Payments to Medicare Advantage Organizations

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medicare Program
  6. Medicare Advantage Program
  7. Payments to Medicare Advantage Organizations

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Section
422.300

Basis and scope.

Section
422.304

Monthly payments.

Section
422.306

Annual MA capitation rates.

Section
422.308

Adjustments to capitation rates, benchmarks, bids, and payments.

Section
422.310

Risk adjustment data.

Section
422.311

RADV audit dispute and appeal processes.

Section
422.312

Announcement of annual capitation rate, benchmarks, and methodology changes.

Section
422.314

Special rules for beneficiaries enrolled in MA MSA plans.

Section
422.316

Special rules for payments to Federally qualified health centers.

Section
422.318

Special rules for coverage that begins or ends during an inpatient hospital stay.

Section
422.320

Special rules for hospice care.

Section
422.322

Source of payment and effect of MA plan election on payment.

Section
422.324

Payments to MA organizations for graduate medical education costs.

Section
422.326

Reporting and returning of overpayments.

Section
422.330

CMS-identified overpayments associated with payment data submitted by MA organizations.