Health Maintenance Organizations, Competitive Medical Plans, and Health Care Prepayment Plans

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medicare Program
  6. Health Maintenance Organizations, Competitive Medical Plans, and Health Care Prepayment Plans

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Subpart
A

General Provisions

Subpart
B

Qualified Health Maintenance Organizations: Services

Subpart
C

Qualified Health Maintenance Organizations: Organization and Operation

Subpart
D

Application for Federal Qualification

Subpart
E

Inclusion of Qualified Health Maintenance Organizations in Employee Health Benefits Plans

Subpart
F

Continued Regulation of Federally Qualified Health Maintenance Organizations

Subpart
G-I

Subparts G-I [Reserved]

Subpart
J

Qualifying Conditions for Medicare Contracts

Subpart
K

Enrollment, Entitlement, and Disenrollment under Medicare Contract

Subpart
L

Medicare Contract Requirements

Subpart
M

Change of Ownership and Leasing of Facilities: Effect on Medicare Contract

Subpart
N

Medicare Payment to HMOs and CMPs: General Rules

Subpart
O

Medicare Payment: Cost Basis

Subpart
P

Medicare Payment: Risk Basis

Subpart
Q

Beneficiary Appeals

Subpart
R

Medicare Contract Appeals

Subpart
S-T

Subparts S-T [Reserved]

Subpart
U

Health Care Prepayment Plans

Subpart
V

Administration of Outstanding Loans and Loan Guarantees