42 CFR §422.1
Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
- (a)Basis. This part is based on the indicated provisions of the following:
- (1)The following provisions of the Act:
- (i)1106—Disclosure of information in possession of agency.
- (ii)1128J(d)—Reporting and Returning of Overpayments.
- (iii)1851—Eligibility, election, and enrollment.
- (iv)1852—Benefits and beneficiary protections.
- (v)1853—Payments to Medicare Advantage (MA) organizations.
- (vi)1854—Premiums.
- (vii)1855—Organization, licensure, and solvency of MA organizations.
- (viii)1856—Standards.
- (ix)1857—Contract requirements.
- (x)1858—Special rules for MA Regional Plans.
- (xi)1859—Definitions; enrollment restriction for certain MA plans.
- (2)8 U.S.C. 1611—Aliens who are not qualified aliens ineligible for Federal public benefits.
- (1)The following provisions of the Act:
- (b)Scope. This part establishes standards and sets forth the requirements, limitations, and procedures for Medicare services furnished, or paid for, by Medicare Advantage organizations through Medicare Advantage plans.