Qualifying Conditions for Medicare Contracts

  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
  7. Qualifying Conditions for Medicare Contracts

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Section
417.400

Basis and scope.

Section
417.401

Definitions.

Section
417.402

Effective date of initial regulations.

Section
417.404

General requirements.

Section
417.406

Application and determination.

Section
417.407

Requirements for a Competitive Medical Plan (CMP).

Section
417.408

Contract application process.

Section
417.410

Qualifying conditions: General rules.

Section
417.412

Qualifying condition: Administration and management.

Section
417.413

Qualifying condition: Operating experience and enrollment.

Section
417.414

Qualifying condition: Range of services.

Section
417.416

Qualifying condition: Furnishing of services.

Section
417.418

Qualifying condition: Quality assurance program.