Home
gpo.gov
govinfo.gov

e-CFR Navigation Aids

Browse

Simple Search

Advanced Search

 — Boolean

 — Proximity

 

Search History

Search Tips

Corrections

Latest Updates

User Info

FAQs

Agency List

Incorporation By Reference

eCFR logo

Related Resources

Electronic Code of Federal Regulations

We invite you to try out our new beta eCFR site at https://ecfr.federalregister.gov. We have made big changes to make the eCFR easier to use. Be sure to leave feedback using the Feedback button on the bottom right of each page!

e-CFR data is current as of February 25, 2021

Title 42Chapter IVSubchapter HPart 513


TITLE 42—Public Health

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

SUBCHAPTER H—HEALTH CARE INFRASTRUCTURE AND MODEL PROGRAMS

PART 513—MOST FAVORED NATION (MFN) MODEL

rule

Subpart A—GENERAL PROVISIONS

§513.1
Basis, scope, and duration.
§513.2
Definitions.
rule

Subpart B—INCLUSION IN THE MODEL

§513.100
MFN Model payments and MFN participants.
§513.120
MFN Model geographic area.
§513.130
MFN Model drugs, updates, categories and excluded drugs.
§513.140
Included international data.
rule

Subpart C—PAYMENT PROCESS AND METHODOLOGY

§513.200
Payment process and beneficiary cost-sharing.
§513.210
Model payment methodology for MFN Model drugs.
§513.220
Model alternative add-on payment.
§513.230
Financial hardship exemptions, request process, and reconciliation payment.
rule

Subpart D—[RESERVED]

rule

Subpart E—QUALITY STRATEGY, BENEFICIARY PROTECTIONS, AND COMPLIANCE ACTIVITIES

§513.400
Quality measures.
§513.410
Beneficiary protections.
§513.420
Monitoring and compliance activities.
§513.430
Audits and record retention.
§513.440
Enforcement authority.
§513.450
Limitations on review.
rule

Subpart F—WAIVERS

§513.500
Waivers of Medicare program requirements for purposes of testing the MFN Model.
rule

Subparts G through J [Reserved]

rule

Subpart K—MODEL TERMINATION

§513.1000
Termination of the MFN Model.

Need assistance?