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Regulations last checked for updates: May 17, 2025
Title 42 - Public Health last revised: Apr 15, 2025
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Title 42
Chapter IV
Part 422
Subpart G - Subpart G—Payments to Medicare Advantage Organizations
§ 422.300 - Basis and scope.
§ 422.304 - Monthly payments.
§ 422.306 - Annual MA capitation rates.
§ 422.308 - Adjustments to capitation rates, benchmarks, bids, and payments.
§ 422.310 - Risk adjustment data.
§ 422.311 - RADV audit dispute and appeal processes.
§ 422.312 - Announcement of annual capitation rate, benchmarks, and methodology changes.
§ 422.314 - Special rules for beneficiaries enrolled in MA MSA plans.
§ 422.316 - Special rules for payments to Federally qualified health centers.
§ 422.318 - Special rules for coverage that begins or ends during an inpatient hospital stay.
§ 422.320 - Special rules for hospice care.
§ 422.322 - Source of payment and effect of MA plan election on payment.
§ 422.324 - Payments to MA organizations for graduate medical education costs.
§ 422.326 - Reporting and returning of overpayments.
§ 422.330 - CMS-identified overpayments associated with payment data submitted by MA organizations.
authority:
42 U.S.C. 1302
,
1306
,
1395w
,
and
source:
63 FR 18134, Apr. 14, 1998, unless otherwise noted.
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