Title 42--Public Health
CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES PART 403--SPECIAL PROGRAMS AND PROJECTS
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403.200 |
Basis and scope. |
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403.201 |
State regulation of insurance policies. |
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403.205 |
Medicare supplemental policy. |
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403.206 |
General standards for Medicare supplemental policies. |
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403.210 |
NAIC model standards. |
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403.215 |
Loss ratio standards. |
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403.220 |
Supplemental Health Insurance Panel. |
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403.222 |
State with an approved regulatory program. |
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403.231 |
Emblem. |
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403.232 |
Requirements and procedures for obtaining certification. |
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403.235 |
Review and certification of policies. |
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403.239 |
Submittal of material to retain certification. |
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403.245 |
Loss of certification. |
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403.248 |
Administrative review of CMS determinations. |
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403.250 |
Loss ratio calculations: General provisions. |
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403.251 |
Loss ratio date and time frame provisions. |
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403.253 |
Calculation of benefits. |
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403.254 |
Calculation of premiums. |
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403.256 |
Loss ratio supporting data. |
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403.258 |
Statement of actuarial opinion. |
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403.300 |
Basis and purpose. |
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403.302 |
Definitions. |
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403.304 |
Minimum requirements for State systems--discretionary approval. |
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403.306 |
Additional requirements for State systems--mandatory approval. |
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403.308 |
State systems under demonstration projects--mandatory approval. |
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403.310 |
Reduction in payments. |
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403.312 |
Submittal of application. |
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403.314 |
Evaluation of State systems. |
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403.316 |
Reconsideration of certain denied applications. |
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403.318 |
Approval of State systems. |
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403.320 |
CMS review and monitoring of State systems. |
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403.321 |
State systems for hospital outpatient services. |
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403.322 |
Termination of agreements for Medicare recognition of State systems. |
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403.500 |
Basis, scope, and definition. |
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403.501 |
Eligibility for grants. |
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403.502 |
Availability of grants. |
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403.504 |
Number and size of grants. |
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403.508 |
Limitations. |
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403.510 |
Reporting requirements. |
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403.512 |
Administration. |
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403.700 |
Basis and purpose. |
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403.702 |
Definitions and terms. |
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403.720 |
Conditions for coverage. |
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403.724 |
Valid election requirements. |
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403.730 |
Condition of participation: Patient rights. |
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403.732 |
Condition of participation: Quality assessment and performance improvement. |
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403.734 |
Condition of participation: Food services. |
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403.736 |
Condition of participation: Discharge planning. |
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403.738 |
Condition of participation: Administration. |
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403.740 |
Condition of participation: Staffing. |
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403.742 |
Condition of participation: Physical environment. |
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403.744 |
Condition of participation: Life safety from fire. |
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403.746 |
Condition of participation: Utilization review. |
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403.750 |
Estimate of expenditures and adjustments. |
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403.752 |
Payment provisions. |
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403.754 |
Monitoring expenditure level. |
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403.756 |
Sunset provision. |
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403.764 |
Basis and purpose of religious nonmedical health care institutions providing home service. |
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403.766 |
Requirements for coverage and payment of RNHCI home services. |
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403.768 |
Excluded services. |
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403.770 |
Payments for home services. |
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403.800 |
Basis and scope. |
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403.802 |
Definitions. |
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403.804 |
General rules for solicitation, application and Medicare endorsement period. |
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403.806 |
Sponsor requirements for eligibility for endorsement. |
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403.808 |
Use of transitional assistance funds. |
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403.810 |
Eligibility and reconsiderations. |
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403.811 |
Enrollment and disenrollment and associated endorsed sponsor requirements. |
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403.812 |
HIPAA privacy, security, administrative data standards, and national identifiers. |
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403.813 |
Marketing limitations and record retention requirements. |
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403.814 |
Special rules concerning Part C organizations and Medicare cost plans and their enrollees. |
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403.815 |
Special rules concerning States. |
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403.816 |
Special rules concerning long-term care and I/T/U pharmacies. |
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403.817 |
Special rules concerning the territories. |
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403.820 |
Sanctions, penalties, and termination. |
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403.822 |
Reimbursement of transitional assistance and associated sponsor requirements. |