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e-CFR data is current as of October 22, 2020

Title 42Chapter IVSubchapter BPart 421


TITLE 42—Public Health

CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED)

SUBCHAPTER B—MEDICARE PROGRAM (CONTINUED)

PART 421—MEDICARE CONTRACTING

rule

Subpart A—SCOPE, DEFINITIONS, AND GENERAL PROVISIONS

§421.1
Basis, applicability, and scope.
§421.3
Definitions.
§421.5
General provisions.
rule

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.
rule

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.
rule

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.
rule

Subpart E—MEDICARE ADMINISTRATIVE CONTRACTORS (MACS)

§421.400
Statutory basis and scope.
§421.401
Definitions.
§421.404
Assignment of providers and suppliers to MACs.
rule

Subpart F—[RESERVED]

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