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
  7. Health Care Prepayment Plans

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Section
417.800

Payment to HCPPs: Definitions and basic rules.

Section
417.801

Agreements between CMS and health care prepayment plans.

Section
417.802

Allowable costs.

Section
417.804

Cost apportionment.

Section
417.806

Financial records, statistical data, and cost finding.

Section
417.808

Interim per capita payments.

Section
417.810

Final settlement.

Section
417.830

Scope of regulations on beneficiary appeals.

Section
417.832

Applicability of requirements and procedures.

Section
417.834

Responsibility for establishing administrative review procedures.

Section
417.836

Written description of administrative review procedures.

Section
417.838

Organization determinations.

Section
417.840

Administrative review procedures.