Federal (United States) · Regulations
Subpart G — Payments to Medicare Advantage Organizations
13 sections
13 sections
- 42 C.F.R. § 422.300Basis and scope.
- 42 C.F.R. § 422.304Monthly payments.
- 42 C.F.R. § 422.306Annual MA capitation rates.
- 42 C.F.R. § 422.311RADV audit dispute and appeal processes.
- 42 C.F.R. § 422.312Announcement of annual capitation rate, benchmarks, and methodology changes.
- 42 C.F.R. § 422.314Special rules for beneficiaries enrolled in MA MSA plans.
- 42 C.F.R. § 422.316Special rules for payments to Federally qualified health centers.
- 42 C.F.R. § 422.318Special rules for coverage that begins or ends during an inpatient hospital stay.
- 42 C.F.R. § 422.320Special rules for hospice care.
- 42 C.F.R. § 422.322Source of payment and effect of MA plan election on payment.
- 42 C.F.R. § 422.324Payments to MA organizations for graduate medical education costs.
- 42 C.F.R. § 422.326Reporting and returning of overpayments.
- 42 C.F.R. § 422.330CMS-identified overpayments associated with payment data submitted by MA organizations.