42 C.F.R. PART 403--SPECIAL PROGRAMS AND PROJECTS
TITLE 42--Public Health
CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
SUBCHAPTER A--GENERAL PROVISIONS
PART 403--SPECIAL PROGRAMS AND PROJECTS
Subpart A--[RESERVED]
Subpart B--MEDICARE SUPPLEMENTAL POLICIES
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| State regulation of insurance policies.
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| Medicare supplemental policy.
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| General standards for Medicare supplemental policies.
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| Supplemental Health Insurance Panel.
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| State with an approved regulatory program.
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| Requirements and procedures for obtaining certification.
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| Review and certification of policies.
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| Submittal of material to retain certification.
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| Administrative review of CMS determinations.
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| Loss ratio calculations: General provisions.
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| Loss ratio date and time frame provisions.
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| Loss ratio supporting data.
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| Statement of actuarial opinion.
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Subpart C--RECOGNITION OF STATE REIMBURSEMENT CONTROL SYSTEMS
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| Minimum requirements for State systems--discretionary approval.
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| Additional requirements for State systems--mandatory approval.
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| State systems under demonstration projects--mandatory approval.
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| Submittal of application.
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| Evaluation of State systems.
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| Reconsideration of certain denied applications.
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| Approval of State systems.
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| CMS review and monitoring of State systems.
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| State systems for hospital outpatient services.
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| Termination of agreements for Medicare recognition of State systems.
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Subpart D--[RESERVED]
Subpart E--BENEFICIARY COUNSELING AND ASSISTANCE GRANTS
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| Basis, scope, and definition.
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| Number and size of grants.
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Subpart F--[RESERVED]
Subpart G--RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS--BENEFITS, CONDITIONS OF PARTICIPATION, AND PAYMENT
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| Valid election requirements.
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| Condition of participation: Patient rights.
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| Condition of participation: Quality assessment and performance improvement.
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| Condition of participation: Food services.
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| Condition of participation: Discharge planning.
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| Condition of participation: Administration.
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| Condition of participation: Staffing.
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| Condition of participation: Physical environment.
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| Condition of participation: Life safety from fire.
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| Condition of participation: Utilization review.
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| Estimate of expenditures and adjustments.
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| Monitoring expenditure level.
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| Basis and purpose of religious nonmedical health care institutions providing home service.
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| Requirements for coverage and payment of RNHCI home services.
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| Payments for home services.
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Subpart H--MEDICARE PRESCRIPTION DRUG DISCOUNT CARD AND TRANSITIONAL ASSISTANCE PROGRAM
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| General rules for solicitation, application and Medicare endorsement period.
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| Sponsor requirements for eligibility for endorsement.
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| Use of transitional assistance funds.
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| Eligibility and reconsiderations.
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| Enrollment and disenrollment and associated endorsed sponsor requirements.
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| HIPAA privacy, security, administrative data standards, and national identifiers.
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| Marketing limitations and record retention requirements.
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| Special rules concerning Part C organizations and Medicare cost plans and their enrollees.
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| Special rules concerning States.
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| Special rules concerning long-term care and I/T/U pharmacies.
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| Special rules concerning the territories.
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| Sanctions, penalties, and termination.
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| Reimbursement of transitional assistance and associated sponsor requirements.
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