Cost Control and Quality Improvement Requirements

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medicare Program
  6. Voluntary Medicare Prescription Drug Benefit
  7. Cost Control and Quality Improvement Requirements

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Section
423.150

Scope.

Section
423.153

Drug utilization management, quality assurance, medication therapy management programs (MTMPs), drug management programs, and access to Medicare Parts A and B claims data extracts.

Section
423.154

Appropriate dispensing of prescription drugs in long-term care facilities under PDPs and MA-PD plans.

Section
423.156

Consumer satisfaction surveys.

Section
423.159

Electronic prescription drug program.

Section
423.160

Standards for electronic prescribing.

Section
423.162

Quality improvement organization activities.

Section
423.165

Compliance deemed on the basis of accreditation.

Section
423.168

Accreditation organizations.

Section
423.171

Procedures for approval of accreditation as a basis for deeming compliance.

Section
423.180

Basis and scope of the Part D Prescription Drug Plan Quality Rating System.

Section
423.182

Part D Prescription Drug Plan Quality Rating System.

Section
423.184

Adding, updating, and removing measures.

Section
423.186

Calculation of Star Ratings.