Federal (United States) · Regulations
Subpart C — Benefits and Beneficiary Protections
24 sections
24 sections
- 42 C.F.R. § 422.100General requirements.
- 42 C.F.R. § 422.103Benefits under an MA MSA plan.
- 42 C.F.R. § 422.104Special rules on supplemental benefits for MA MSA plans.
- 42 C.F.R. § 422.105Special rules for self-referral and point of service option.
- 42 C.F.R. § 422.106Coordination of benefits with employer or union group health plans and Medicaid.
- 42 C.F.R. § 422.108Medicare secondary payer (MSP) procedures.
- 42 C.F.R. § 422.109Effect of national coverage determinations (NCDs) and legislative changes in benefits; coverage of clinical trials and A and B device trials.
- 42 C.F.R. § 422.110Discrimination against beneficiaries prohibited.
- 42 C.F.R. § 422.113Special rules for ambulance services, emergency and urgently needed services, and maintenance and post-stabilization care services.
- 42 C.F.R. § 422.114Access to services under an MA private fee-for-service plan.
- 42 C.F.R. § 422.116Network adequacy.
- 42 C.F.R. § 422.118Confidentiality and accuracy of enrollee records.
- 42 C.F.R. § 422.119Access to and exchange of health data and plan information.
- 42 C.F.R. § 422.120Access to published provider directory information.
- 42 C.F.R. § 422.121Access to and exchange of health data for providers and payers.
- 42 C.F.R. § 422.122Prior authorization requirements.
- 42 C.F.R. § 422.125Resolution of complaints in a Complaints Tracking Module.
- 42 C.F.R. § 422.128Information on advance directives.
- 42 C.F.R. § 422.132Protection against liability and loss of benefits.
- 42 C.F.R. § 422.133Return to home skilled nursing facility.
- 42 C.F.R. § 422.134Reward and incentive programs.
- 42 C.F.R. § 422.135Additional telehealth benefits.
- 42 C.F.R. § 422.136Medicare Advantage (MA) and step therapy for Part B drugs.
- 42 C.F.R. § 422.138Prior authorization.