42 CFR Part 421
PART 421—MEDICARE CONTRACTING
- PART 421—MEDICARE CONTRACTING
- Chapter IV—Centers for Medicare & Medicaid Services, Department of Health and Human Services › Subchapter B—Medicare Program
- Subpart A—Scope, Definitions, and General Provisions
- § 421.1 Basis, applicability, and scope.
- § 421.3 Definitions.
- § 421.5 General provisions.
- Subpart B—Intermediaries
- § 421.100 Intermediary functions.
- § 421.103 Payment to providers.
- § 421.104 Assignment of providers of services to intermediaries during transition to Medicare Administrative Contractors (MACs).
- § 421.110 Requirements for approval of an agreement.
- § 421.112 Considerations relating to the effective and efficient administration of the program.
- § 421.114 Assignment and reassignment of providers by CMS.
- § 421.120 Performance criteria.
- § 421.122 Performance standards.
- § 421.124 Intermediary's failure to perform efficiently and effectively.
- § 421.126 Termination of agreements.
- § 421.128 Intermediary's opportunity for hearing and right to judicial review.
- Subpart C—Carriers
- § 421.200 Carrier functions.
- § 421.201 Performance criteria and standards.
- § 421.202 Requirements and conditions.
- § 421.203 Carrier's failure to perform efficiently and effectively.
- § 421.205 Termination by the Secretary.
- § 421.210 Designations of regional carriers to process claims for durable medical equipment, prosthetics, orthotics and supplies.
- § 421.212 Railroad Retirement Board contracts.
- § 421.214 Advance payments to suppliers furnishing items or services under Part B.
- Subpart D—Medicare Integrity Program Contractors
- § 421.300 Basis, applicability, and scope.
- § 421.302 Eligibility requirements for Medicare integrity program contractors.
- § 421.304 Medicare integrity program contractor functions.
- § 421.306 Awarding of a contract.
- § 421.308 Renewal of a contract.
- § 421.310 Conflict of interest requirements.
- § 421.312 Conflict of interest resolution.
- § 421.316 Limitation on Medicare integrity program contractor liability.
- Subpart E—Medicare Administrative Contractors (MACs)
- § 421.400 Statutory basis and scope.
- § 421.401 Definitions.
- § 421.404 Assignment of providers and suppliers to MACs.
- Subpart F [Reserved]
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