42 CFR Subpart G
Payments to Medicare Advantage Organizations
June 11, 2020
§
422.300
Basis and scope
§
422.304
Monthly payments
§
422.306
Annual MA capitation rates
§
422.306
[Amendment] Annual MA capitation rates
§
422.308
Adjustments to capitation rates, benchmarks, bids, and payments
§
422.310
Risk adjustment data
§
422.311
RADV audit dispute and appeal processes
§
422.312
Announcement of annual capitation rate, benchmarks, and methodology changes
§
422.314
Special rules for beneficiaries enrolled in MA MSA plans
§
422.316
Special rules for payments to Federally qualified health centers
§
422.318
Special rules for coverage that begins or ends during an inpatient hospital stay
§
422.320
Special rules for hospice care
§
422.322
Source of payment and effect of MA plan election on payment
§
422.322
[Amendment] Source of payment and effect of MA plan election on payment
§
422.324
Payments to MA organizations for graduate medical education costs
§
422.326
Reporting and returning of overpayments
§
422.330
CMS-identified overpayments associated with payment data submitted by MA organizations