42 CFR Part 421 — Medicare Contracting
Subpart A — Scope, Definitions, and 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.