Medicare Contract 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. Health Maintenance Organizations, Competitive Medical Plans, and Health Care Prepayment Plans
  7. Medicare Contract Requirements

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Section
417.470

Basis and scope.

Section
417.472

Basic contract requirements.

Section
417.474

Effective date and term of contract.

Section
417.476

Waived conditions.

Section
417.478

Requirements of other laws and regulations.

Section
417.479

Requirements for physician incentive plans.

Section
417.480

Maintenance of records: Cost HMOs and CMPs.

Section
417.481

Maintenance of records: Risk HMOs and CMPs.

Section
417.482

Access to facilities and records.

Section
417.484

Requirement applicable to related entities.

Section
417.486

Disclosure of information and confidentiality.

Section
417.488

Notice of termination and of available alternatives: Risk contract.

Section
417.490

Renewal of contract.

Section
417.492

Nonrenewal of contract.

Section
417.494

Modification or termination of contract.

Section
417.496

Cost plan crosswalk.

Section
417.500

Intermediate sanctions for and civil monetary penalties against HMOs and CMPs.