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42 U.S.C. 1302, 1306, 1395w-21 through 1395w-28, and 1395hh.
63 FR 18134, Apr. 14, 1998, unless otherwise noted.
70 FR 4725, Jan. 28, 2005, unless otherwise noted.
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Subscribe to: 42 CFR 422.250
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Nomenclature changes to part 422 appear at 70 FR 4741, Jan. 28, 2005.
This subpart is based largely on section 1854 of the Act, but also includes provisions from sections 1853 and 1858 of the Act, and is also based on section 1106 of the Act. It sets forth the requirements for the Medicare Advantage bidding payment methodology, including CMS' calculation of benchmarks, submission of plan bids by Medicare Advantage (MA) organizations, establishment of beneficiary premiums and rebates through comparison of plan bids and benchmarks, negotiation and approval of bids by CMS, and the release of MA bid submission data.
[81 FR 80556, Nov. 15, 2016]