General Rules

70.2.1 - General Rules (Rev. 99, Issued: 05-27-11, Effective: 05-27-11, Implementation: 05-27-11) • The plan must meet the access to services requirement by paying all providers at least the Original Medicare rates or higher for all categories of Part A and Part B services. • The plan must operate using deemed providers for all categories of Part A and Part B services, if the deeming conditions described in 42 CFR 422.216(f) and section 40.2 of this chapter are met. • The plan may have some direct-contracting providers. The plan may establish signed contracts or agreements with some providers without meeting the access standards described in section 1852(d)(1) of the Act and section 30.2 of this chapter.