.804 General rules for solicitation, application and Medicare endorsement period.
TEXT PDF 403.806 Sponsor requirements for eligibility for endorsement.
TEXT PDF 403.808 Use of transitional assistance funds.
TEXT PDF 403.810 Eligibility and reconsiderations.
TEXT PDF 403.811 Enrollment and disenrollment and associated endorsed sponsor requirements.
TEXT PDF 403.812 HIPAA privacy, security, administrative data standards, and national identifiers.
TEXT PDF 403.813 Marketing limitations and record retention requirements.
TEXT PDF 403.814 Special rules concerning Part C organizations and Medicare cost plans and their enrollees.
TEXT PDF 403.815 Special rules concerning States.
TEXT PDF 403.816 Special rules concerning long-term care and I/T/U pharmacies.
TEXT PDF 403.817 Special rules concerning the territories.
TEXT PDF 403.820 Sanctions, penalties, and termination.
TEXT PDF 403.822 Reimbursement of transitional assistance and associated sponsor requirements.

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