1. LawStack
  2. Title 42 - Public Health
  3. Chapter IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  4. Subchapter B - MEDICARE PROGRAM
  5. Part 411 - EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE PAYMENT
  6. 42 CFR Subpart E
42 CFR Subpart E
Limitations on Payment for Services Covered Under Group Health Plans: General Provisions
June 11, 2020
§
411.124
Administrator's review of hearing decision
§
411.126
Reopening of determinations and decisions
§
411.100
Basis and scope
§
411.101
Definitions
§
411.130
Referral to Internal Revenue Service (IRS)
§
411.102
Basic prohibitions and requirements
§
411.103
Prohibition against financial and other incentives
§
411.104
Current employment status
§
411.106
Aggregation rules
§
411.108
Taking into account entitlement to Medicare
§
411.110
Basis for determination of nonconformance
§
411.112
Documentation of conformance
§
411.114
Determination of nonconformance
§
411.115
Notice of determination of nonconformance
§
411.120
Appeals
§
411.121
Hearing procedures
§
411.122
Hearing officer's decision
Previous
Subpart C Limitations on Medicare Payment for Services Covered Under Workers' Compensation
Next
Subpart F Special Rules: Individuals Eligible or Entitled on the Basis of ESRD, Who Are Also Covered Under Group Health Plans

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